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Development of breast cancer-related lymphedema: is it dependent on the patient, the tumor or the treating physicians?

Identifieur interne : 005585 ( Ncbi/Merge ); précédent : 005584; suivant : 005586

Development of breast cancer-related lymphedema: is it dependent on the patient, the tumor or the treating physicians?

Auteurs : Basem Morcos [Oman] ; Firas Al Ahmad ; Iyad Anabtawi ; Abdel Munem Abu Sba' ; Hisham Shabani ; Rawya Yaseen

Source :

RBID : pubmed:23377553

Descripteurs français

English descriptors

Abstract

Breast cancer-related lymphedema (LE) is relatively common. The aim of this study was to identify the risk factors involved in the development of this complication.

DOI: 10.1007/s00595-013-0494-8
PubMed: 23377553

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pubmed:23377553

Le document en format XML

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<title xml:lang="en">Development of breast cancer-related lymphedema: is it dependent on the patient, the tumor or the treating physicians?</title>
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<name sortKey="Morcos, Basem" sort="Morcos, Basem" uniqKey="Morcos B" first="Basem" last="Morcos">Basem Morcos</name>
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<nlm:affiliation>King Hussein Cancer Center, Al-Jubeiha, P.O. Box 1269, Amman, 11941, Jordan, bmorcos@doctor.com.</nlm:affiliation>
<country wicri:rule="url">Oman</country>
<wicri:regionArea>King Hussein Cancer Center, Al-Jubeiha, P.O. Box 1269, Amman, 11941, Jordan</wicri:regionArea>
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<name sortKey="Ahmad, Firas Al" sort="Ahmad, Firas Al" uniqKey="Ahmad F" first="Firas Al" last="Ahmad">Firas Al Ahmad</name>
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<name sortKey="Anabtawi, Iyad" sort="Anabtawi, Iyad" uniqKey="Anabtawi I" first="Iyad" last="Anabtawi">Iyad Anabtawi</name>
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<name sortKey="Sba, Abdel Munem Abu" sort="Sba, Abdel Munem Abu" uniqKey="Sba A" first="Abdel Munem Abu" last="Sba'">Abdel Munem Abu Sba'</name>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Axilla</term>
<term>Breast Neoplasms (complications)</term>
<term>Breast Neoplasms (diagnosis)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Cross-Sectional Studies</term>
<term>Early Diagnosis</term>
<term>Female</term>
<term>Forearm</term>
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<term>Incidence</term>
<term>Lymph Node Excision</term>
<term>Lymphedema (epidemiology)</term>
<term>Lymphedema (etiology)</term>
<term>Mastectomy</term>
<term>Middle Aged</term>
<term>Radiotherapy, Adjuvant (adverse effects)</term>
<term>Risk Factors</term>
<term>Sentinel Lymph Node Biopsy</term>
<term>Young Adult</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
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<term>Avant-bras</term>
<term>Biopsie de noeud lymphatique sentinelle</term>
<term>Diagnostic précoce</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Incidence</term>
<term>Jeune adulte</term>
<term>Lymphadénectomie</term>
<term>Lymphoedème (épidémiologie)</term>
<term>Lymphoedème (étiologie)</term>
<term>Mastectomie</term>
<term>Radiothérapie adjuvante (effets indésirables)</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (diagnostic)</term>
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<term>Breast Neoplasms</term>
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<term>Breast Neoplasms</term>
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<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr">
<term>Tumeurs du sein</term>
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<term>Radiothérapie adjuvante</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr">
<term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Lymphoedème</term>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Axilla</term>
<term>Cross-Sectional Studies</term>
<term>Early Diagnosis</term>
<term>Female</term>
<term>Forearm</term>
<term>Humans</term>
<term>Incidence</term>
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<term>Mastectomy</term>
<term>Middle Aged</term>
<term>Risk Factors</term>
<term>Sentinel Lymph Node Biopsy</term>
<term>Young Adult</term>
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<term>Adulte d'âge moyen</term>
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<term>Biopsie de noeud lymphatique sentinelle</term>
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<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">Breast cancer-related lymphedema (LE) is relatively common. The aim of this study was to identify the risk factors involved in the development of this complication.</div>
</front>
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<DateCreated>
<Year>2013</Year>
<Month>12</Month>
<Day>26</Day>
</DateCreated>
<DateCompleted>
<Year>2014</Year>
<Month>09</Month>
<Day>10</Day>
</DateCompleted>
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<Year>2013</Year>
<Month>12</Month>
<Day>26</Day>
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<Volume>44</Volume>
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<Month>Jan</Month>
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<Title>Surgery today</Title>
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<ArticleTitle>Development of breast cancer-related lymphedema: is it dependent on the patient, the tumor or the treating physicians?</ArticleTitle>
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<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Breast cancer-related lymphedema (LE) is relatively common. The aim of this study was to identify the risk factors involved in the development of this complication.</AbstractText>
<AbstractText Label="METHODOLOGY" NlmCategory="METHODS">This was a cross-sectional study of breast cancer patients treated at our Center between 2004 and 2009. A total of 515 patients were included. Lymphedema was defined as a mid-arm or forearm circumference difference between both limbs of 2 cm or more.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The incidence of LE in this population was 21.4 %. Patients with a BMI of 25 or higher had a significantly higher risk of LE (p = 0.002). The presence of lymphovascular invasion (LVI) (p = 0.05) and the number of positive lymph nodes (LN) (p = 0.001) were both associated with LE. Patients who underwent axillary dissection (AD) had a significantly higher incidence of LE than patients who had a sentinel LN biopsy (25 vs. 4.5 %). Adjuvant radiotherapy was also a significant risk factor in patients who had a mastectomy (p = 0.003).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">There are multiple risk factors for LE. Most of those factors can be influenced by early tumor detection. Early tumors are smaller with no LVI or axillary LN metastasis. They do not usually require AD or axillary radiotherapy, which are the strongest factors associated with the development of LE.</AbstractText>
</Abstract>
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<ForeName>Basem</ForeName>
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<Affiliation>King Hussein Cancer Center, Al-Jubeiha, P.O. Box 1269, Amman, 11941, Jordan, bmorcos@doctor.com.</Affiliation>
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<DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
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<name sortKey="Sba, Abdel Munem Abu" sort="Sba, Abdel Munem Abu" uniqKey="Sba A" first="Abdel Munem Abu" last="Sba'">Abdel Munem Abu Sba'</name>
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