Short-term effects of axillary lymph node clearance surgery on lymphatic physiology of the arm in breast cancer.
Identifieur interne : 002025 ( Ncbi/Merge ); précédent : 002024; suivant : 002026Short-term effects of axillary lymph node clearance surgery on lymphatic physiology of the arm in breast cancer.
Auteurs : Simon J. Pain [Royaume-Uni] ; Robert W. Barber ; Chandra K. Solanki ; James R. Ballinger ; Tom Bennett Britton ; Peter S. Mortimer ; Anand D. Purushotham ; A Michael PetersSource :
- Journal of applied physiology (Bethesda, Md. : 1985) [ 8750-7587 ] ; 2005.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Aisselle (), Aisselle (physiopathologie), Bras (), Bras (physiopathologie), Facteurs temps, Femelle, Humains, Immunoglobuline G (sang), Lymphadénectomie, Lymphoedème (physiopathologie), Lymphoedème (étiologie), Métastase lymphatique, Noeuds lymphatiques (), Noeuds lymphatiques (physiopathologie), Sujet âgé, Transport biologique actif, Tumeurs du sein (), Tumeurs du sein (physiopathologie).
- MESH :
- physiopathologie : Aisselle, Bras, Lymphoedème, Noeuds lymphatiques, Tumeurs du sein.
- sang : Immunoglobuline G.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Aisselle, Bras, Facteurs temps, Femelle, Humains, Lymphadénectomie, Métastase lymphatique, Noeuds lymphatiques, Sujet âgé, Transport biologique actif, Tumeurs du sein.
English descriptors
- KwdEn :
- Adult, Aged, Arm (physiopathology), Arm (surgery), Axilla (physiopathology), Axilla (surgery), Biological Transport, Active, Breast Neoplasms (complications), Breast Neoplasms (physiopathology), Breast Neoplasms (surgery), Female, Humans, Immunoglobulin G (blood), Lymph Node Excision, Lymph Nodes (physiopathology), Lymph Nodes (surgery), Lymphatic Metastasis, Lymphedema (etiology), Lymphedema (physiopathology), Middle Aged, Time Factors.
- MESH :
- chemical , blood : Immunoglobulin G.
- complications : Breast Neoplasms.
- etiology : Lymphedema.
- physiopathology : Arm, Axilla, Breast Neoplasms, Lymph Nodes, Lymphedema.
- surgery : Arm, Axilla, Breast Neoplasms, Lymph Nodes.
- Adult, Aged, Biological Transport, Active, Female, Humans, Lymph Node Excision, Lymphatic Metastasis, Middle Aged, Time Factors.
Abstract
It is not known why some women develop breast cancer-related lymphedema (BCRL) of the arm, whereas others having similar treatment do not. We speculated that increased uptake of protein into local blood may protect against BCRL. Sixteen women were given bilateral subcutaneous hand webspace injections of polyclonal immunoglobulin (HIgG), (99m)Tc-HIgG on one side and (111)In-HIgG on the other, before and 3 mo after axillary clearance surgery. The rates of clearance of activity from the depot (k) and accumulation in central blood (b(contra)) were measured using a scintillation probe and bilateral antecubital vein blood sampling, respectively. Activity accumulating in blood ipsilateral to the injected side, in excess of central blood activity (b(ipsi)) was also calculated as a measure of local vascular uptake. The k correlated with b(contra), but neither changed in response to surgery. However, b(ipsi) for injections of (99m)Tc-HIgG into the affected arm increased in all seven patients in whom data were available (0.018 +/- 0.006 to 0.038 +/- 0.007%/min; P < 0.05); indeed, in five of these seven, b(ipsi) paradoxically exceeded b(contra), and none developed BCRL at 3-yr follow-up. We conclude that uptake of protein into local blood and/or proteolysis increases after axillary surgery and may protect against BCRL.
DOI: 10.1152/japplphysiol.00372.2005
PubMed: 16288099
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pubmed:16288099Le document en format XML
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<term>Arm (surgery)</term>
<term>Axilla (physiopathology)</term>
<term>Axilla (surgery)</term>
<term>Biological Transport, Active</term>
<term>Breast Neoplasms (complications)</term>
<term>Breast Neoplasms (physiopathology)</term>
<term>Breast Neoplasms (surgery)</term>
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<term>Humans</term>
<term>Immunoglobulin G (blood)</term>
<term>Lymph Node Excision</term>
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<term>Aisselle ()</term>
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<term>Bras ()</term>
<term>Bras (physiopathologie)</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Immunoglobuline G (sang)</term>
<term>Lymphadénectomie</term>
<term>Lymphoedème (physiopathologie)</term>
<term>Lymphoedème (étiologie)</term>
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<term>Transport biologique actif</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (physiopathologie)</term>
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<keywords scheme="MESH" type="chemical" qualifier="blood" xml:lang="en"><term>Immunoglobulin G</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Breast Neoplasms</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Aisselle</term>
<term>Bras</term>
<term>Lymphoedème</term>
<term>Noeuds lymphatiques</term>
<term>Tumeurs du sein</term>
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<term>Axilla</term>
<term>Breast Neoplasms</term>
<term>Lymph Nodes</term>
<term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="sang" xml:lang="fr"><term>Immunoglobuline G</term>
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<term>Axilla</term>
<term>Breast Neoplasms</term>
<term>Lymph Nodes</term>
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<term>Biological Transport, Active</term>
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<front><div type="abstract" xml:lang="en">It is not known why some women develop breast cancer-related lymphedema (BCRL) of the arm, whereas others having similar treatment do not. We speculated that increased uptake of protein into local blood may protect against BCRL. Sixteen women were given bilateral subcutaneous hand webspace injections of polyclonal immunoglobulin (HIgG), (99m)Tc-HIgG on one side and (111)In-HIgG on the other, before and 3 mo after axillary clearance surgery. The rates of clearance of activity from the depot (k) and accumulation in central blood (b(contra)) were measured using a scintillation probe and bilateral antecubital vein blood sampling, respectively. Activity accumulating in blood ipsilateral to the injected side, in excess of central blood activity (b(ipsi)) was also calculated as a measure of local vascular uptake. The k correlated with b(contra), but neither changed in response to surgery. However, b(ipsi) for injections of (99m)Tc-HIgG into the affected arm increased in all seven patients in whom data were available (0.018 +/- 0.006 to 0.038 +/- 0.007%/min; P < 0.05); indeed, in five of these seven, b(ipsi) paradoxically exceeded b(contra), and none developed BCRL at 3-yr follow-up. We conclude that uptake of protein into local blood and/or proteolysis increases after axillary surgery and may protect against BCRL.</div>
</front>
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<Abstract><AbstractText>It is not known why some women develop breast cancer-related lymphedema (BCRL) of the arm, whereas others having similar treatment do not. We speculated that increased uptake of protein into local blood may protect against BCRL. Sixteen women were given bilateral subcutaneous hand webspace injections of polyclonal immunoglobulin (HIgG), (99m)Tc-HIgG on one side and (111)In-HIgG on the other, before and 3 mo after axillary clearance surgery. The rates of clearance of activity from the depot (k) and accumulation in central blood (b(contra)) were measured using a scintillation probe and bilateral antecubital vein blood sampling, respectively. Activity accumulating in blood ipsilateral to the injected side, in excess of central blood activity (b(ipsi)) was also calculated as a measure of local vascular uptake. The k correlated with b(contra), but neither changed in response to surgery. However, b(ipsi) for injections of (99m)Tc-HIgG into the affected arm increased in all seven patients in whom data were available (0.018 +/- 0.006 to 0.038 +/- 0.007%/min; P < 0.05); indeed, in five of these seven, b(ipsi) paradoxically exceeded b(contra), and none developed BCRL at 3-yr follow-up. We conclude that uptake of protein into local blood and/or proteolysis increases after axillary surgery and may protect against BCRL.</AbstractText>
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