Supraclavicular radiotherapy must be limited laterally by the coracoid to avoid significant adjuvant breast nodal radiotherapy lymphoedema risk.
Identifieur interne : 002482 ( Ncbi/Checkpoint ); précédent : 002481; suivant : 002483Supraclavicular radiotherapy must be limited laterally by the coracoid to avoid significant adjuvant breast nodal radiotherapy lymphoedema risk.
Auteurs : P. Graham [Australie] ; R. Jagavkar ; L. Browne ; E. MillarSource :
- Australasian radiology [ 0004-8461 ] ; 2006.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Aisselle, Analyse de variance, Association thérapeutique, Dosimétrie en radiothérapie, Femelle, Humains, Loi du khi-deux, Lymphadénectomie, Lymphoedème (), Lymphoedème (étiologie), Modèles logistiques, Métastase lymphatique (radiothérapie), Radiothérapie (effets indésirables), Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs du sein (), Tumeurs du sein (radiothérapie), Études transversales.
- MESH :
- effets indésirables : Radiothérapie.
- radiothérapie : Métastase lymphatique, Tumeurs du sein.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Aisselle, Analyse de variance, Association thérapeutique, Dosimétrie en radiothérapie, Femelle, Humains, Loi du khi-deux, Lymphadénectomie, Lymphoedème, Modèles logistiques, Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs du sein, Études transversales.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Analysis of Variance, Axilla, Breast Neoplasms (radiotherapy), Breast Neoplasms (surgery), Chi-Square Distribution, Combined Modality Therapy, Cross-Sectional Studies, Female, Humans, Logistic Models, Lymph Node Excision, Lymphatic Metastasis (radiotherapy), Lymphedema (etiology), Lymphedema (prevention & control), Middle Aged, Radiotherapy (adverse effects), Radiotherapy Dosage, Treatment Outcome.
- MESH :
- adverse effects : Radiotherapy.
- etiology : Lymphedema.
- prevention & control : Lymphedema.
- radiotherapy : Breast Neoplasms, Lymphatic Metastasis.
- surgery : Breast Neoplasms.
- Adult, Aged, Aged, 80 and over, Analysis of Variance, Axilla, Chi-Square Distribution, Combined Modality Therapy, Cross-Sectional Studies, Female, Humans, Logistic Models, Lymph Node Excision, Middle Aged, Radiotherapy Dosage, Treatment Outcome.
Abstract
This cross-sectional study aimed to investigate the effect of supraclavicular fossa (SCF) radiotherapy volumes as well as patient characteristics and nodal pathology on the development of lymphoedema. Ninety-one women who had received SCF nodal radiotherapy after axillary dissection were evaluated. Lymphoedema was defined by two measurements: limb volume difference 200 mL, or circumference difference 10 cm proximal or distal to the olecranon>2 cm. On univariate analysis, the addition of axillary to SCF radiotherapy, increasing width of the SCF field, increasing age, presence of extracapsular extension of nodal involvement and use of hormone treatment was associated with lymphoedema by either one or both definitions. For both definitions of lymphoedema, on multivariate analysis, increasing nodal radiotherapy volume remained significant (P=0.02 to 0.007), as did increased age (P=0.05 to 0.001). We conclude that conventionally fractionated SCF radiotherapy limited laterally by the coracoid process has a lymphoedema risk similar to that expected from axillary dissection alone and a lower risk than wider SCF fields with or without an axillary boost.
DOI: 10.1111/j.1440-1673.2006.01658.x
PubMed: 17107530
Affiliations:
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Graham</name><affiliation wicri:level="1"><nlm:affiliation>Cancer Care Centre, St George Hospital, University of New South Wales, Sydney, New South Wales, Australia. grahamp@sesahs.nsw.gov.au</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Cancer Care Centre, St George Hospital, University of New South Wales, Sydney, New South Wales</wicri:regionArea><wicri:noRegion>New South Wales</wicri:noRegion></affiliation></author><author><name sortKey="Jagavkar, R" sort="Jagavkar, R" uniqKey="Jagavkar R" first="R" last="Jagavkar">R. Jagavkar</name></author><author><name sortKey="Browne, L" sort="Browne, L" uniqKey="Browne L" first="L" last="Browne">L. Browne</name></author><author><name sortKey="Millar, E" sort="Millar, E" uniqKey="Millar E" first="E" last="Millar">E. Millar</name></author></analytic><series><title level="j">Australasian radiology</title><idno type="ISSN">0004-8461</idno><imprint><date when="2006" type="published">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Analysis of Variance</term><term>Axilla</term><term>Breast Neoplasms (radiotherapy)</term><term>Breast Neoplasms (surgery)</term><term>Chi-Square Distribution</term><term>Combined Modality Therapy</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Logistic Models</term><term>Lymph Node Excision</term><term>Lymphatic Metastasis (radiotherapy)</term><term>Lymphedema (etiology)</term><term>Lymphedema (prevention & control)</term><term>Middle Aged</term><term>Radiotherapy (adverse effects)</term><term>Radiotherapy Dosage</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aisselle</term><term>Analyse de variance</term><term>Association thérapeutique</term><term>Dosimétrie en radiothérapie</term><term>Femelle</term><term>Humains</term><term>Loi du khi-deux</term><term>Lymphadénectomie</term><term>Lymphoedème ()</term><term>Lymphoedème (étiologie)</term><term>Modèles logistiques</term><term>Métastase lymphatique (radiothérapie)</term><term>Radiothérapie (effets indésirables)</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (radiothérapie)</term><term>Études transversales</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Radiotherapy</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Radiothérapie</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="radiotherapy" xml:lang="en"><term>Breast Neoplasms</term><term>Lymphatic Metastasis</term></keywords><keywords scheme="MESH" qualifier="radiothérapie" xml:lang="fr"><term>Métastase lymphatique</term><term>Tumeurs du sein</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>Analysis of Variance</term><term>Axilla</term><term>Chi-Square Distribution</term><term>Combined Modality Therapy</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Logistic Models</term><term>Lymph Node Excision</term><term>Middle Aged</term><term>Radiotherapy Dosage</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aisselle</term><term>Analyse de variance</term><term>Association thérapeutique</term><term>Dosimétrie en radiothérapie</term><term>Femelle</term><term>Humains</term><term>Loi du khi-deux</term><term>Lymphadénectomie</term><term>Lymphoedème</term><term>Modèles logistiques</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs du sein</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This cross-sectional study aimed to investigate the effect of supraclavicular fossa (SCF) radiotherapy volumes as well as patient characteristics and nodal pathology on the development of lymphoedema. Ninety-one women who had received SCF nodal radiotherapy after axillary dissection were evaluated. Lymphoedema was defined by two measurements: limb volume difference 200 mL, or circumference difference 10 cm proximal or distal to the olecranon>2 cm. On univariate analysis, the addition of axillary to SCF radiotherapy, increasing width of the SCF field, increasing age, presence of extracapsular extension of nodal involvement and use of hormone treatment was associated with lymphoedema by either one or both definitions. For both definitions of lymphoedema, on multivariate analysis, increasing nodal radiotherapy volume remained significant (P=0.02 to 0.007), as did increased age (P=0.05 to 0.001). We conclude that conventionally fractionated SCF radiotherapy limited laterally by the coracoid process has a lymphoedema risk similar to that expected from axillary dissection alone and a lower risk than wider SCF fields with or without an axillary boost.</div></front></TEI><affiliations><list><country><li>Australie</li></country></list><tree><noCountry><name sortKey="Browne, L" sort="Browne, L" uniqKey="Browne L" first="L" last="Browne">L. Browne</name><name sortKey="Jagavkar, R" sort="Jagavkar, R" uniqKey="Jagavkar R" first="R" last="Jagavkar">R. Jagavkar</name><name sortKey="Millar, E" sort="Millar, E" uniqKey="Millar E" first="E" last="Millar">E. Millar</name></noCountry><country name="Australie"><noRegion><name sortKey="Graham, P" sort="Graham, P" uniqKey="Graham P" first="P" last="Graham">P. Graham</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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