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Can hyperbaric oxygen therapy reduce breast cancer treatment-related lymphedema? A pilot study.

Identifieur interne : 001C79 ( Ncbi/Merge ); précédent : 001C78; suivant : 001C80

Can hyperbaric oxygen therapy reduce breast cancer treatment-related lymphedema? A pilot study.

Auteurs : Jane Teas [États-Unis] ; Joan E. Cunningham ; Lindsie Cone ; Kel Jansen ; Senthil K. Raghavan ; Daniela K. Nitcheva ; Dawen Xie ; William M. Butler

Source :

RBID : pubmed:15665658

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English descriptors

Abstract

Arm lymphedema after surgery or radiation for breast cancer is common, causing pain and limitation of activities. Previous reports of hyperbaric oxygen (HBO) therapy for breast edema led us to consider the use of HBO therapy for arm lymphedema.

DOI: 10.1089/jwh.2004.13.1008
PubMed: 15665658

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pubmed:15665658

Le document en format XML

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<term>Adulte d'âge moyen</term>
<term>Bras (anatomopathologie)</term>
<term>Facteur de croissance endothéliale vasculaire de type A (sang)</term>
<term>Facteur de croissance endothéliale vasculaire de type C (sang)</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Intervalles de confiance</term>
<term>Lymphadénectomie (effets indésirables)</term>
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<term>Lymphadénectomie</term>
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<front>
<div type="abstract" xml:lang="en">Arm lymphedema after surgery or radiation for breast cancer is common, causing pain and limitation of activities. Previous reports of hyperbaric oxygen (HBO) therapy for breast edema led us to consider the use of HBO therapy for arm lymphedema.</div>
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<Month>01</Month>
<Day>24</Day>
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<Year>2005</Year>
<Month>03</Month>
<Day>04</Day>
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<Year>2006</Year>
<Month>11</Month>
<Day>15</Day>
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<Volume>13</Volume>
<Issue>9</Issue>
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<Year>2004</Year>
<Month>Nov</Month>
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<Title>Journal of women's health (2002)</Title>
<ISOAbbreviation>J Womens Health (Larchmt)</ISOAbbreviation>
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<ArticleTitle>Can hyperbaric oxygen therapy reduce breast cancer treatment-related lymphedema? A pilot study.</ArticleTitle>
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<MedlinePgn>1008-18</MedlinePgn>
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<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Arm lymphedema after surgery or radiation for breast cancer is common, causing pain and limitation of activities. Previous reports of hyperbaric oxygen (HBO) therapy for breast edema led us to consider the use of HBO therapy for arm lymphedema.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Ten healthy postmenopausal women (age 58 +/- 5.7 years) with persistent (9.4 years +/- 9.1 years) arm lymphedema following breast cancer surgery and radiation (n = 10) plus chemotherapy (n = 7) received 20 HBO treatments (90 minutes at 2.0 ATA five times a week for 4 weeks). End points included changes in upper extremity volume, platelet counts, plasma levels of vascular endothelial growth factor (VEGF), and lymph angiogenic-associated vascular endothelial growth factor-C (VEGF-C). Lymphedema volume (LV) was defined as the volume of the unaffected arm subtracted from the volume of the affected arm.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">We observed a 38% average reduction in hand lymphedema (-7.4 ml, 11.6 SD, range -30-+8 ml, p = 0.076, 95% confidence interval -15.7-0.9 ml) at the end of HBO, which was independent of changes in body weight. For those who benefited (n = 8), the reduction was persistent from the end of treatment to a final measurement an average of 14.2 months after the last HBO treatment. However, total LV did not change significantly. VEGF-C increased from baseline (p = 0.004) before treatment 20, suggesting HBO had begun to stimulate this growth factor.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Future studies should explore the effects of a greater number of HBO treatments on lymphedema, with more patients.</AbstractText>
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<name sortKey="Cunningham, Joan E" sort="Cunningham, Joan E" uniqKey="Cunningham J" first="Joan E" last="Cunningham">Joan E. Cunningham</name>
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