Arm Edema in Breast Cancer Patients
Identifieur interne : 00A053 ( Main/Exploration ); précédent : 00A052; suivant : 00A054Arm Edema in Breast Cancer Patients
Auteurs : Virginia S. Erickson ; Marjorie L. Pearson ; Patricia A. Ganz ; John Adams ; Katherine L. KahnSource :
- Journal of the National Cancer Institute [ 0027-8874 ] ; 2001-01-17.
Descripteurs français
- KwdFr :
- Aisselle (), Bras (anatomopathologie), Facteurs de risque, Facteurs temps, Femelle, Humains, Incidence, Indice de gravité médicale, Lymphadénectomie (), Lymphadénectomie (effets indésirables), Lymphoedème (), Lymphoedème (diagnostic), Lymphoedème (traitement médicamenteux), Lymphoedème (épidémiologie), Lymphoedème (étiologie), Mastectomie (effets indésirables), Métastase lymphatique (diagnostic), Prévalence, Techniques de physiothérapie (), Tumeurs du sein (), Tumeurs du sein (anatomopathologie), Tumeurs du sein (radiothérapie).
- MESH :
- anatomopathologie : Bras, Tumeurs du sein.
- diagnostic : Lymphoedème, Métastase lymphatique.
- effets indésirables : Lymphadénectomie, Mastectomie.
- radiothérapie : Tumeurs du sein.
- traitement médicamenteux : Lymphoedème.
- épidémiologie : Lymphoedème.
- étiologie : Lymphoedème.
- Aisselle, Facteurs de risque, Facteurs temps, Femelle, Humains, Incidence, Indice de gravité médicale, Lymphadénectomie, Lymphoedème, Prévalence, Techniques de physiothérapie, Tumeurs du sein.
English descriptors
- KwdEn :
- Arm (pathology), Axilla (surgery), Breast Neoplasms (pathology), Breast Neoplasms (radiotherapy), Breast Neoplasms (surgery), Female, Humans, Incidence, Lymph Node Excision (adverse effects), Lymph Node Excision (methods), Lymphatic Metastasis (diagnosis), Lymphedema (diagnosis), Lymphedema (drug therapy), Lymphedema (epidemiology), Lymphedema (etiology), Lymphedema (prevention & control), Lymphedema (therapy), Mastectomy (adverse effects), Physical Therapy Modalities (methods), Prevalence, Risk Factors, Severity of Illness Index, Time Factors.
- MESH :
- adverse effects : Lymph Node Excision, Mastectomy.
- diagnosis : Lymphatic Metastasis, Lymphedema.
- drug therapy : Lymphedema.
- epidemiology : Lymphedema.
- etiology : Lymphedema.
- methods : Lymph Node Excision, Physical Therapy Modalities.
- pathology : Arm, Breast Neoplasms.
- prevention & control : Lymphedema.
- radiotherapy : Breast Neoplasms.
- surgery : Axilla, Breast Neoplasms.
- therapy : Lymphedema.
- Female, Humans, Incidence, Prevalence, Risk Factors, Severity of Illness Index, Time Factors.
Abstract
The improvement in the life expectancy of women with breast cancer raises important questions about how to improve the quality of life for women sustaining complications of breast cancer treatment. In particular, attention to common problems, such as arm edema, is of critical importance. We reviewed published breast cancer guidelines and literature identified via MEDLINE® searches in an effort to summarize the research literature pertinent to management of breast cancer-related arm edema, including incidence, prevalence, and timing; risk factors; morbidity; prevention; diagnosis; and efficacy of nonpharmacologic and pharmacologic interventions. We found that arm edema is a common complication of breast cancer therapy that can result in substantial functional impairment and psychological morbidity. The risk of arm edema increases when axillary dissection and axillary radiation therapy are used. Recommendations for preventive measures, such as avoidance of trauma, are available, but these measures have not been well studied. Nonpharmacologic treatments, such as massage and exercise, have been shown to be effective therapies for lymphedema, but the effect of pharmacologic interventions remains uncertain. Comparing results across studies is complicated by the fact that the definitions of interventions and measures of outcomes and risk stratification vary substantially among studies. As arm edema becomes more prevalent with the increasing survival of breast cancer patients, further research is needed to evaluate the efficacy of preventive strategies and therapeutic interventions.
Url:
DOI: 10.1093/jnci/93.2.96
Affiliations:
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Le document en format XML
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<term>Axilla (surgery)</term>
<term>Breast Neoplasms (pathology)</term>
<term>Breast Neoplasms (radiotherapy)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Female</term>
<term>Humans</term>
<term>Incidence</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymph Node Excision (methods)</term>
<term>Lymphatic Metastasis (diagnosis)</term>
<term>Lymphedema (diagnosis)</term>
<term>Lymphedema (drug therapy)</term>
<term>Lymphedema (epidemiology)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (prevention & control)</term>
<term>Lymphedema (therapy)</term>
<term>Mastectomy (adverse effects)</term>
<term>Physical Therapy Modalities (methods)</term>
<term>Prevalence</term>
<term>Risk Factors</term>
<term>Severity of Illness Index</term>
<term>Time Factors</term>
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<term>Bras (anatomopathologie)</term>
<term>Facteurs de risque</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Incidence</term>
<term>Indice de gravité médicale</term>
<term>Lymphadénectomie ()</term>
<term>Lymphadénectomie (effets indésirables)</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (diagnostic)</term>
<term>Lymphoedème (traitement médicamenteux)</term>
<term>Lymphoedème (épidémiologie)</term>
<term>Lymphoedème (étiologie)</term>
<term>Mastectomie (effets indésirables)</term>
<term>Métastase lymphatique (diagnostic)</term>
<term>Prévalence</term>
<term>Techniques de physiothérapie ()</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (anatomopathologie)</term>
<term>Tumeurs du sein (radiothérapie)</term>
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<term>Mastectomy</term>
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<term>Tumeurs du sein</term>
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<front><div type="abstract" xml:lang="en">The improvement in the life expectancy of women with breast cancer raises important questions about how to improve the quality of life for women sustaining complications of breast cancer treatment. In particular, attention to common problems, such as arm edema, is of critical importance. We reviewed published breast cancer guidelines and literature identified via MEDLINE® searches in an effort to summarize the research literature pertinent to management of breast cancer-related arm edema, including incidence, prevalence, and timing; risk factors; morbidity; prevention; diagnosis; and efficacy of nonpharmacologic and pharmacologic interventions. We found that arm edema is a common complication of breast cancer therapy that can result in substantial functional impairment and psychological morbidity. The risk of arm edema increases when axillary dissection and axillary radiation therapy are used. Recommendations for preventive measures, such as avoidance of trauma, are available, but these measures have not been well studied. Nonpharmacologic treatments, such as massage and exercise, have been shown to be effective therapies for lymphedema, but the effect of pharmacologic interventions remains uncertain. Comparing results across studies is complicated by the fact that the definitions of interventions and measures of outcomes and risk stratification vary substantially among studies. As arm edema becomes more prevalent with the increasing survival of breast cancer patients, further research is needed to evaluate the efficacy of preventive strategies and therapeutic interventions.</div>
</front>
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<tree><noCountry><name sortKey="Adams, John" sort="Adams, John" uniqKey="Adams J" first="John" last="Adams">John Adams</name>
<name sortKey="Erickson, Virginia S" sort="Erickson, Virginia S" uniqKey="Erickson V" first="Virginia S." last="Erickson">Virginia S. Erickson</name>
<name sortKey="Ganz, Patricia A" sort="Ganz, Patricia A" uniqKey="Ganz P" first="Patricia A." last="Ganz">Patricia A. Ganz</name>
<name sortKey="Kahn, Katherine L" sort="Kahn, Katherine L" uniqKey="Kahn K" first="Katherine L." last="Kahn">Katherine L. Kahn</name>
<name sortKey="Pearson, Marjorie L" sort="Pearson, Marjorie L" uniqKey="Pearson M" first="Marjorie L." last="Pearson">Marjorie L. Pearson</name>
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