Comparison of methods to diagnose lymphoedema among breast cancer survivors: 6-month follow-up.
Identifieur interne : 001D50 ( Ncbi/Curation ); précédent : 001D49; suivant : 001D51Comparison of methods to diagnose lymphoedema among breast cancer survivors: 6-month follow-up.
Auteurs : Sandi Hayes [Australie] ; Bruce Cornish ; Beth NewmanSource :
- Breast cancer research and treatment [ 0167-6806 ] ; 2005.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Adénocarcinome (), Adénocarcinome (anatomopathologie), Adénocarcinome (mortalité), Adénocarcinome mucineux (), Adénocarcinome mucineux (anatomopathologie), Adénocarcinome mucineux (mortalité), Carcinome canalaire du sein (), Carcinome canalaire du sein (anatomopathologie), Carcinome canalaire du sein (mortalité), Carcinome médullaire (), Carcinome médullaire (anatomopathologie), Carcinome médullaire (mortalité), Facteurs de risque, Femelle, Humains, Impédance électrique, Lymphadénectomie, Lymphoedème (diagnostic), Mastectomie partielle, Queensland, Récepteurs des oestrogènes (métabolisme), Récepteurs à la progestérone (métabolisme), Sujet âgé, Survivants, Tumeurs du sein (), Tumeurs du sein (anatomopathologie), Tumeurs du sein (mortalité), Études de suivi.
- MESH :
- anatomopathologie : Adénocarcinome, Adénocarcinome mucineux, Carcinome canalaire du sein, Carcinome médullaire, Tumeurs du sein.
- diagnostic : Lymphoedème.
- mortalité : Adénocarcinome, Adénocarcinome mucineux, Carcinome canalaire du sein, Carcinome médullaire, Tumeurs du sein.
- métabolisme : Récepteurs des oestrogènes, Récepteurs à la progestérone.
- Adulte d'âge moyen, Adénocarcinome, Adénocarcinome mucineux, Carcinome canalaire du sein, Carcinome médullaire, Facteurs de risque, Femelle, Humains, Impédance électrique, Lymphadénectomie, Mastectomie partielle, Queensland, Sujet âgé, Survivants, Tumeurs du sein, Études de suivi.
English descriptors
- KwdEn :
- Adenocarcinoma (mortality), Adenocarcinoma (pathology), Adenocarcinoma (therapy), Adenocarcinoma, Mucinous (mortality), Adenocarcinoma, Mucinous (pathology), Adenocarcinoma, Mucinous (therapy), Aged, Breast Neoplasms (mortality), Breast Neoplasms (pathology), Breast Neoplasms (therapy), Carcinoma, Ductal, Breast (mortality), Carcinoma, Ductal, Breast (pathology), Carcinoma, Ductal, Breast (therapy), Carcinoma, Medullary (mortality), Carcinoma, Medullary (pathology), Carcinoma, Medullary (therapy), Electric Impedance, Female, Follow-Up Studies, Humans, Lymph Node Excision, Lymphedema (diagnosis), Mastectomy, Segmental, Middle Aged, Queensland, Receptors, Estrogen (metabolism), Receptors, Progesterone (metabolism), Risk Factors, Survivors.
- MESH :
- chemical , metabolism : Receptors, Estrogen, Receptors, Progesterone.
- geographic : Queensland.
- diagnosis : Lymphedema.
- mortality : Adenocarcinoma, Adenocarcinoma, Mucinous, Breast Neoplasms, Carcinoma, Ductal, Breast, Carcinoma, Medullary.
- pathology : Adenocarcinoma, Adenocarcinoma, Mucinous, Breast Neoplasms, Carcinoma, Ductal, Breast, Carcinoma, Medullary.
- therapy : Adenocarcinoma, Adenocarcinoma, Mucinous, Breast Neoplasms, Carcinoma, Ductal, Breast, Carcinoma, Medullary.
- Aged, Electric Impedance, Female, Follow-Up Studies, Humans, Lymph Node Excision, Mastectomy, Segmental, Middle Aged, Risk Factors, Survivors.
Abstract
One of the more problematic and dreaded complications of breast cancer is lymphoedema. Our objective was to determine the prevalence of lymphoedema 6-months following breast cancer treatment and to examine potential risk factors among a population-based sample of women residing in South-East Queensland (n = 176). Women were defined as having lymphoedema if the difference between the sum of arm circumferences (SOAC) of the treated and untreated sides was >5 cm (prevalence = 11.9%) or >10% (prevalence = 0.6%), their multi- frequency bioelectrical impedance (MFBIA) score was > or =3 standard deviations above the reference impedance score (prevalence = 11.4%), or they reported 'yes' when asked if arm swelling had been present in the previous 6 months (prevalence = 27.8%). Of those with lymphoedema defined by MFBIA, only 35% were detected using the SOAC method (difference > 5 cm), while 65% were identified via the self-report method (i.e., respective sensitivities). Specificities for SOAC (difference > 5 cm) and self-report were 88.5% and 76.9%, respectively. When examining associations between presence of lymphoedema and a range of characteristics, findings also varied depending on the method used to assess lymphoedema. Nevertheless, one of the more novel and significant findings was that being treated on the non-dominant, compared to dominant, side was associated with an 80% increased risk of having lymphoedema (MFBIA). Our work raises questions about the use of circumferences as the choice of measurement for lymphoedema in both research and clinical settings, and assesses MFBIA as a potential alternative.
DOI: 10.1007/s10549-004-2045-x
PubMed: 15754119
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pubmed:15754119Le document en format XML
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<author><name sortKey="Hayes, Sandi" sort="Hayes, Sandi" uniqKey="Hayes S" first="Sandi" last="Hayes">Sandi Hayes</name>
<affiliation wicri:level="1"><nlm:affiliation>School of Public Health, Centre for Health Research, Brisbane, Australia. sc.hayes@qut.edu.au</nlm:affiliation>
<country xml:lang="fr">Australie</country>
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<author><name sortKey="Cornish, Bruce" sort="Cornish, Bruce" uniqKey="Cornish B" first="Bruce" last="Cornish">Bruce Cornish</name>
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<author><name sortKey="Newman, Beth" sort="Newman, Beth" uniqKey="Newman B" first="Beth" last="Newman">Beth Newman</name>
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<author><name sortKey="Newman, Beth" sort="Newman, Beth" uniqKey="Newman B" first="Beth" last="Newman">Beth Newman</name>
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<series><title level="j">Breast cancer research and treatment</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adenocarcinoma (mortality)</term>
<term>Adenocarcinoma (pathology)</term>
<term>Adenocarcinoma (therapy)</term>
<term>Adenocarcinoma, Mucinous (mortality)</term>
<term>Adenocarcinoma, Mucinous (pathology)</term>
<term>Adenocarcinoma, Mucinous (therapy)</term>
<term>Aged</term>
<term>Breast Neoplasms (mortality)</term>
<term>Breast Neoplasms (pathology)</term>
<term>Breast Neoplasms (therapy)</term>
<term>Carcinoma, Ductal, Breast (mortality)</term>
<term>Carcinoma, Ductal, Breast (pathology)</term>
<term>Carcinoma, Ductal, Breast (therapy)</term>
<term>Carcinoma, Medullary (mortality)</term>
<term>Carcinoma, Medullary (pathology)</term>
<term>Carcinoma, Medullary (therapy)</term>
<term>Electric Impedance</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Lymph Node Excision</term>
<term>Lymphedema (diagnosis)</term>
<term>Mastectomy, Segmental</term>
<term>Middle Aged</term>
<term>Queensland</term>
<term>Receptors, Estrogen (metabolism)</term>
<term>Receptors, Progesterone (metabolism)</term>
<term>Risk Factors</term>
<term>Survivors</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Adénocarcinome ()</term>
<term>Adénocarcinome (anatomopathologie)</term>
<term>Adénocarcinome (mortalité)</term>
<term>Adénocarcinome mucineux ()</term>
<term>Adénocarcinome mucineux (anatomopathologie)</term>
<term>Adénocarcinome mucineux (mortalité)</term>
<term>Carcinome canalaire du sein ()</term>
<term>Carcinome canalaire du sein (anatomopathologie)</term>
<term>Carcinome canalaire du sein (mortalité)</term>
<term>Carcinome médullaire ()</term>
<term>Carcinome médullaire (anatomopathologie)</term>
<term>Carcinome médullaire (mortalité)</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Impédance électrique</term>
<term>Lymphadénectomie</term>
<term>Lymphoedème (diagnostic)</term>
<term>Mastectomie partielle</term>
<term>Queensland</term>
<term>Récepteurs des oestrogènes (métabolisme)</term>
<term>Récepteurs à la progestérone (métabolisme)</term>
<term>Sujet âgé</term>
<term>Survivants</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (anatomopathologie)</term>
<term>Tumeurs du sein (mortalité)</term>
<term>Études de suivi</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="metabolism" xml:lang="en"><term>Receptors, Estrogen</term>
<term>Receptors, Progesterone</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en"><term>Queensland</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Adénocarcinome</term>
<term>Adénocarcinome mucineux</term>
<term>Carcinome canalaire du sein</term>
<term>Carcinome médullaire</term>
<term>Tumeurs du sein</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Adenocarcinoma</term>
<term>Adenocarcinoma, Mucinous</term>
<term>Breast Neoplasms</term>
<term>Carcinoma, Ductal, Breast</term>
<term>Carcinoma, Medullary</term>
</keywords>
<keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Adénocarcinome</term>
<term>Adénocarcinome mucineux</term>
<term>Carcinome canalaire du sein</term>
<term>Carcinome médullaire</term>
<term>Tumeurs du sein</term>
</keywords>
<keywords scheme="MESH" qualifier="métabolisme" xml:lang="fr"><term>Récepteurs des oestrogènes</term>
<term>Récepteurs à la progestérone</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Adenocarcinoma</term>
<term>Adenocarcinoma, Mucinous</term>
<term>Breast Neoplasms</term>
<term>Carcinoma, Ductal, Breast</term>
<term>Carcinoma, Medullary</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Adenocarcinoma</term>
<term>Adenocarcinoma, Mucinous</term>
<term>Breast Neoplasms</term>
<term>Carcinoma, Ductal, Breast</term>
<term>Carcinoma, Medullary</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Electric Impedance</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Lymph Node Excision</term>
<term>Mastectomy, Segmental</term>
<term>Middle Aged</term>
<term>Risk Factors</term>
<term>Survivors</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Adénocarcinome</term>
<term>Adénocarcinome mucineux</term>
<term>Carcinome canalaire du sein</term>
<term>Carcinome médullaire</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Impédance électrique</term>
<term>Lymphadénectomie</term>
<term>Mastectomie partielle</term>
<term>Queensland</term>
<term>Sujet âgé</term>
<term>Survivants</term>
<term>Tumeurs du sein</term>
<term>Études de suivi</term>
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<front><div type="abstract" xml:lang="en">One of the more problematic and dreaded complications of breast cancer is lymphoedema. Our objective was to determine the prevalence of lymphoedema 6-months following breast cancer treatment and to examine potential risk factors among a population-based sample of women residing in South-East Queensland (n = 176). Women were defined as having lymphoedema if the difference between the sum of arm circumferences (SOAC) of the treated and untreated sides was >5 cm (prevalence = 11.9%) or >10% (prevalence = 0.6%), their multi- frequency bioelectrical impedance (MFBIA) score was > or =3 standard deviations above the reference impedance score (prevalence = 11.4%), or they reported 'yes' when asked if arm swelling had been present in the previous 6 months (prevalence = 27.8%). Of those with lymphoedema defined by MFBIA, only 35% were detected using the SOAC method (difference > 5 cm), while 65% were identified via the self-report method (i.e., respective sensitivities). Specificities for SOAC (difference > 5 cm) and self-report were 88.5% and 76.9%, respectively. When examining associations between presence of lymphoedema and a range of characteristics, findings also varied depending on the method used to assess lymphoedema. Nevertheless, one of the more novel and significant findings was that being treated on the non-dominant, compared to dominant, side was associated with an 80% increased risk of having lymphoedema (MFBIA). Our work raises questions about the use of circumferences as the choice of measurement for lymphoedema in both research and clinical settings, and assesses MFBIA as a potential alternative.</div>
</front>
</TEI>
</record>
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