Tissue tonometry before and after liposuction of arm lymphedema following breast cancer.
Identifieur interne : 001E87 ( Ncbi/Merge ); précédent : 001E86; suivant : 001E88Tissue tonometry before and after liposuction of arm lymphedema following breast cancer.
Auteurs : Shirin Bagheri [Suède] ; Karin Ohlin ; Gaby Olsson ; H Kan BrorsonSource :
- Lymphatic research and biology [ 1539-6851 ] ; 2005.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- complications : Breast Neoplasms.
- etiology : Lymphedema.
- instrumentation : Manometry.
- surgery : Breast Neoplasms, Lymphedema.
- Adult, Aged, Arm, Female, Humans, Lipectomy, Middle Aged, Postoperative Complications, Postoperative Period.
Abstract
Arm lymphedema is a common complication after breast cancer treatment. Different conservative and surgical treatments have been used to reduce the arm swelling, but most have failed as chronic edema eventually transforms from a state of accumulated lymph fluid into increased deposition of subcutaneous fat, i.e. a non-pitting lymphedema.
DOI: 10.1089/lrb.2005.3.66
PubMed: 16000055
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pubmed:16000055Le document en format XML
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<author><name sortKey="Bagheri, Shirin" sort="Bagheri, Shirin" uniqKey="Bagheri S" first="Shirin" last="Bagheri">Shirin Bagheri</name>
<affiliation wicri:level="1"><nlm:affiliation>Lund University, Lund University Hospital, Lund, Sweden.</nlm:affiliation>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Lund University, Lund University Hospital, Lund</wicri:regionArea>
<wicri:noRegion>Lund</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ohlin, Karin" sort="Ohlin, Karin" uniqKey="Ohlin K" first="Karin" last="Ohlin">Karin Ohlin</name>
</author>
<author><name sortKey="Olsson, Gaby" sort="Olsson, Gaby" uniqKey="Olsson G" first="Gaby" last="Olsson">Gaby Olsson</name>
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<author><name sortKey="Brorson, H Kan" sort="Brorson, H Kan" uniqKey="Brorson H" first="H Kan" last="Brorson">H Kan Brorson</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Tissue tonometry before and after liposuction of arm lymphedema following breast cancer.</title>
<author><name sortKey="Bagheri, Shirin" sort="Bagheri, Shirin" uniqKey="Bagheri S" first="Shirin" last="Bagheri">Shirin Bagheri</name>
<affiliation wicri:level="1"><nlm:affiliation>Lund University, Lund University Hospital, Lund, Sweden.</nlm:affiliation>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Lund University, Lund University Hospital, Lund</wicri:regionArea>
<wicri:noRegion>Lund</wicri:noRegion>
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<author><name sortKey="Ohlin, Karin" sort="Ohlin, Karin" uniqKey="Ohlin K" first="Karin" last="Ohlin">Karin Ohlin</name>
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<author><name sortKey="Olsson, Gaby" sort="Olsson, Gaby" uniqKey="Olsson G" first="Gaby" last="Olsson">Gaby Olsson</name>
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<author><name sortKey="Brorson, H Kan" sort="Brorson, H Kan" uniqKey="Brorson H" first="H Kan" last="Brorson">H Kan Brorson</name>
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<series><title level="j">Lymphatic research and biology</title>
<idno type="ISSN">1539-6851</idno>
<imprint><date when="2005" type="published">2005</date>
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</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Arm</term>
<term>Breast Neoplasms (complications)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Female</term>
<term>Humans</term>
<term>Lipectomy</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (surgery)</term>
<term>Manometry (instrumentation)</term>
<term>Middle Aged</term>
<term>Postoperative Complications</term>
<term>Postoperative Period</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Bras</term>
<term>Complications postopératoires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lipectomie</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (étiologie)</term>
<term>Manométrie (instrumentation)</term>
<term>Période postopératoire</term>
<term>Sujet âgé</term>
<term>Tumeurs du sein ()</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Manometry</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term>
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term>
<term>Manométrie</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Arm</term>
<term>Female</term>
<term>Humans</term>
<term>Lipectomy</term>
<term>Middle Aged</term>
<term>Postoperative Complications</term>
<term>Postoperative Period</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Bras</term>
<term>Complications postopératoires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lipectomie</term>
<term>Lymphoedème</term>
<term>Période postopératoire</term>
<term>Sujet âgé</term>
<term>Tumeurs du sein</term>
</keywords>
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<front><div type="abstract" xml:lang="en">Arm lymphedema is a common complication after breast cancer treatment. Different conservative and surgical treatments have been used to reduce the arm swelling, but most have failed as chronic edema eventually transforms from a state of accumulated lymph fluid into increased deposition of subcutaneous fat, i.e. a non-pitting lymphedema.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">16000055</PMID>
<DateCreated><Year>2005</Year>
<Month>07</Month>
<Day>07</Day>
</DateCreated>
<DateCompleted><Year>2005</Year>
<Month>09</Month>
<Day>20</Day>
</DateCompleted>
<DateRevised><Year>2006</Year>
<Month>11</Month>
<Day>15</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">1539-6851</ISSN>
<JournalIssue CitedMedium="Print"><Volume>3</Volume>
<Issue>2</Issue>
<PubDate><Year>2005</Year>
<Season>Summer</Season>
</PubDate>
</JournalIssue>
<Title>Lymphatic research and biology</Title>
<ISOAbbreviation>Lymphat Res Biol</ISOAbbreviation>
</Journal>
<ArticleTitle>Tissue tonometry before and after liposuction of arm lymphedema following breast cancer.</ArticleTitle>
<Pagination><MedlinePgn>66-80</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Arm lymphedema is a common complication after breast cancer treatment. Different conservative and surgical treatments have been used to reduce the arm swelling, but most have failed as chronic edema eventually transforms from a state of accumulated lymph fluid into increased deposition of subcutaneous fat, i.e. a non-pitting lymphedema.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To evaluate changes in tissue tonicity with an electronic tissue tonometer before and after liposuction. To validate the tonometer, outcome of surgery, and aspirate content. If tonometry can discriminate between "soft" and "hard" edema/swelling, it can be used to differentiate these types, as treatment differs.</AbstractText>
<AbstractText Label="SUBJECTS AND METHODS" NlmCategory="METHODS">Twenty women with non-pitting unilateral postmastectomy arm lymphedema were operated on. The following measurements were performed: Tissue tonicity with a tonometer, its sensitivity on five different foam-polyethers by ten subjects, arm volumes, and adipose tissue aspirate content.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Tissue tonicity values showed that the upper lymphedematous arm was harder than the normal one. After surgery it became softer, and at one year it was as soft as the normal arm. Polyether tonometries could clearly differentiate the various properties. A sample of three measurements was as good as ten. Horizontal vs. vertical measurements did not differ in the high-density polyethers. Complete reduction of the lymphedema was achieved. Adipose tissue content of the aspirate was 89%.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The tonometer could register postoperative changes in tissue tonicity in the upper arm, but not in the forearm, which also showed significantly higher absolute values. Probably this is caused by the high adipose tissue content with little or no free fluid, thus resembling the normal arm in tonicity. Possibly also the thinner subcutaneous tissue in the forearm plays a role. Tonometry can differentiate if a lymphedematous arm that is softer or harder than the normal one. A harder swelling is dominated by adipose tissue and can be treated with liposuction, while the softer one is treated conservatively.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bagheri</LastName>
<ForeName>Shirin</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Lund University, Lund University Hospital, Lund, Sweden.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ohlin</LastName>
<ForeName>Karin</ForeName>
<Initials>K</Initials>
</Author>
<Author ValidYN="Y"><LastName>Olsson</LastName>
<ForeName>Gaby</ForeName>
<Initials>G</Initials>
</Author>
<Author ValidYN="Y"><LastName>Brorson</LastName>
<ForeName>Håkan</ForeName>
<Initials>H</Initials>
</Author>
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<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
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<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Lymphat Res Biol</MedlineTA>
<NlmUniqueID>101163587</NlmUniqueID>
<ISSNLinking>1539-6851</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001132" MajorTopicYN="Y">Arm</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName>
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</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015187" MajorTopicYN="Y">Lipectomy</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008365" MajorTopicYN="N">Manometry</DescriptorName>
<QualifierName UI="Q000295" MajorTopicYN="Y">instrumentation</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011184" MajorTopicYN="N">Postoperative Period</DescriptorName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
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