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[Treatment of postoperative lymphedema of the upper limb].

Identifieur interne : 002E18 ( Ncbi/Checkpoint ); précédent : 002E17; suivant : 002E19

[Treatment of postoperative lymphedema of the upper limb].

Auteurs : A. Pecking [France]

Source :

RBID : pubmed:1859905

Descripteurs français

English descriptors

Abstract

In breast cancer the overall incidence of post-therapeutic lymphedemas of the arm remains at 20% despite the use of new conservative treatments. Patients suffering from pains and heaviness require additional treatment for their swollen arm. One hundred and seventy-nine women with a post therapeutic edema of the upper limb have been treated in a special medical unit where medical and physiotherapeutic care were given as an intensive treatment for 4 weeks. More than 80% of good results were obtained with a median decrease in volume of swelling of 45%. The duration of the clinical improvement during the 6 months following the intensive first treatment was excellent for 76% of all improved cases. Treatment failure occurred in 16.2% of upper limb swelling mostly in relation to a recurrence of the disease (81%). 84.3% of cases undergoing a second intensive treatment 6 months later displayed a new decrease in volume and a new real clinical improvement. Small post therapeutic lymphedemas must be treated as soon as possible to avoid more serious delayed disorders.

PubMed: 1859905


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pubmed:1859905

Le document en format XML

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<nlm:affiliation>Service de médecine nucléaire, Centre René-Huguenin, Saint-Cloud, France.</nlm:affiliation>
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<term>Clinical Protocols</term>
<term>Combined Modality Therapy</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (therapy)</term>
<term>Mastectomy, Radical (adverse effects)</term>
<term>Mastectomy, Segmental (adverse effects)</term>
<term>Postoperative Complications (therapy)</term>
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<term>Association thérapeutique</term>
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<term>Complications postopératoires ()</term>
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<term>Lymphoedème ()</term>
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<term>Tumeurs du sein ()</term>
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<term>Mastectomy, Radical</term>
<term>Mastectomy, Segmental</term>
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<term>Mastectomie partielle</term>
<term>Mastectomie radicale</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="radiotherapy" xml:lang="en">
<term>Breast Neoplasms</term>
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<term>Tumeurs du sein</term>
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<term>Breast Neoplasms</term>
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<term>Lymphedema</term>
<term>Postoperative Complications</term>
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<div type="abstract" xml:lang="en">In breast cancer the overall incidence of post-therapeutic lymphedemas of the arm remains at 20% despite the use of new conservative treatments. Patients suffering from pains and heaviness require additional treatment for their swollen arm. One hundred and seventy-nine women with a post therapeutic edema of the upper limb have been treated in a special medical unit where medical and physiotherapeutic care were given as an intensive treatment for 4 weeks. More than 80% of good results were obtained with a median decrease in volume of swelling of 45%. The duration of the clinical improvement during the 6 months following the intensive first treatment was excellent for 76% of all improved cases. Treatment failure occurred in 16.2% of upper limb swelling mostly in relation to a recurrence of the disease (81%). 84.3% of cases undergoing a second intensive treatment 6 months later displayed a new decrease in volume and a new real clinical improvement. Small post therapeutic lymphedemas must be treated as soon as possible to avoid more serious delayed disorders.</div>
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