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Time course of mild arm lymphedema after breast conservation treatment for early-stage breast cancer.

Identifieur interne : 003393 ( Ncbi/Merge ); précédent : 003392; suivant : 003394

Time course of mild arm lymphedema after breast conservation treatment for early-stage breast cancer.

Auteurs : Voichita Bar Ad [États-Unis] ; Andrea Cheville ; Lawrence J. Solin ; Pinaki Dutta ; Stefan Both ; Eleanor E R. Harris

Source :

RBID : pubmed:19427748

Descripteurs français

English descriptors

Abstract

Arm lymphedema is a potential consequence of the treatment for breast carcinoma. The objective of this retrospective study was to characterize the progression of mild arm lymphedema after breast conservation treatment for breast cancer.

DOI: 10.1016/j.ijrobp.2009.01.024
PubMed: 19427748

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pubmed:19427748

Le document en format XML

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<name sortKey="Cheville, Andrea" sort="Cheville, Andrea" uniqKey="Cheville A" first="Andrea" last="Cheville">Andrea Cheville</name>
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<term>Adult</term>
<term>Aged</term>
<term>Antineoplastic Combined Chemotherapy Protocols (therapeutic use)</term>
<term>Arm</term>
<term>Axilla</term>
<term>Breast Neoplasms (pathology)</term>
<term>Breast Neoplasms (therapy)</term>
<term>Disease Progression</term>
<term>Early Detection of Cancer</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymphatic Irradiation (methods)</term>
<term>Lymphatic Metastasis (pathology)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (pathology)</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
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<term>Retrospective Studies</term>
<term>Sentinel Lymph Node Biopsy (utilization)</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Aisselle</term>
<term>Biopsie de noeud lymphatique sentinelle (utilisation)</term>
<term>Bras</term>
<term>Dosimétrie en radiothérapie</term>
<term>Détection précoce de cancer</term>
<term>Femelle</term>
<term>Humains</term>
<term>Irradiation ganglionnaire ()</term>
<term>Lymphadénectomie (effets indésirables)</term>
<term>Lymphoedème (anatomopathologie)</term>
<term>Lymphoedème (étiologie)</term>
<term>Modèles de hasards proportionnels</term>
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<term>Protocoles de polychimiothérapie antinéoplasique (usage thérapeutique)</term>
<term>Stade de la tumeur</term>
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<term>Évolution de la maladie</term>
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<term>Lymph Node Excision</term>
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<term>Lymphoedème</term>
<term>Métastase lymphatique</term>
<term>Tumeurs du sein</term>
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<term>Lymphadénectomie</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Lymphatic Irradiation</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Breast Neoplasms</term>
<term>Lymphatic Metastasis</term>
<term>Lymphedema</term>
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<term>Antineoplastic Combined Chemotherapy Protocols</term>
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<term>Breast Neoplasms</term>
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<term>Protocoles de polychimiothérapie antinéoplasique</term>
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<keywords scheme="MESH" qualifier="utilisation" xml:lang="fr">
<term>Biopsie de noeud lymphatique sentinelle</term>
</keywords>
<keywords scheme="MESH" qualifier="utilization" xml:lang="en">
<term>Sentinel Lymph Node Biopsy</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Lymphoedème</term>
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<term>Adult</term>
<term>Aged</term>
<term>Arm</term>
<term>Axilla</term>
<term>Disease Progression</term>
<term>Early Detection of Cancer</term>
<term>Female</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
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<term>Radiotherapy Dosage</term>
<term>Retrospective Studies</term>
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<term>Adulte d'âge moyen</term>
<term>Aisselle</term>
<term>Bras</term>
<term>Dosimétrie en radiothérapie</term>
<term>Détection précoce de cancer</term>
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<term>Humains</term>
<term>Irradiation ganglionnaire</term>
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<term>Sujet âgé</term>
<term>Tumeurs du sein</term>
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<front>
<div type="abstract" xml:lang="en">Arm lymphedema is a potential consequence of the treatment for breast carcinoma. The objective of this retrospective study was to characterize the progression of mild arm lymphedema after breast conservation treatment for breast cancer.</div>
</front>
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<DateCreated>
<Year>2009</Year>
<Month>12</Month>
<Day>16</Day>
</DateCreated>
<DateCompleted>
<Year>2010</Year>
<Month>01</Month>
<Day>08</Day>
</DateCompleted>
<DateRevised>
<Year>2009</Year>
<Month>12</Month>
<Day>16</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1879-355X</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>76</Volume>
<Issue>1</Issue>
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<Year>2010</Year>
<Month>Jan</Month>
<Day>01</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>Time course of mild arm lymphedema after breast conservation treatment for early-stage breast cancer.</ArticleTitle>
<Pagination>
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<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Arm lymphedema is a potential consequence of the treatment for breast carcinoma. The objective of this retrospective study was to characterize the progression of mild arm lymphedema after breast conservation treatment for breast cancer.</AbstractText>
<AbstractText Label="METHODS AND MATERIALS" NlmCategory="METHODS">The study cohort was drawn from 1,713 consecutive Stage I or II breast cancer patients who underwent breast conservation therapy, including axillary staging followed by radiation. Arm lymphedema was documented in 266 (16%) of 1,713 patients. One hundred nine patients, 6% of the overall group and 40% of the patients with arm lymphedema, presented with mild arm lymphedema, defined as a difference of 2 cm or less between the measured circumferences of the affected and unaffected arms.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Among the 109 patients with mild arm lymphedema at the time of arm lymphedema diagnosis, the rate of freedom from progression to more severe lymphedema was 79% at 1 year, 66% at 3 years, and 52% at 5 years. The patients who were morbidly obese, had positive axillary lymph nodes, or received supraclavicular irradiation at the time of breast cancer treatment were at higher risk of progression from mild arm lymphedema to more severe edema.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Mild arm lymphedema, generally considered to be a minor complication after breast conservation treatment for breast cancer, was associated with a risk of progression to a more severe grade of arm lymphedema in a substantial fraction of patients.</AbstractText>
</Abstract>
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<Affiliation>Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA 19104, USA. barad@xrt.upenn.edu</Affiliation>
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<Country>United States</Country>
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<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
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<DescriptorName UI="D008207" MajorTopicYN="N">Lymphatic Metastasis</DescriptorName>
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<DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
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<QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName>
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<name sortKey="Both, Stefan" sort="Both, Stefan" uniqKey="Both S" first="Stefan" last="Both">Stefan Both</name>
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<name sortKey="Dutta, Pinaki" sort="Dutta, Pinaki" uniqKey="Dutta P" first="Pinaki" last="Dutta">Pinaki Dutta</name>
<name sortKey="Harris, Eleanor E R" sort="Harris, Eleanor E R" uniqKey="Harris E" first="Eleanor E R" last="Harris">Eleanor E R. Harris</name>
<name sortKey="Solin, Lawrence J" sort="Solin, Lawrence J" uniqKey="Solin L" first="Lawrence J" last="Solin">Lawrence J. Solin</name>
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