Ultrasound therapy of chronic arm lymphedema after surgical treatment of breast cancer.
Identifieur interne : 00D587 ( Main/Merge ); précédent : 00D586; suivant : 00D588Ultrasound therapy of chronic arm lymphedema after surgical treatment of breast cancer.
Auteurs : A. Balzarini [Italie] ; C. Pirovano ; G. Diazzi ; R. Olivieri ; F. Ferla ; G. Galperti ; S. Sensi ; G. MartinoSource :
- Lymphology [ 0024-7766 ] ; 1993.
Descripteurs français
- KwdFr :
- MESH :
- effets indésirables : Lymphadénectomie, Mastectomie.
- étiologie : Lymphoedème.
- Aisselle, Bras, Femelle, Humains, Lymphoedème, Maladie chronique, Pression, Projets pilotes, Résultat thérapeutique, Tumeurs du sein, Ultrasonothérapie, Études de suivi.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Lymph Node Excision, Mastectomy.
- etiology : Lymphedema.
- surgery : Breast Neoplasms.
- therapy : Lymphedema.
- Arm, Axilla, Chronic Disease, Female, Follow-Up Studies, Humans, Pilot Projects, Pressure, Treatment Outcome, Ultrasonic Therapy.
Abstract
The treatment of chronic arm lymphedema following axillary dissection for breast cancer is still a therapeutic challenge. To examine other treatment options, we undertook a pilot study on the efficacy of ultrasound therapy (UST) in management of these patients. Fifty patients with post-surgical arm lymphedema and without regional irradiation underwent ultrasound treatment (2 cycles at 4 month intervals) and the results were compared up to 1 year with 100 other patients treated by standardized mechanical pressure therapy (MPT) using a pneumatic pump. In this report we evaluate 96 patients who have been followed after 1 year, 31 of whom belong to UST group and 65 to the MPT group. UST did not show a statistically significant difference in whole arm reduction of lymphedema although there was initially a greater reduction in size after the first 4 months of treatment. The addition of an elastic sleeve did not improve lymphedema in either group. Advantages of UST were an overall shorter length of treatment, a tendency to greater softening of the arm, patient satisfaction by avoidance of an uncomfortable and constrictive device and better relief of osteomyofascial pain, greater scapulohumeral motion, and less intercostobrachial pain-dysesthesia.
PubMed: 8258986
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Diazzi</name></author><author><name sortKey="Olivieri, R" sort="Olivieri, R" uniqKey="Olivieri R" first="R" last="Olivieri">R. Olivieri</name></author><author><name sortKey="Ferla, F" sort="Ferla, F" uniqKey="Ferla F" first="F" last="Ferla">F. Ferla</name></author><author><name sortKey="Galperti, G" sort="Galperti, G" uniqKey="Galperti G" first="G" last="Galperti">G. Galperti</name></author><author><name sortKey="Sensi, S" sort="Sensi, S" uniqKey="Sensi S" first="S" last="Sensi">S. Sensi</name></author><author><name sortKey="Martino, G" sort="Martino, G" uniqKey="Martino G" first="G" last="Martino">G. 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Balzarini</name><affiliation wicri:level="3"><nlm:affiliation>Department of Physical Therapy and Rehabilitation, National Cancer Institute, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Physical Therapy and Rehabilitation, National Cancer Institute, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Pirovano, C" sort="Pirovano, C" uniqKey="Pirovano C" first="C" last="Pirovano">C. Pirovano</name></author><author><name sortKey="Diazzi, G" sort="Diazzi, G" uniqKey="Diazzi G" first="G" last="Diazzi">G. Diazzi</name></author><author><name sortKey="Olivieri, R" sort="Olivieri, R" uniqKey="Olivieri R" first="R" last="Olivieri">R. Olivieri</name></author><author><name sortKey="Ferla, F" sort="Ferla, F" uniqKey="Ferla F" first="F" last="Ferla">F. Ferla</name></author><author><name sortKey="Galperti, G" sort="Galperti, G" uniqKey="Galperti G" first="G" last="Galperti">G. Galperti</name></author><author><name sortKey="Sensi, S" sort="Sensi, S" uniqKey="Sensi S" first="S" last="Sensi">S. Sensi</name></author><author><name sortKey="Martino, G" sort="Martino, G" uniqKey="Martino G" first="G" last="Martino">G. Martino</name></author></analytic><series><title level="j">Lymphology</title><idno type="ISSN">0024-7766</idno><imprint><date when="1993" type="published">1993</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Arm</term><term>Axilla</term><term>Breast Neoplasms (surgery)</term><term>Chronic Disease</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Lymph Node Excision (adverse effects)</term><term>Lymphedema (etiology)</term><term>Lymphedema (therapy)</term><term>Mastectomy (adverse effects)</term><term>Pilot Projects</term><term>Pressure</term><term>Treatment Outcome</term><term>Ultrasonic Therapy</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Aisselle</term><term>Bras</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie (effets indésirables)</term><term>Lymphoedème ()</term><term>Lymphoedème (étiologie)</term><term>Maladie chronique</term><term>Mastectomie (effets indésirables)</term><term>Pression</term><term>Projets pilotes</term><term>Résultat thérapeutique</term><term>Tumeurs du sein ()</term><term>Ultrasonothérapie</term><term>Études de suivi</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term><term>Mastectomy</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Lymphadénectomie</term><term>Mastectomie</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Arm</term><term>Axilla</term><term>Chronic Disease</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Pilot Projects</term><term>Pressure</term><term>Treatment Outcome</term><term>Ultrasonic Therapy</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Aisselle</term><term>Bras</term><term>Femelle</term><term>Humains</term><term>Lymphoedème</term><term>Maladie chronique</term><term>Pression</term><term>Projets pilotes</term><term>Résultat thérapeutique</term><term>Tumeurs du sein</term><term>Ultrasonothérapie</term><term>Études de suivi</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The treatment of chronic arm lymphedema following axillary dissection for breast cancer is still a therapeutic challenge. To examine other treatment options, we undertook a pilot study on the efficacy of ultrasound therapy (UST) in management of these patients. Fifty patients with post-surgical arm lymphedema and without regional irradiation underwent ultrasound treatment (2 cycles at 4 month intervals) and the results were compared up to 1 year with 100 other patients treated by standardized mechanical pressure therapy (MPT) using a pneumatic pump. In this report we evaluate 96 patients who have been followed after 1 year, 31 of whom belong to UST group and 65 to the MPT group. UST did not show a statistically significant difference in whole arm reduction of lymphedema although there was initially a greater reduction in size after the first 4 months of treatment. The addition of an elastic sleeve did not improve lymphedema in either group. Advantages of UST were an overall shorter length of treatment, a tendency to greater softening of the arm, patient satisfaction by avoidance of an uncomfortable and constrictive device and better relief of osteomyofascial pain, greater scapulohumeral motion, and less intercostobrachial pain-dysesthesia.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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