Severe lower limbs lymphedema following breast carcinoma treatment revealing radiation-induced constrictive pericarditis--a case report.
Identifieur interne : 001C88 ( Ncbi/Curation ); précédent : 001C87; suivant : 001C89Severe lower limbs lymphedema following breast carcinoma treatment revealing radiation-induced constrictive pericarditis--a case report.
Auteurs : B. Granel [France] ; C. Gaudy ; J. Serratrice ; Nicoleta Ene ; T. Mesana ; J L Bonnet ; H. Lepidi ; P. Disdier ; L. Piana ; P J WeillerSource :
- Angiology [ 0003-3197 ]
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Association thérapeutique, Carcinome canalaire (), Carcinome canalaire (radiothérapie), Carcinome canalaire (traitement médicamenteux), Complications postopératoires (), Complications postopératoires (diagnostic), Complications postopératoires (étiologie), Femelle, Humains, Jambe, Lymphadénectomie, Lymphoedème (), Lymphoedème (diagnostic), Lymphoedème (étiologie), Lésions radio-induites (), Lésions radio-induites (diagnostic), Mastectomie partielle, Métastase lymphatique, Oedème cardiaque (diagnostic), Oedème cardiaque (étiologie), Protocoles de polychimiothérapie antinéoplasique (effets indésirables), Protocoles de polychimiothérapie antinéoplasique (usage thérapeutique), Péricarde (effets des radiations), Péricardectomie, Péricardite constrictive (), Péricardite constrictive (diagnostic), Réintervention, Tumeurs du sein (), Tumeurs du sein (radiothérapie), Tumeurs du sein (traitement médicamenteux).
- MESH :
- diagnostic : Complications postopératoires, Lymphoedème, Lésions radio-induites, Oedème cardiaque, Péricardite constrictive.
- effets des radiations : Péricarde.
- effets indésirables : Protocoles de polychimiothérapie antinéoplasique.
- radiothérapie : Carcinome canalaire, Tumeurs du sein.
- traitement médicamenteux : Carcinome canalaire, Tumeurs du sein.
- usage thérapeutique : Protocoles de polychimiothérapie antinéoplasique.
- étiologie : Complications postopératoires, Lymphoedème, Oedème cardiaque.
- Adulte d'âge moyen, Association thérapeutique, Carcinome canalaire, Complications postopératoires, Femelle, Humains, Jambe, Lymphadénectomie, Lymphoedème, Lésions radio-induites, Mastectomie partielle, Métastase lymphatique, Péricardectomie, Péricardite constrictive, Réintervention, Tumeurs du sein.
English descriptors
- KwdEn :
- Antineoplastic Combined Chemotherapy Protocols (adverse effects), Antineoplastic Combined Chemotherapy Protocols (therapeutic use), Breast Neoplasms (drug therapy), Breast Neoplasms (radiotherapy), Breast Neoplasms (surgery), Carcinoma, Ductal (drug therapy), Carcinoma, Ductal (radiotherapy), Carcinoma, Ductal (surgery), Combined Modality Therapy, Edema, Cardiac (diagnosis), Edema, Cardiac (etiology), Female, Humans, Leg, Lymph Node Excision, Lymphatic Metastasis, Lymphedema (diagnosis), Lymphedema (etiology), Lymphedema (surgery), Mastectomy, Segmental, Middle Aged, Pericardiectomy, Pericarditis, Constrictive (complications), Pericarditis, Constrictive (diagnosis), Pericarditis, Constrictive (surgery), Pericardium (radiation effects), Postoperative Complications (diagnosis), Postoperative Complications (etiology), Postoperative Complications (surgery), Radiation Injuries (complications), Radiation Injuries (diagnosis), Radiation Injuries (surgery), Reoperation.
- MESH :
- adverse effects : Antineoplastic Combined Chemotherapy Protocols.
- complications : Pericarditis, Constrictive, Radiation Injuries.
- diagnosis : Edema, Cardiac, Lymphedema, Pericarditis, Constrictive, Postoperative Complications, Radiation Injuries.
- drug therapy : Breast Neoplasms, Carcinoma, Ductal.
- etiology : Edema, Cardiac, Lymphedema, Postoperative Complications.
- radiation effects : Pericardium.
- radiotherapy : Breast Neoplasms, Carcinoma, Ductal.
- surgery : Breast Neoplasms, Carcinoma, Ductal, Lymphedema, Pericarditis, Constrictive, Postoperative Complications, Radiation Injuries.
- therapeutic use : Antineoplastic Combined Chemotherapy Protocols.
- Combined Modality Therapy, Female, Humans, Leg, Lymph Node Excision, Lymphatic Metastasis, Mastectomy, Segmental, Middle Aged, Pericardiectomy, Reoperation.
Abstract
In patients treated for breast carcinoma, unilateral lymphedema of the upper limb is usual. However, to the authors' knowledge, lower limb lymphedema has never been reported as a complication of breast carcinoma therapy. They report here the first case of a radiation-induced constrictive pericarditis revealed by severe lower limbs lymphedema. A 60-year-old woman was treated for left breast carcinoma with quadrantectomy, axillary lymphadenectomy, and combined radio chemotherapy (60 grays). Three and a half years later she suffered from a diffuse and increasing lower limbs lymphedema, which became huge and disabling. Radiation-induced constrictive pericarditis was evidenced by right cardiac cavities catheterization. A dramatic improvement was rapidly obtained after pericardectomy. Histopathologic analysis of the pericardium did not reveal neoplastic cells. Radiation-induced constrictive pericarditis is usually responsible for lower limbs edema, but lymphedema is exceptional. This case highlights the need to search for a constrictive pericarditis also in the case of lower limbs lymphedema, particularly in a patient treated with mediastinal radiotherapy or combined radio chemotherapy.
DOI: 10.1177/000331970505600118
PubMed: 15678267
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pubmed:15678267Le document en format XML
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<term>Antineoplastic Combined Chemotherapy Protocols (therapeutic use)</term>
<term>Breast Neoplasms (drug therapy)</term>
<term>Breast Neoplasms (radiotherapy)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Carcinoma, Ductal (drug therapy)</term>
<term>Carcinoma, Ductal (radiotherapy)</term>
<term>Carcinoma, Ductal (surgery)</term>
<term>Combined Modality Therapy</term>
<term>Edema, Cardiac (diagnosis)</term>
<term>Edema, Cardiac (etiology)</term>
<term>Female</term>
<term>Humans</term>
<term>Leg</term>
<term>Lymph Node Excision</term>
<term>Lymphatic Metastasis</term>
<term>Lymphedema (diagnosis)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (surgery)</term>
<term>Mastectomy, Segmental</term>
<term>Middle Aged</term>
<term>Pericardiectomy</term>
<term>Pericarditis, Constrictive (complications)</term>
<term>Pericarditis, Constrictive (diagnosis)</term>
<term>Pericarditis, Constrictive (surgery)</term>
<term>Pericardium (radiation effects)</term>
<term>Postoperative Complications (diagnosis)</term>
<term>Postoperative Complications (etiology)</term>
<term>Postoperative Complications (surgery)</term>
<term>Radiation Injuries (complications)</term>
<term>Radiation Injuries (diagnosis)</term>
<term>Radiation Injuries (surgery)</term>
<term>Reoperation</term>
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<term>Association thérapeutique</term>
<term>Carcinome canalaire ()</term>
<term>Carcinome canalaire (radiothérapie)</term>
<term>Carcinome canalaire (traitement médicamenteux)</term>
<term>Complications postopératoires ()</term>
<term>Complications postopératoires (diagnostic)</term>
<term>Complications postopératoires (étiologie)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jambe</term>
<term>Lymphadénectomie</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (diagnostic)</term>
<term>Lymphoedème (étiologie)</term>
<term>Lésions radio-induites ()</term>
<term>Lésions radio-induites (diagnostic)</term>
<term>Mastectomie partielle</term>
<term>Métastase lymphatique</term>
<term>Oedème cardiaque (diagnostic)</term>
<term>Oedème cardiaque (étiologie)</term>
<term>Protocoles de polychimiothérapie antinéoplasique (effets indésirables)</term>
<term>Protocoles de polychimiothérapie antinéoplasique (usage thérapeutique)</term>
<term>Péricarde (effets des radiations)</term>
<term>Péricardectomie</term>
<term>Péricardite constrictive ()</term>
<term>Péricardite constrictive (diagnostic)</term>
<term>Réintervention</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (radiothérapie)</term>
<term>Tumeurs du sein (traitement médicamenteux)</term>
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<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Antineoplastic Combined Chemotherapy Protocols</term>
</keywords>
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<term>Radiation Injuries</term>
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<term>Lymphedema</term>
<term>Pericarditis, Constrictive</term>
<term>Postoperative Complications</term>
<term>Radiation Injuries</term>
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<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Complications postopératoires</term>
<term>Lymphoedème</term>
<term>Lésions radio-induites</term>
<term>Oedème cardiaque</term>
<term>Péricardite constrictive</term>
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<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Breast Neoplasms</term>
<term>Carcinoma, Ductal</term>
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<term>Lymphedema</term>
<term>Postoperative Complications</term>
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<term>Tumeurs du sein</term>
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<term>Carcinoma, Ductal</term>
<term>Lymphedema</term>
<term>Pericarditis, Constrictive</term>
<term>Postoperative Complications</term>
<term>Radiation Injuries</term>
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<term>Oedème cardiaque</term>
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<term>Humans</term>
<term>Leg</term>
<term>Lymph Node Excision</term>
<term>Lymphatic Metastasis</term>
<term>Mastectomy, Segmental</term>
<term>Middle Aged</term>
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<term>Reoperation</term>
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<term>Carcinome canalaire</term>
<term>Complications postopératoires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jambe</term>
<term>Lymphadénectomie</term>
<term>Lymphoedème</term>
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<term>Mastectomie partielle</term>
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<front><div type="abstract" xml:lang="en">In patients treated for breast carcinoma, unilateral lymphedema of the upper limb is usual. However, to the authors' knowledge, lower limb lymphedema has never been reported as a complication of breast carcinoma therapy. They report here the first case of a radiation-induced constrictive pericarditis revealed by severe lower limbs lymphedema. A 60-year-old woman was treated for left breast carcinoma with quadrantectomy, axillary lymphadenectomy, and combined radio chemotherapy (60 grays). Three and a half years later she suffered from a diffuse and increasing lower limbs lymphedema, which became huge and disabling. Radiation-induced constrictive pericarditis was evidenced by right cardiac cavities catheterization. A dramatic improvement was rapidly obtained after pericardectomy. Histopathologic analysis of the pericardium did not reveal neoplastic cells. Radiation-induced constrictive pericarditis is usually responsible for lower limbs edema, but lymphedema is exceptional. This case highlights the need to search for a constrictive pericarditis also in the case of lower limbs lymphedema, particularly in a patient treated with mediastinal radiotherapy or combined radio chemotherapy.</div>
</front>
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