Increased arterial inflow demonstrated by Doppler ultrasound in arm swelling following breast cancer treatment
Identifieur interne : 00C919 ( Main/Exploration ); précédent : 00C918; suivant : 00C920Increased arterial inflow demonstrated by Doppler ultrasound in arm swelling following breast cancer treatment
Auteurs : W. E. Svensson [Royaume-Uni] ; Peter Mortimer (dermatologue) [Royaume-Uni] ; E. Tohno [Royaume-Uni] ; D. O. Cosgrove [Royaume-Uni]Source :
- European Journal of Cancer [ 0959-8049 ] ; 1994.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Artère subclavière (imagerie diagnostique), Artère subclavière (physiopathologie), Attribution aléatoire, Bras (), Débit sanguin régional, Femelle, Humains, Lymphoedème (imagerie diagnostique), Lymphoedème (physiopathologie), Lymphoedème (étiologie), Maladie chronique, Mastectomie (effets indésirables), Neuropathies périphériques (), Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs du sein (), Échographie.
- MESH :
- effets indésirables : Mastectomie.
- imagerie diagnostique : Artère subclavière, Lymphoedème.
- physiopathologie : Artère subclavière, Lymphoedème.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Attribution aléatoire, Bras, Débit sanguin régional, Femelle, Humains, Maladie chronique, Neuropathies périphériques, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs du sein, Échographie.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Arm (blood supply), Breast Neoplasms (surgery), Chronic Disease, Female, Humans, Lymphedema (diagnostic imaging), Lymphedema (etiology), Lymphedema (physiopathology), Mastectomy (adverse effects), Middle Aged, Peripheral Nervous System Diseases (complications), Random Allocation, Regional Blood Flow, Subclavian Artery (diagnostic imaging), Subclavian Artery (physiopathology), Ultrasonography.
- MESH :
- adverse effects : Mastectomy.
- blood supply : Arm.
- complications : Peripheral Nervous System Diseases.
- diagnostic imaging : Lymphedema, Subclavian Artery.
- etiology : Lymphedema.
- physiopathology : Lymphedema, Subclavian Artery.
- surgery : Breast Neoplasms.
- Adult, Aged, Aged, 80 and over, Chronic Disease, Female, Humans, Middle Aged, Random Allocation, Regional Blood Flow, Ultrasonography.
Abstract
Doppler ultrasound was used to estimate the mean arterial flow in the arms of 50 patients with arm oedema following breast cancer treatment (oedema group). They were compared with 26 treated breast cancer patients with no arm swelling (control group). Flows on the treatment side were expressed as a percentage of the flow in the contralateral normal arm. Mean percentage blood flow was 68% higher in the swollen arms than the contralateral normal arms compared to a mean increase of 38% on the breast cancer treatment side in the control group. In both groups there was a significantly higher proportion of patients with increased (> 150%) rather than decreased (< 50%) flow on the treatment side. The ratio of increased to decreased flow was 27:4 in the oedema group and 6:0 in the control group. A neurological deficit on the treatment side was associated with an increased incidence of higher flow on the same side in the oedema group. These findings demonstrate that breast cancer treatment results in a significant increase in arterial flow in the arm on the treatment side, and that this increase is even higher in those patients with swelling. Increased blood flow is likely to contribute to arm swelling. One explanation for increased flow would be neurological deficit with loss of sympathetic vasoconstrictor control.
Url:
DOI: 10.1016/0959-8049(94)90540-1
Affiliations:
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Le document en format XML
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S." last="Mortimer">Peter Mortimer (dermatologue)</name><affiliation wicri:level="1"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Lymphoedema Clinic, The Royal Marsden Hospital, Fulham Road</wicri:regionArea><wicri:noRegion>Fulham Road</wicri:noRegion><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName><orgName type="university">Université de Londres</orgName></affiliation></author><author><name sortKey="Tohno, E" sort="Tohno, E" uniqKey="Tohno E" first="E." last="Tohno">E. Tohno</name><affiliation wicri:level="1"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Nuclear Medicine and Ultrasound, The Royal Marsden Hospital, London and Sutton</wicri:regionArea><wicri:noRegion>London and Sutton</wicri:noRegion></affiliation></author><author><name sortKey="Cosgrove, D O" sort="Cosgrove, D O" uniqKey="Cosgrove D" first="D. O." last="Cosgrove">D. O. Cosgrove</name><affiliation wicri:level="1"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Nuclear Medicine and Ultrasound, The Royal Marsden Hospital, London and Sutton</wicri:regionArea><wicri:noRegion>London and Sutton</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">European Journal of Cancer</title><title level="j" type="abbrev">EJC</title><idno type="ISSN">0959-8049</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1994">1994</date><biblScope unit="volume">30</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="661">661</biblScope><biblScope unit="page" to="664">664</biblScope></imprint><idno type="ISSN">0959-8049</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0959-8049</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Arm (blood supply)</term><term>Breast Neoplasms (surgery)</term><term>Chronic Disease</term><term>Female</term><term>Humans</term><term>Lymphedema (diagnostic imaging)</term><term>Lymphedema (etiology)</term><term>Lymphedema (physiopathology)</term><term>Mastectomy (adverse effects)</term><term>Middle Aged</term><term>Peripheral Nervous System Diseases (complications)</term><term>Random Allocation</term><term>Regional Blood Flow</term><term>Subclavian Artery (diagnostic imaging)</term><term>Subclavian Artery (physiopathology)</term><term>Ultrasonography</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Artère subclavière (imagerie diagnostique)</term><term>Artère subclavière (physiopathologie)</term><term>Attribution aléatoire</term><term>Bras ()</term><term>Débit sanguin régional</term><term>Femelle</term><term>Humains</term><term>Lymphoedème (imagerie diagnostique)</term><term>Lymphoedème (physiopathologie)</term><term>Lymphoedème (étiologie)</term><term>Maladie chronique</term><term>Mastectomie (effets indésirables)</term><term>Neuropathies périphériques ()</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs du sein ()</term><term>Échographie</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Mastectomy</term></keywords><keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Arm</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Peripheral Nervous System Diseases</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Lymphedema</term><term>Subclavian Artery</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Mastectomie</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Artère subclavière</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Artère subclavière</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Lymphedema</term><term>Subclavian Artery</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Chronic Disease</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Random Allocation</term><term>Regional Blood Flow</term><term>Ultrasonography</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Attribution aléatoire</term><term>Bras</term><term>Débit sanguin régional</term><term>Femelle</term><term>Humains</term><term>Maladie chronique</term><term>Neuropathies périphériques</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs du sein</term><term>Échographie</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Doppler ultrasound was used to estimate the mean arterial flow in the arms of 50 patients with arm oedema following breast cancer treatment (oedema group). They were compared with 26 treated breast cancer patients with no arm swelling (control group). Flows on the treatment side were expressed as a percentage of the flow in the contralateral normal arm. Mean percentage blood flow was 68% higher in the swollen arms than the contralateral normal arms compared to a mean increase of 38% on the breast cancer treatment side in the control group. In both groups there was a significantly higher proportion of patients with increased (> 150%) rather than decreased (< 50%) flow on the treatment side. The ratio of increased to decreased flow was 27:4 in the oedema group and 6:0 in the control group. A neurological deficit on the treatment side was associated with an increased incidence of higher flow on the same side in the oedema group. These findings demonstrate that breast cancer treatment results in a significant increase in arterial flow in the arm on the treatment side, and that this increase is even higher in those patients with swelling. Increased blood flow is likely to contribute to arm swelling. One explanation for increased flow would be neurological deficit with loss of sympathetic vasoconstrictor control.</div></front></TEI><affiliations><list><country><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Londres</li></region><settlement><li>Londres</li></settlement><orgName><li>Université de Londres</li></orgName></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Svensson, W E" sort="Svensson, W E" uniqKey="Svensson W" first="W. E." last="Svensson">W. E. Svensson</name></noRegion><name sortKey="Cosgrove, D O" sort="Cosgrove, D O" uniqKey="Cosgrove D" first="D. O." last="Cosgrove">D. O. Cosgrove</name><name sortKey="Mortimer, P S" sort="Mortimer, P S" uniqKey="Mortimer P" first="P. S." last="Mortimer">Peter Mortimer (dermatologue)</name><name sortKey="Tohno, E" sort="Tohno, E" uniqKey="Tohno E" first="E." last="Tohno">E. Tohno</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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