Delayed breast cellulitis: an evolving complication of breast conservation.
Identifieur interne : 002495 ( Ncbi/Merge ); précédent : 002494; suivant : 002496Delayed breast cellulitis: an evolving complication of breast conservation.
Auteurs : Daniel J. Indelicato [États-Unis] ; Stephen R. Grobmyer ; Heather Newlin ; Christopher G. Morris ; Linda S. Haigh ; Edward M. Copeland ; Nancy Price MendenhallSource :
- International journal of radiation oncology, biology, physics [ 0360-3016 ] ; 2006.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Analyse de variance, Carcinome intracanalaire non infiltrant (), Cellulite sous-cutanée (étiologie), Facteurs de risque, Femelle, Humains, Lymphoedème (étiologie), Maladies du sein (étiologie), Mastectomie partielle (effets indésirables), Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs du sein (), Études rétrospectives.
- MESH :
- effets indésirables : Mastectomie partielle.
- étiologie : Cellulite sous-cutanée, Lymphoedème, Maladies du sein.
- Adulte, Adulte d'âge moyen, Analyse de variance, Carcinome intracanalaire non infiltrant, Facteurs de risque, Femelle, Humains, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs du sein, Études rétrospectives.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Analysis of Variance, Breast Diseases (etiology), Breast Neoplasms (surgery), Carcinoma, Intraductal, Noninfiltrating (surgery), Cellulitis (etiology), Female, Humans, Lymphedema (etiology), Mastectomy, Segmental (adverse effects), Middle Aged, Retrospective Studies, Risk Factors.
- MESH :
- adverse effects : Mastectomy, Segmental.
- etiology : Breast Diseases, Cellulitis, Lymphedema.
- surgery : Breast Neoplasms, Carcinoma, Intraductal, Noninfiltrating.
- Adult, Aged, Aged, 80 and over, Analysis of Variance, Female, Humans, Middle Aged, Retrospective Studies, Risk Factors.
Abstract
Delayed breast cellulitis (DBC) is characterized by the late onset of breast erythema, edema, tenderness, and warmth. This retrospective study analyzes the risk factors and clinical course of DBC.
DOI: 10.1016/j.ijrobp.2006.07.1388
PubMed: 17126205
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pubmed:17126205Le document en format XML
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<author><name sortKey="Indelicato, Daniel J" sort="Indelicato, Daniel J" uniqKey="Indelicato D" first="Daniel J" last="Indelicato">Daniel J. Indelicato</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Radiation Oncology, University of Florida College of Medicine, Jacksonville, FL, USA.</nlm:affiliation>
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<wicri:regionArea>Department of Radiation Oncology, University of Florida College of Medicine, Jacksonville, FL</wicri:regionArea>
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<author><name sortKey="Haigh, Linda S" sort="Haigh, Linda S" uniqKey="Haigh L" first="Linda S" last="Haigh">Linda S. Haigh</name>
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<author><name sortKey="Mendenhall, Nancy Price" sort="Mendenhall, Nancy Price" uniqKey="Mendenhall N" first="Nancy Price" last="Mendenhall">Nancy Price Mendenhall</name>
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<term>Breast Diseases (etiology)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Carcinoma, Intraductal, Noninfiltrating (surgery)</term>
<term>Cellulitis (etiology)</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphedema (etiology)</term>
<term>Mastectomy, Segmental (adverse effects)</term>
<term>Middle Aged</term>
<term>Retrospective Studies</term>
<term>Risk Factors</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de variance</term>
<term>Carcinome intracanalaire non infiltrant ()</term>
<term>Cellulite sous-cutanée (étiologie)</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème (étiologie)</term>
<term>Maladies du sein (étiologie)</term>
<term>Mastectomie partielle (effets indésirables)</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs du sein ()</term>
<term>Études rétrospectives</term>
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<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Mastectomy, Segmental</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Breast Diseases</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Cellulite sous-cutanée</term>
<term>Lymphoedème</term>
<term>Maladies du sein</term>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Analysis of Variance</term>
<term>Female</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Retrospective Studies</term>
<term>Risk Factors</term>
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<term>Adulte d'âge moyen</term>
<term>Analyse de variance</term>
<term>Carcinome intracanalaire non infiltrant</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs du sein</term>
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<front><div type="abstract" xml:lang="en">Delayed breast cellulitis (DBC) is characterized by the late onset of breast erythema, edema, tenderness, and warmth. This retrospective study analyzes the risk factors and clinical course of DBC.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">17126205</PMID>
<DateCreated><Year>2006</Year>
<Month>11</Month>
<Day>27</Day>
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<Title>International journal of radiation oncology, biology, physics</Title>
<ISOAbbreviation>Int. J. Radiat. Oncol. Biol. Phys.</ISOAbbreviation>
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<ArticleTitle>Delayed breast cellulitis: an evolving complication of breast conservation.</ArticleTitle>
<Pagination><MedlinePgn>1339-46</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Delayed breast cellulitis (DBC) is characterized by the late onset of breast erythema, edema, tenderness, and warmth. This retrospective study analyzes the risk factors and clinical course of DBC.</AbstractText>
<AbstractText Label="METHODS AND MATERIALS" NlmCategory="METHODS">From 1985 through 2004, 580 sequential women with 601 stage T0-2N0-1 breast cancers underwent breast conserving therapy. Cases of DBC were identified according to accepted clinical criteria: diffuse breast erythema, edema, tenderness, and warmth occurring >3 months after definitive surgery and >3 weeks after radiotherapy. Potential risk factors analyzed included patient comorbidity, operative technique, acute complications, and details of adjunctive therapy. Response to treatment and long-term outcome were analyzed to characterize the natural course of this syndrome.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Of the 601 cases, 16%, 52%, and 32% were Stage 0, I, and II, respectively. The overall incidence of DBC was 8% (50/601). Obesity, ecchymoses, T stage, the presence and aspiration of a breast hematoma/seroma, removal of >5 axillary lymph nodes, and arm lymphedema were significantly associated with DBC. The median time to onset of DBC from the date of definitive surgery was 226 days. Ninety-two percent of DBC patients were empirically treated with antibiotics. Fourteen percent required more invasive intervention. Twenty-two percent had recurrent episodes of DBC. Ultimately, 2 patients (4%) underwent mastectomy for intractable breast pain related to DBC.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Although multifactorial, we believe DBC is primarily related to a bacterial infection in the setting of impaired lymphatic drainage and may appear months after completion of radiotherapy. Invasive testing before a trial of antibiotics is generally not recommended.</AbstractText>
</Abstract>
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<country name="États-Unis"><region name="Floride"><name sortKey="Indelicato, Daniel J" sort="Indelicato, Daniel J" uniqKey="Indelicato D" first="Daniel J" last="Indelicato">Daniel J. Indelicato</name>
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