Lymphatic relapse in women with early breast cancer: a difficult management problem
Identifieur interne : 00AB39 ( Main/Exploration ); précédent : 00AB38; suivant : 00AB40Lymphatic relapse in women with early breast cancer: a difficult management problem
Auteurs : F. Mckinna ; L. Gothard [Royaume-Uni] ; S. Ashley ; S. R Ebbs ; J. R Yarnold [Royaume-Uni]Source :
- European Journal of Cancer [ 0959-8049 ] ; 1999.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Analyse de survie, Association thérapeutique, Femelle, Humains, Lymphadénectomie, Métastase lymphatique, Récidive, Résultat thérapeutique, Sujet âgé, Traitement médicamenteux adjuvant, Tumeurs du sein (), Tumeurs du sein (anatomopathologie), Tumeurs du sein (radiothérapie), Tumeurs du sein (traitement médicamenteux), Études rétrospectives.
- MESH :
- anatomopathologie : Tumeurs du sein.
- radiothérapie : Tumeurs du sein.
- traitement médicamenteux : Tumeurs du sein.
- Adulte, Adulte d'âge moyen, Analyse de survie, Association thérapeutique, Femelle, Humains, Lymphadénectomie, Métastase lymphatique, Récidive, Résultat thérapeutique, Sujet âgé, Traitement médicamenteux adjuvant, Tumeurs du sein, Études rétrospectives.
English descriptors
- KwdEn :
- Adult, Aged, Breast Neoplasms (drug therapy), Breast Neoplasms (pathology), Breast Neoplasms (radiotherapy), Breast Neoplasms (surgery), Chemotherapy, Adjuvant, Combined Modality Therapy, Female, Humans, Lymph Node Excision, Lymphatic Metastasis, Middle Aged, Recurrence, Retrospective Studies, Survival Analysis, Treatment Outcome.
- MESH :
- drug therapy : Breast Neoplasms.
- pathology : Breast Neoplasms.
- radiotherapy : Breast Neoplasms.
- surgery : Breast Neoplasms.
- Adult, Aged, Chemotherapy, Adjuvant, Combined Modality Therapy, Female, Humans, Lymph Node Excision, Lymphatic Metastasis, Middle Aged, Recurrence, Retrospective Studies, Survival Analysis, Treatment Outcome.
Abstract
The aim of this study was to review the ability to control symptoms of regional lymphatic relapse in women with early breast cancer. A retrospective study was made of 759 consecutive women presenting with stage 1 or 2 breast cancer treated by breast conserving surgery and radiotherapy between June 1984 and December 1994, 291 (38.3%) of whom were managed by a policy of observation on the lymphatic pathways. Patterns of lymphatic relapse, relapse management and morbidity caused by recurrent malignancy were reviewed from the case notes. The overall rate of relapse in the ipsilateral axilla and/or supraclavicular fossa was 76/759 (10%) at any time prior to death or last follow-up. 34 of 65 patients who relapsed in the axilla did so despite prior axillary surgery and/or radiotherapy. 41 of 76 patients with regional recurrence presented with symptoms, including lymphoedema, arm pain or sensory motor changes. These symptoms were poorly controlled by palliative surgery, radiotherapy or systemic therapy in 23 cases, including 12 who progressed to arm paralysis. Symptomatic control of patients with regional lymphatic relapse can be very difficult, even in women under regular surveillance in a multidisciplinary breast cancer clinic.
Url:
DOI: 10.1016/S0959-8049(99)00101-X
Affiliations:
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Le document en format XML
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A retrospective study was made of 759 consecutive women presenting with stage 1 or 2 breast cancer treated by breast conserving surgery and radiotherapy between June 1984 and December 1994, 291 (38.3%) of whom were managed by a policy of observation on the lymphatic pathways. Patterns of lymphatic relapse, relapse management and morbidity caused by recurrent malignancy were reviewed from the case notes. The overall rate of relapse in the ipsilateral axilla and/or supraclavicular fossa was 76/759 (10%) at any time prior to death or last follow-up. 34 of 65 patients who relapsed in the axilla did so despite prior axillary surgery and/or radiotherapy. 41 of 76 patients with regional recurrence presented with symptoms, including lymphoedema, arm pain or sensory motor changes. These symptoms were poorly controlled by palliative surgery, radiotherapy or systemic therapy in 23 cases, including 12 who progressed to arm paralysis. Symptomatic control of patients with regional lymphatic relapse can be very difficult, even in women under regular surveillance in a multidisciplinary breast cancer clinic.</div></front></TEI><affiliations><list><country><li>Royaume-Uni</li></country></list><tree><noCountry><name sortKey="Ashley, S" sort="Ashley, S" uniqKey="Ashley S" first="S" last="Ashley">S. Ashley</name><name sortKey="Ebbs, S R" sort="Ebbs, S R" uniqKey="Ebbs S" first="S. R" last="Ebbs">S. R Ebbs</name><name sortKey="Mckinna, F" sort="Mckinna, F" uniqKey="Mckinna F" first="F" last="Mckinna">F. Mckinna</name></noCountry><country name="Royaume-Uni"><noRegion><name sortKey="Gothard, L" sort="Gothard, L" uniqKey="Gothard L" first="L" last="Gothard">L. Gothard</name></noRegion><name sortKey="Yarnold, J R" sort="Yarnold, J R" uniqKey="Yarnold J" first="J. R" last="Yarnold">J. R Yarnold</name><name sortKey="Yarnold, J R" sort="Yarnold, J R" uniqKey="Yarnold J" first="J. R" last="Yarnold">J. R Yarnold</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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