Complications and local recurrence following lymphadenectomy.
Identifieur interne : 00E642 ( Main/Merge ); précédent : 00E641; suivant : 00E643Complications and local recurrence following lymphadenectomy.
Auteurs : J H Shaw [Nouvelle-Zélande] ; E M RumballSource :
- The British journal of surgery [ 0007-1323 ] ; 1990.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Aine, Aisselle, Biopsie, Carcinome épidermoïde (), Carcinome épidermoïde (secondaire), Complications postopératoires (étiologie), Cou, Humains, Irradiation ganglionnaire (effets indésirables), Lymphadénectomie, Mélanome (), Mélanome (secondaire), Métastase lymphatique, Ponction-biopsie à l'aiguille, Récidive tumorale locale (étiologie), Stade de la tumeur, Sujet âgé, Tumeurs (anatomopathologie), Études rétrospectives.
- MESH :
- anatomopathologie : Tumeurs.
- effets indésirables : Irradiation ganglionnaire.
- secondaire : Carcinome épidermoïde, Mélanome.
- étiologie : Complications postopératoires, Récidive tumorale locale.
- Adolescent, Adulte, Adulte d'âge moyen, Aine, Aisselle, Biopsie, Carcinome épidermoïde, Cou, Humains, Lymphadénectomie, Mélanome, Métastase lymphatique, Ponction-biopsie à l'aiguille, Stade de la tumeur, Sujet âgé, Études rétrospectives.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Axilla, Biopsy, Biopsy, Needle, Carcinoma, Squamous Cell (secondary), Carcinoma, Squamous Cell (surgery), Groin, Humans, Lymph Node Excision, Lymphatic Irradiation (adverse effects), Lymphatic Metastasis, Melanoma (secondary), Melanoma (surgery), Middle Aged, Neck, Neoplasm Recurrence, Local (etiology), Neoplasm Staging, Neoplasms (pathology), Postoperative Complications (etiology), Retrospective Studies.
- MESH :
- adverse effects : Lymphatic Irradiation.
- etiology : Neoplasm Recurrence, Local, Postoperative Complications.
- pathology : Neoplasms.
- secondary : Carcinoma, Squamous Cell, Melanoma.
- surgery : Carcinoma, Squamous Cell, Melanoma.
- Adolescent, Adult, Aged, Axilla, Biopsy, Biopsy, Needle, Groin, Humans, Lymph Node Excision, Lymphatic Metastasis, Middle Aged, Neck, Neoplasm Staging, Retrospective Studies.
Abstract
We have retrospectively reviewed the case notes of 208 patients undergoing either cervical, axillary, or inguinal lymphadenectomy with a view to determining the factors that predispose to complications and local recurrence. The most frequent complications were wound infection, seroma formation, paraesthesiae and lymphoedema. The main predisposing factor for complications was anatomical site; wound complications occur with twice the frequency in the inguinal lymphadenectomy group than in the two other sites. Preresection biopsy was also associated with an almost twofold increase in complications, while fine needle aspiration cytology was not. The two major factors influencing the incidence of local recurrence were the stage of the disease process and the use of preresection biopsy. There was a steady increase in the incidence of local recurrence with increasing stage of regional disease. In addition, local recurrence was almost twice as common in patients who had undergone biopsy before resection when compared with patients who either did not have tissue sampling before resection or had fine needle aspiration cytology alone. We conclude that fine needle aspiration cytology is safe and the investigation of choice in patients undergoing lymphadenectomy. In contrast, preresection biopsy should be avoided as it promotes both complications and local recurrence. In addition, wound complications and lymphoedema are frequent following lymphadenectomy, especially following inguinal dissection.
PubMed: 2383751
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pubmed:2383751Le document en format XML
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Zealand.</nlm:affiliation><country xml:lang="fr">Nouvelle-Zélande</country><wicri:regionArea>University Department of Surgery, Auckland Hospital</wicri:regionArea><wicri:noRegion>Auckland Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Rumball, E M" sort="Rumball, E M" uniqKey="Rumball E" first="E M" last="Rumball">E M Rumball</name></author></analytic><series><title level="j">The British journal of surgery</title><idno type="ISSN">0007-1323</idno><imprint><date when="1990" type="published">1990</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Axilla</term><term>Biopsy</term><term>Biopsy, Needle</term><term>Carcinoma, Squamous Cell (secondary)</term><term>Carcinoma, Squamous Cell (surgery)</term><term>Groin</term><term>Humans</term><term>Lymph Node Excision</term><term>Lymphatic Irradiation (adverse effects)</term><term>Lymphatic Metastasis</term><term>Melanoma (secondary)</term><term>Melanoma (surgery)</term><term>Middle Aged</term><term>Neck</term><term>Neoplasm Recurrence, Local (etiology)</term><term>Neoplasm Staging</term><term>Neoplasms (pathology)</term><term>Postoperative Complications (etiology)</term><term>Retrospective Studies</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aine</term><term>Aisselle</term><term>Biopsie</term><term>Carcinome épidermoïde ()</term><term>Carcinome épidermoïde (secondaire)</term><term>Complications postopératoires (étiologie)</term><term>Cou</term><term>Humains</term><term>Irradiation ganglionnaire (effets indésirables)</term><term>Lymphadénectomie</term><term>Mélanome ()</term><term>Mélanome (secondaire)</term><term>Métastase lymphatique</term><term>Ponction-biopsie à l'aiguille</term><term>Récidive tumorale locale (étiologie)</term><term>Stade de la tumeur</term><term>Sujet âgé</term><term>Tumeurs (anatomopathologie)</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymphatic Irradiation</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Tumeurs</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Irradiation ganglionnaire</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Neoplasm Recurrence, Local</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Neoplasms</term></keywords><keywords scheme="MESH" qualifier="secondaire" xml:lang="fr"><term>Carcinome épidermoïde</term><term>Mélanome</term></keywords><keywords scheme="MESH" qualifier="secondary" xml:lang="en"><term>Carcinoma, Squamous Cell</term><term>Melanoma</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Carcinoma, Squamous Cell</term><term>Melanoma</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Complications postopératoires</term><term>Récidive tumorale locale</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Axilla</term><term>Biopsy</term><term>Biopsy, Needle</term><term>Groin</term><term>Humans</term><term>Lymph Node Excision</term><term>Lymphatic Metastasis</term><term>Middle Aged</term><term>Neck</term><term>Neoplasm Staging</term><term>Retrospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aine</term><term>Aisselle</term><term>Biopsie</term><term>Carcinome épidermoïde</term><term>Cou</term><term>Humains</term><term>Lymphadénectomie</term><term>Mélanome</term><term>Métastase lymphatique</term><term>Ponction-biopsie à l'aiguille</term><term>Stade de la tumeur</term><term>Sujet âgé</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We have retrospectively reviewed the case notes of 208 patients undergoing either cervical, axillary, or inguinal lymphadenectomy with a view to determining the factors that predispose to complications and local recurrence. The most frequent complications were wound infection, seroma formation, paraesthesiae and lymphoedema. The main predisposing factor for complications was anatomical site; wound complications occur with twice the frequency in the inguinal lymphadenectomy group than in the two other sites. Preresection biopsy was also associated with an almost twofold increase in complications, while fine needle aspiration cytology was not. The two major factors influencing the incidence of local recurrence were the stage of the disease process and the use of preresection biopsy. There was a steady increase in the incidence of local recurrence with increasing stage of regional disease. In addition, local recurrence was almost twice as common in patients who had undergone biopsy before resection when compared with patients who either did not have tissue sampling before resection or had fine needle aspiration cytology alone. We conclude that fine needle aspiration cytology is safe and the investigation of choice in patients undergoing lymphadenectomy. In contrast, preresection biopsy should be avoided as it promotes both complications and local recurrence. In addition, wound complications and lymphoedema are frequent following lymphadenectomy, especially following inguinal dissection.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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