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Comparative study of lymphoedema with axillary node dissection versus axillary node sampling with radiotherapy in patients undergoing breast conservation surgery.

Identifieur interne : 002300 ( Ncbi/Merge ); précédent : 002299; suivant : 002301

Comparative study of lymphoedema with axillary node dissection versus axillary node sampling with radiotherapy in patients undergoing breast conservation surgery.

Auteurs : J. Mathew [Royaume-Uni] ; L. Barthelmes ; S. Neminathan ; D. Crawford

Source :

RBID : pubmed:16777367

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English descriptors

Abstract

Our aim was to compare the incidence of lymphoedema in two groups of patients undergoing breast conservation surgery; one undergoing axillary sampling and radiotherapy to patients with positive axillary nodes, and the other undergoing axillary clearance.

DOI: 10.1016/j.ejso.2006.04.019
PubMed: 16777367

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pubmed:16777367

Le document en format XML

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<title xml:lang="en">Comparative study of lymphoedema with axillary node dissection versus axillary node sampling with radiotherapy in patients undergoing breast conservation surgery.</title>
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<name sortKey="Mathew, J" sort="Mathew, J" uniqKey="Mathew J" first="J" last="Mathew">J. Mathew</name>
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<nlm:affiliation>Ysbyty Gwynedd, Bangor, Gwynedd, North Wales, UK. mathewjohn9@aol.com</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Ysbyty Gwynedd, Bangor, Gwynedd, North Wales</wicri:regionArea>
<wicri:noRegion>North Wales</wicri:noRegion>
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<name sortKey="Barthelmes, L" sort="Barthelmes, L" uniqKey="Barthelmes L" first="L" last="Barthelmes">L. Barthelmes</name>
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<name sortKey="Neminathan, S" sort="Neminathan, S" uniqKey="Neminathan S" first="S" last="Neminathan">S. Neminathan</name>
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<name sortKey="Crawford, D" sort="Crawford, D" uniqKey="Crawford D" first="D" last="Crawford">D. Crawford</name>
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<title xml:lang="en">Comparative study of lymphoedema with axillary node dissection versus axillary node sampling with radiotherapy in patients undergoing breast conservation surgery.</title>
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<title level="j">European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology</title>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Axilla</term>
<term>Breast Neoplasms (radiotherapy)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Combined Modality Therapy</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymphedema (etiology)</term>
<term>Mastectomy, Segmental</term>
<term>Middle Aged</term>
<term>Sentinel Lymph Node Biopsy (adverse effects)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte d'âge moyen</term>
<term>Aisselle</term>
<term>Association thérapeutique</term>
<term>Biopsie de noeud lymphatique sentinelle (effets indésirables)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphadénectomie (effets indésirables)</term>
<term>Lymphoedème (étiologie)</term>
<term>Mastectomie partielle</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (radiothérapie)</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Lymph Node Excision</term>
<term>Sentinel Lymph Node Biopsy</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr">
<term>Biopsie de noeud lymphatique sentinelle</term>
<term>Lymphadénectomie</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="radiotherapy" xml:lang="en">
<term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="radiothérapie" xml:lang="fr">
<term>Tumeurs du sein</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Axilla</term>
<term>Combined Modality Therapy</term>
<term>Female</term>
<term>Humans</term>
<term>Mastectomy, Segmental</term>
<term>Middle Aged</term>
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<term>Association thérapeutique</term>
<term>Femelle</term>
<term>Humains</term>
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<term>Tumeurs du sein</term>
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<front>
<div type="abstract" xml:lang="en">Our aim was to compare the incidence of lymphoedema in two groups of patients undergoing breast conservation surgery; one undergoing axillary sampling and radiotherapy to patients with positive axillary nodes, and the other undergoing axillary clearance.</div>
</front>
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<PMID Version="1">16777367</PMID>
<DateCreated>
<Year>2006</Year>
<Month>08</Month>
<Day>28</Day>
</DateCreated>
<DateCompleted>
<Year>2006</Year>
<Month>11</Month>
<Day>30</Day>
</DateCompleted>
<DateRevised>
<Year>2007</Year>
<Month>07</Month>
<Day>02</Day>
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<ISSN IssnType="Print">0748-7983</ISSN>
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<Volume>32</Volume>
<Issue>7</Issue>
<PubDate>
<Year>2006</Year>
<Month>Sep</Month>
</PubDate>
</JournalIssue>
<Title>European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology</Title>
<ISOAbbreviation>Eur J Surg Oncol</ISOAbbreviation>
</Journal>
<ArticleTitle>Comparative study of lymphoedema with axillary node dissection versus axillary node sampling with radiotherapy in patients undergoing breast conservation surgery.</ArticleTitle>
<Pagination>
<MedlinePgn>729-32</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="AIMS" NlmCategory="OBJECTIVE">Our aim was to compare the incidence of lymphoedema in two groups of patients undergoing breast conservation surgery; one undergoing axillary sampling and radiotherapy to patients with positive axillary nodes, and the other undergoing axillary clearance.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Retrospective review of records of two sequential groups of patients; one undergoing axillary sampling between January 1994 and December 1998 (Group 1) and the other undergoing axillary clearance between January 2000 and December 2002 (Group 2). Both groups had minimum of 2 years follow-up.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Three hundred and twelve patients were included in Group 1 and 194 in Group 2. 2.2% of the patients in Group 1 developed lymphoedema compared to 12.3% in Group 2. This was statistically significant with a P value=0.0001. In the node-positive patients, the incidence of lymphoedema in Group 1 was 6.2% compared to 15.4% in Group 2, although the differences were not statistically significant with P=0.17.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The incidence of lymphoedema in the axillary sampling group was low, although the differences were less pronounced in the node-positive patients. The effectiveness of radiotherapy as an alternative to full axillary dissection among patients with positive nodes is currently under investigation in randomised controlled trials.</AbstractText>
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