Sentinel lymph node biopsy lowers the rate of lymphedema when compared with standard axillary lymph node dissection. Discussion
Identifieur interne : 009560 ( Main/Merge ); précédent : 009559; suivant : 009561Sentinel lymph node biopsy lowers the rate of lymphedema when compared with standard axillary lymph node dissection. Discussion
Auteurs : Mehra Golshan [États-Unis] ; W. Jason Martin [États-Unis] ; Kambiz Dowlatshahi [États-Unis] ; Edgar Staren ; Lynne Jalovec ; Stephen F. SenerSource :
- The American surgeon [ 0003-1348 ] ; 2003.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
Abstract
Arm edema occurs in 20 to 30 per cent of patients who undergo axillary lymph node dissection (ALND) for carcinoma of the breast. Sentinel lymph node biopsy (SLNB) in lieu of ALND for staging of breast cancer significantly lowers this morbidity. We hypothesized that SLNB would have a lower lymphedema rate than conventional axillary dissection. Patients who underwent SLNB were compared with those who underwent level I and II axillary node dissection. A total of 125 patients were evaluated with 77 patients who underwent SLNB and 48 patients who underwent ALND. The arm circumference 10 cm above and 10 cm below the olecranon process was measured on both arms. In this series a difference in arm circumference greater than 3 cm between the operated and nonoperated side was defined as significant for lymphedema. Lymphedema was seen in two of 77 (2.6%) patients in the SLNB group as compared with 13 of 48 (27%) ALND patients. Given the above data patients who underwent sentinel lymph node biopsy show a significantly lower rate of lymphedema than those who had axillary lymph node dissection. This has an important impact on long-term postoperative management of patients with breast cancer.
Links toward previous steps (curation, corpus...)
- to stream PascalFrancis, to step Corpus: 000691
- to stream PascalFrancis, to step Curation: 000269
- to stream PascalFrancis, to step Checkpoint: 000654
Links to Exploration step
Pascal:03-0215592Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">Sentinel lymph node biopsy lowers the rate of lymphedema when compared with standard axillary lymph node dissection. Discussion</title>
<author><name sortKey="Golshan, Mehra" sort="Golshan, Mehra" uniqKey="Golshan M" first="Mehra" last="Golshan">Mehra Golshan</name>
<affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Surgery, Rush University, Rush Presbyterian St. Luke's Medical Center</s1>
<s2>Chicago, Illinois</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><region type="state">Illinois</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Martin, W Jason" sort="Martin, W Jason" uniqKey="Martin W" first="W. Jason" last="Martin">W. Jason Martin</name>
<affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Surgery, Rush University, Rush Presbyterian St. Luke's Medical Center</s1>
<s2>Chicago, Illinois</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><region type="state">Illinois</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Dowlatshahi, Kambiz" sort="Dowlatshahi, Kambiz" uniqKey="Dowlatshahi K" first="Kambiz" last="Dowlatshahi">Kambiz Dowlatshahi</name>
<affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Surgery, Rush University, Rush Presbyterian St. Luke's Medical Center</s1>
<s2>Chicago, Illinois</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><region type="state">Illinois</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Staren, Edgar" sort="Staren, Edgar" uniqKey="Staren E" first="Edgar" last="Staren">Edgar Staren</name>
</author>
<author><name sortKey="Jalovec, Lynne" sort="Jalovec, Lynne" uniqKey="Jalovec L" first="Lynne" last="Jalovec">Lynne Jalovec</name>
</author>
<author><name sortKey="Sener, Stephen F" sort="Sener, Stephen F" uniqKey="Sener S" first="Stephen F." last="Sener">Stephen F. Sener</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">INIST</idno>
<idno type="inist">03-0215592</idno>
<date when="2003">2003</date>
<idno type="stanalyst">PASCAL 03-0215592 INIST</idno>
<idno type="RBID">Pascal:03-0215592</idno>
<idno type="wicri:Area/PascalFrancis/Corpus">000691</idno>
<idno type="wicri:Area/PascalFrancis/Curation">000269</idno>
<idno type="wicri:Area/PascalFrancis/Checkpoint">000654</idno>
<idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000654</idno>
<idno type="wicri:doubleKey">0003-1348:2003:Golshan M:sentinel:lymph:node</idno>
<idno type="wicri:Area/Main/Merge">009560</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Sentinel lymph node biopsy lowers the rate of lymphedema when compared with standard axillary lymph node dissection. Discussion</title>
<author><name sortKey="Golshan, Mehra" sort="Golshan, Mehra" uniqKey="Golshan M" first="Mehra" last="Golshan">Mehra Golshan</name>
<affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Surgery, Rush University, Rush Presbyterian St. Luke's Medical Center</s1>
<s2>Chicago, Illinois</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><region type="state">Illinois</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Martin, W Jason" sort="Martin, W Jason" uniqKey="Martin W" first="W. Jason" last="Martin">W. Jason Martin</name>
<affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Surgery, Rush University, Rush Presbyterian St. Luke's Medical Center</s1>
<s2>Chicago, Illinois</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><region type="state">Illinois</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Dowlatshahi, Kambiz" sort="Dowlatshahi, Kambiz" uniqKey="Dowlatshahi K" first="Kambiz" last="Dowlatshahi">Kambiz Dowlatshahi</name>
<affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Surgery, Rush University, Rush Presbyterian St. Luke's Medical Center</s1>
<s2>Chicago, Illinois</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><region type="state">Illinois</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Staren, Edgar" sort="Staren, Edgar" uniqKey="Staren E" first="Edgar" last="Staren">Edgar Staren</name>
</author>
<author><name sortKey="Jalovec, Lynne" sort="Jalovec, Lynne" uniqKey="Jalovec L" first="Lynne" last="Jalovec">Lynne Jalovec</name>
</author>
<author><name sortKey="Sener, Stephen F" sort="Sener, Stephen F" uniqKey="Sener S" first="Stephen F." last="Sener">Stephen F. Sener</name>
</author>
</analytic>
<series><title level="j" type="main">The American surgeon</title>
<title level="j" type="abbreviated">Am. surgeon</title>
<idno type="ISSN">0003-1348</idno>
<imprint><date when="2003">2003</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><title level="j" type="main">The American surgeon</title>
<title level="j" type="abbreviated">Am. surgeon</title>
<idno type="ISSN">0003-1348</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Axillary ganglion</term>
<term>Biopsy</term>
<term>Carcinoma</term>
<term>Clinical management</term>
<term>Dissection</term>
<term>Female</term>
<term>Human</term>
<term>Incidence</term>
<term>Long term</term>
<term>Lymphedema</term>
<term>Mammary gland</term>
<term>Postoperative</term>
<term>Sentinel lymph node</term>
<term>Stage classification</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Lymphoedème</term>
<term>Incidence</term>
<term>Ganglion axillaire</term>
<term>Dissection</term>
<term>Classification par stade</term>
<term>Biopsie</term>
<term>Carcinome</term>
<term>Glande mammaire</term>
<term>Conduite à tenir</term>
<term>Postopératoire</term>
<term>Long terme</term>
<term>Femelle</term>
<term>Homme</term>
<term>Ganglion lymphatique sentinelle</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Arm edema occurs in 20 to 30 per cent of patients who undergo axillary lymph node dissection (ALND) for carcinoma of the breast. Sentinel lymph node biopsy (SLNB) in lieu of ALND for staging of breast cancer significantly lowers this morbidity. We hypothesized that SLNB would have a lower lymphedema rate than conventional axillary dissection. Patients who underwent SLNB were compared with those who underwent level I and II axillary node dissection. A total of 125 patients were evaluated with 77 patients who underwent SLNB and 48 patients who underwent ALND. The arm circumference 10 cm above and 10 cm below the olecranon process was measured on both arms. In this series a difference in arm circumference greater than 3 cm between the operated and nonoperated side was defined as significant for lymphedema. Lymphedema was seen in two of 77 (2.6%) patients in the SLNB group as compared with 13 of 48 (27%) ALND patients. Given the above data patients who underwent sentinel lymph node biopsy show a significantly lower rate of lymphedema than those who had axillary lymph node dissection. This has an important impact on long-term postoperative management of patients with breast cancer.</div>
</front>
</TEI>
<affiliations><list><country><li>États-Unis</li>
</country>
<region><li>Illinois</li>
</region>
</list>
<tree><noCountry><name sortKey="Jalovec, Lynne" sort="Jalovec, Lynne" uniqKey="Jalovec L" first="Lynne" last="Jalovec">Lynne Jalovec</name>
<name sortKey="Sener, Stephen F" sort="Sener, Stephen F" uniqKey="Sener S" first="Stephen F." last="Sener">Stephen F. Sener</name>
<name sortKey="Staren, Edgar" sort="Staren, Edgar" uniqKey="Staren E" first="Edgar" last="Staren">Edgar Staren</name>
</noCountry>
<country name="États-Unis"><region name="Illinois"><name sortKey="Golshan, Mehra" sort="Golshan, Mehra" uniqKey="Golshan M" first="Mehra" last="Golshan">Mehra Golshan</name>
</region>
<name sortKey="Dowlatshahi, Kambiz" sort="Dowlatshahi, Kambiz" uniqKey="Dowlatshahi K" first="Kambiz" last="Dowlatshahi">Kambiz Dowlatshahi</name>
<name sortKey="Martin, W Jason" sort="Martin, W Jason" uniqKey="Martin W" first="W. Jason" last="Martin">W. Jason Martin</name>
</country>
</tree>
</affiliations>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Main/Merge
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 009560 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Merge/biblio.hfd -nk 009560 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Sante |area= LymphedemaV1 |flux= Main |étape= Merge |type= RBID |clé= Pascal:03-0215592 |texte= Sentinel lymph node biopsy lowers the rate of lymphedema when compared with standard axillary lymph node dissection. Discussion }}
This area was generated with Dilib version V0.6.31. |