Impact of adjuvant taxane-based chemotherapy on development of breast cancer-related lymphedema: results from a large prospective cohort
Identifieur interne : 007335 ( Ncbi/Checkpoint ); précédent : 007334; suivant : 007336Impact of adjuvant taxane-based chemotherapy on development of breast cancer-related lymphedema: results from a large prospective cohort
Auteurs : Meyha N. Swaroop [États-Unis] ; Chantal M. Ferguson [États-Unis] ; Nora K. Horick [États-Unis] ; Melissa N. Skolny [États-Unis] ; Cynthia L. Miller [États-Unis] ; Lauren S. Jammallo [États-Unis] ; Cheryl L. Brunelle [États-Unis] ; Jean A. O Oole [États-Unis] ; Steven J. Isakoff [États-Unis] ; Michelle C. Specht [États-Unis] ; Alphonse G. Taghian [États-Unis]Source :
- Breast Cancer Research and Treatment [ 0167-6806 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Composés pontés (administration et posologie), Facteurs temps, Femelle, Humains, Incidence, Jeune adulte, Lymphoedème (diagnostic), Lymphoedème (épidémiologie), Lymphoedème (étiologie), Mastectomie (effets indésirables), Protocoles de polychimiothérapie antinéoplasique (effets indésirables), Sujet âgé, Sujet âgé de 80 ans ou plus, Taxoïdes (administration et posologie), Traitement médicamenteux adjuvant (effets indésirables), Tumeurs du sein (), Tumeurs du sein (diagnostic), Tumeurs du sein (épidémiologie), Études de suivi.
- MESH :
- administration et posologie : Composés pontés, Taxoïdes.
- diagnostic : Lymphoedème, Tumeurs du sein.
- effets indésirables : Mastectomie, Protocoles de polychimiothérapie antinéoplasique, Traitement médicamenteux adjuvant.
- épidémiologie : Lymphoedème, Tumeurs du sein.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Facteurs temps, Femelle, Humains, Incidence, Jeune adulte, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs du sein, Études de suivi.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Antineoplastic Combined Chemotherapy Protocols (adverse effects), Breast Neoplasms (complications), Breast Neoplasms (diagnosis), Breast Neoplasms (epidemiology), Breast Neoplasms (therapy), Bridged-Ring Compounds (administration & dosage), Chemotherapy, Adjuvant (adverse effects), Female, Follow-Up Studies, Humans, Incidence, Lymphedema (diagnosis), Lymphedema (epidemiology), Lymphedema (etiology), Mastectomy (adverse effects), Middle Aged, Taxoids (administration & dosage), Time Factors, Young Adult.
- MESH :
- chemical , administration & dosage : Bridged-Ring Compounds, Taxoids.
- adverse effects : Antineoplastic Combined Chemotherapy Protocols, Chemotherapy, Adjuvant, Mastectomy.
- complications : Breast Neoplasms.
- diagnosis : Breast Neoplasms, Lymphedema.
- epidemiology : Breast Neoplasms, Lymphedema.
- etiology : Lymphedema.
- therapy : Breast Neoplasms.
- Adult, Aged, Aged, 80 and over, Female, Follow-Up Studies, Humans, Incidence, Middle Aged, Time Factors, Young Adult.
Abstract
Taxane-based chemotherapy for the treatment of breast cancer is associated with fluid retention in the extremities; however, its association with development of breast cancer-related lymphedema is unclear. We sought to determine if adjuvant taxane-based chemotherapy increased risk of lymphedema or mild swelling of the upper extremity. 1121 patients with unilateral breast cancer were prospectively screened for lymphedema with perometer measurements. Lymphedema was defined as a relative volume change (RVC) of ≥10 % from preoperative baseline. Mild swelling was defined as RVC 5- <10 %. Clinicopathologic characteristics were obtained via medical record review. Kaplan–Meier and Cox proportional hazard analyses were performed to determine lymphedema rates and risk factors. 29 % (324/1121) of patients were treated with adjuvant taxane-based chemotherapy. The 2-year cumulative incidence of lymphedema in the overall cohort was 5.27 %. By multivariate analysis, axillary lymph node dissection (ALND) (
Url:
DOI: 10.1007/s10549-015-3408-1
PubMed: 25940996
PubMed Central: 4432026
Affiliations:
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Isakoff</name><affiliation wicri:level="3"><nlm:aff id="Aff4">Division of Hematology and Oncology, Massachusetts General Hospital, Boston, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Hematology and Oncology, Massachusetts General Hospital, Boston</wicri:regionArea><placeName><settlement type="city">Boston</settlement><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Specht, Michelle C" sort="Specht, Michelle C" uniqKey="Specht M" first="Michelle C." last="Specht">Michelle C. Specht</name><affiliation wicri:level="3"><nlm:aff id="Aff5">Division of Surgical Oncology, Massachusetts General Hospital, Boston, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Surgical Oncology, Massachusetts General Hospital, Boston</wicri:regionArea><placeName><settlement type="city">Boston</settlement><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Taghian, Alphonse G" sort="Taghian, Alphonse G" uniqKey="Taghian A" first="Alphonse G." last="Taghian">Alphonse G. Taghian</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Radiation Oncology, Massachusetts General Hospital, 100 Blossom Street, Boston, MA 02114 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Radiation Oncology, Massachusetts General Hospital, 100 Blossom Street, Boston</wicri:cityArea></affiliation></author></analytic><series><title level="j">Breast Cancer Research and Treatment</title><idno type="ISSN">0167-6806</idno><idno type="eISSN">1573-7217</idno><imprint><date when="2015">2015</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>Antineoplastic Combined Chemotherapy Protocols (adverse effects)</term><term>Breast Neoplasms (complications)</term><term>Breast Neoplasms (diagnosis)</term><term>Breast Neoplasms (epidemiology)</term><term>Breast Neoplasms (therapy)</term><term>Bridged-Ring Compounds (administration & dosage)</term><term>Chemotherapy, Adjuvant (adverse effects)</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Incidence</term><term>Lymphedema (diagnosis)</term><term>Lymphedema (epidemiology)</term><term>Lymphedema (etiology)</term><term>Mastectomy (adverse effects)</term><term>Middle Aged</term><term>Taxoids (administration & dosage)</term><term>Time Factors</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Composés pontés (administration et posologie)</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Incidence</term><term>Jeune adulte</term><term>Lymphoedème (diagnostic)</term><term>Lymphoedème (épidémiologie)</term><term>Lymphoedème (étiologie)</term><term>Mastectomie (effets indésirables)</term><term>Protocoles de polychimiothérapie antinéoplasique (effets indésirables)</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Taxoïdes (administration et posologie)</term><term>Traitement médicamenteux adjuvant (effets indésirables)</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (diagnostic)</term><term>Tumeurs du sein (épidémiologie)</term><term>Études de suivi</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Bridged-Ring Compounds</term><term>Taxoids</term></keywords><keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Composés pontés</term><term>Taxoïdes</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Antineoplastic Combined Chemotherapy Protocols</term><term>Chemotherapy, Adjuvant</term><term>Mastectomy</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Breast Neoplasms</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Lymphoedème</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Mastectomie</term><term>Protocoles de polychimiothérapie antinéoplasique</term><term>Traitement médicamenteux adjuvant</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Breast Neoplasms</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Lymphoedème</term><term>Tumeurs du sein</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>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Incidence</term><term>Middle Aged</term><term>Time Factors</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Incidence</term><term>Jeune adulte</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs du sein</term><term>Études de suivi</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Taxane-based chemotherapy for the treatment of breast cancer is associated with fluid retention in the extremities; however, its association with development of breast cancer-related lymphedema is unclear. We sought to determine if adjuvant taxane-based chemotherapy increased risk of lymphedema or mild swelling of the upper extremity. 1121 patients with unilateral breast cancer were prospectively screened for lymphedema with perometer measurements. Lymphedema was defined as a relative volume change (RVC) of ≥10 % from preoperative baseline. Mild swelling was defined as RVC 5- <10 %. Clinicopathologic characteristics were obtained via medical record review. Kaplan–Meier and Cox proportional hazard analyses were performed to determine lymphedema rates and risk factors. 29 % (324/1121) of patients were treated with adjuvant taxane-based chemotherapy. The 2-year cumulative incidence of lymphedema in the overall cohort was 5.27 %. By multivariate analysis, axillary lymph node dissection (ALND) (<italic>p</italic> < 0.0001), higher body mass index (<italic>p</italic> = 0.0007), and older age at surgery (<italic>p</italic> = 0.04) were significantly associated with increased risk of lymphedema; however, taxane chemotherapy was not significant when compared to no chemotherapy and non-taxane chemotherapy (HR 1.14, <italic>p</italic> = 0.62; HR 1.56, <italic>p</italic> = 0.40, respectively). Chemotherapy with docetaxel was significantly associated with mild swelling on multivariate analysis in comparison to both no chemotherapy and non-taxane chemotherapy groups (HR 1.63, <italic>p</italic> = 0.0098; HR 2.15, <italic>p</italic> = 0.02, respectively). Patients who receive taxane-based chemotherapy are not at an increased risk of lymphedema compared to patients receiving no chemotherapy or non-taxane adjuvant chemotherapy. Those treated with docetaxel may experience mild swelling, but this does not translate into subsequent lymphedema.
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Swaroop</name></region><name sortKey="Brunelle, Cheryl L" sort="Brunelle, Cheryl L" uniqKey="Brunelle C" first="Cheryl L." last="Brunelle">Cheryl L. Brunelle</name><name sortKey="Ferguson, Chantal M" sort="Ferguson, Chantal M" uniqKey="Ferguson C" first="Chantal M." last="Ferguson">Chantal M. Ferguson</name><name sortKey="Horick, Nora K" sort="Horick, Nora K" uniqKey="Horick N" first="Nora K." last="Horick">Nora K. Horick</name><name sortKey="Isakoff, Steven J" sort="Isakoff, Steven J" uniqKey="Isakoff S" first="Steven J." last="Isakoff">Steven J. Isakoff</name><name sortKey="Jammallo, Lauren S" sort="Jammallo, Lauren S" uniqKey="Jammallo L" first="Lauren S." last="Jammallo">Lauren S. Jammallo</name><name sortKey="Miller, Cynthia L" sort="Miller, Cynthia L" uniqKey="Miller C" first="Cynthia L." last="Miller">Cynthia L. Miller</name><name sortKey="O Oole, Jean A" sort="O Oole, Jean A" uniqKey="O Oole J" first="Jean A." last="O Oole">Jean A. O Oole</name><name sortKey="Skolny, Melissa N" sort="Skolny, Melissa N" uniqKey="Skolny M" first="Melissa N." last="Skolny">Melissa N. Skolny</name><name sortKey="Specht, Michelle C" sort="Specht, Michelle C" uniqKey="Specht M" first="Michelle C." last="Specht">Michelle C. Specht</name><name sortKey="Taghian, Alphonse G" sort="Taghian, Alphonse G" uniqKey="Taghian A" first="Alphonse G." last="Taghian">Alphonse G. Taghian</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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