A constitutional predisposition to breast cancer-related lymphoedema and effect of axillary lymph node surgery on forearm muscle lymph flow.
Identifieur interne : 006E32 ( Ncbi/Merge ); précédent : 006E31; suivant : 006E33A constitutional predisposition to breast cancer-related lymphoedema and effect of axillary lymph node surgery on forearm muscle lymph flow.
Auteurs : S K Bains [Royaume-Uni] ; A W B. Stanton [Royaume-Uni] ; V. Cintolesi [Royaume-Uni] ; J. Ballinger [Royaume-Uni] ; S. Allen [Royaume-Uni] ; C. Zammit [Royaume-Uni] ; J R Levick [Royaume-Uni] ; Peter Mortimer (dermatologue) [Royaume-Uni] ; A M Peters [Royaume-Uni] ; A D Purushotham [Royaume-Uni]Source :
- Breast (Edinburgh, Scotland) [ 1532-3080 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Aisselle, Avant-bras, Constitution physique, Femelle, Humains, Lymphe (physiologie), Lymphoedème (épidémiologie), Lymphoedème (étiologie), Muscles squelettiques (physiologie), Noeuds lymphatiques (), Noeuds lymphatiques (anatomopathologie), Noeuds lymphatiques (physiopathologie), Sujet âgé, Susceptibilité à une maladie, Tumeurs du sein (), Études prospectives.
- MESH :
- anatomopathologie : Noeuds lymphatiques.
- physiologie : Lymphe, Muscles squelettiques.
- physiopathologie : Noeuds lymphatiques.
- épidémiologie : Lymphoedème.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Aisselle, Avant-bras, Constitution physique, Femelle, Humains, Noeuds lymphatiques, Sujet âgé, Susceptibilité à une maladie, Tumeurs du sein, Études prospectives.
English descriptors
- KwdEn :
- Adult, Aged, Axilla, Body Constitution, Breast Neoplasms (complications), Breast Neoplasms (surgery), Disease Susceptibility, Female, Forearm, Humans, Lymph (physiology), Lymph Nodes (pathology), Lymph Nodes (physiopathology), Lymph Nodes (surgery), Lymphedema (epidemiology), Lymphedema (etiology), Middle Aged, Muscle, Skeletal (physiology), Prospective Studies.
- MESH :
- complications : Breast Neoplasms.
- epidemiology : Lymphedema.
- etiology : Lymphedema.
- pathology : Lymph Nodes.
- physiology : Lymph, Muscle, Skeletal.
- physiopathology : Lymph Nodes.
- surgery : Breast Neoplasms, Lymph Nodes.
- Adult, Aged, Axilla, Body Constitution, Disease Susceptibility, Female, Forearm, Humans, Middle Aged, Prospective Studies.
Abstract
The aims of this prospective study were (a) to examine the relationship between pre-operative muscle lymph flow and the predisposition to BCRL in women treated by axillary nodal surgery for breast cancer; and (b) to test the 'stopcock' hypothesis that axillary lymph node surgery impairs forearm lymph flow in the short term.
DOI: 10.1016/j.breast.2014.11.010
PubMed: 25491189
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pubmed:25491189Le document en format XML
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Zammit</name><affiliation wicri:level="1"><nlm:affiliation>Department of Breast Surgery, Brighton and Sussex University Hospitals NHS Trust, United Kingdom.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Breast Surgery, Brighton and Sussex University Hospitals NHS Trust</wicri:regionArea><wicri:noRegion>Brighton and Sussex University Hospitals NHS Trust</wicri:noRegion></affiliation></author><author><name sortKey="Levick, J R" sort="Levick, J R" uniqKey="Levick J" first="J R" last="Levick">J R Levick</name><affiliation wicri:level="4"><nlm:affiliation>Clinical Sciences, St George's, University of London, United Kingdom.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Clinical Sciences, St George's, University of London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName><orgName type="university">Université de Londres</orgName></affiliation></author><author><name sortKey="Mortimer, P S" sort="Mortimer, P S" uniqKey="Mortimer P" first="P S" last="Mortimer">Peter Mortimer (dermatologue)</name><affiliation wicri:level="4"><nlm:affiliation>Clinical Sciences, St George's, University of London, United Kingdom.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Clinical Sciences, St George's, University of London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName><orgName type="university">Université de Londres</orgName><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName><orgName type="university">Université de Londres</orgName></affiliation></author><author><name sortKey="Peters, A M" sort="Peters, A M" uniqKey="Peters A" first="A M" last="Peters">A M Peters</name><affiliation wicri:level="1"><nlm:affiliation>Department of Nuclear Medicine, Brighton and Sussex University Hospitals NHS Trust, United Kingdom.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Nuclear Medicine, Brighton and Sussex University Hospitals NHS Trust</wicri:regionArea><wicri:noRegion>Brighton and Sussex University Hospitals NHS Trust</wicri:noRegion></affiliation></author><author><name sortKey="Purushotham, A D" sort="Purushotham, A D" uniqKey="Purushotham A" first="A D" last="Purushotham">A D Purushotham</name><affiliation wicri:level="1"><nlm:affiliation>Division of Cancer Studies, King's College London, United Kingdom; Guy's & St Thomas' NHS Foundation Trust, United Kingdom. Electronic address: claire.arnold@kcl.ac.uk.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Division of Cancer Studies, King's College London, United Kingdom; Guy's & St Thomas' NHS Foundation Trust</wicri:regionArea><wicri:noRegion>United Kingdom; Guy's & St Thomas' NHS Foundation Trust</wicri:noRegion></affiliation></author></analytic><series><title level="j">Breast (Edinburgh, Scotland)</title><idno type="eISSN">1532-3080</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Axilla</term><term>Body Constitution</term><term>Breast Neoplasms (complications)</term><term>Breast Neoplasms (surgery)</term><term>Disease Susceptibility</term><term>Female</term><term>Forearm</term><term>Humans</term><term>Lymph (physiology)</term><term>Lymph Nodes (pathology)</term><term>Lymph Nodes (physiopathology)</term><term>Lymph Nodes (surgery)</term><term>Lymphedema (epidemiology)</term><term>Lymphedema (etiology)</term><term>Middle Aged</term><term>Muscle, Skeletal (physiology)</term><term>Prospective Studies</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aisselle</term><term>Avant-bras</term><term>Constitution physique</term><term>Femelle</term><term>Humains</term><term>Lymphe (physiologie)</term><term>Lymphoedème (épidémiologie)</term><term>Lymphoedème (étiologie)</term><term>Muscles squelettiques (physiologie)</term><term>Noeuds lymphatiques ()</term><term>Noeuds lymphatiques (anatomopathologie)</term><term>Noeuds lymphatiques (physiopathologie)</term><term>Sujet âgé</term><term>Susceptibilité à une maladie</term><term>Tumeurs du sein ()</term><term>Études prospectives</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Noeuds lymphatiques</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Breast Neoplasms</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="pathology" xml:lang="en"><term>Lymph Nodes</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Lymphe</term><term>Muscles squelettiques</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Lymph</term><term>Muscle, Skeletal</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Noeuds lymphatiques</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Lymph Nodes</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term><term>Lymph Nodes</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></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Axilla</term><term>Body Constitution</term><term>Disease Susceptibility</term><term>Female</term><term>Forearm</term><term>Humans</term><term>Middle Aged</term><term>Prospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aisselle</term><term>Avant-bras</term><term>Constitution physique</term><term>Femelle</term><term>Humains</term><term>Noeuds lymphatiques</term><term>Sujet âgé</term><term>Susceptibilité à une maladie</term><term>Tumeurs du sein</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The aims of this prospective study were (a) to examine the relationship between pre-operative muscle lymph flow and the predisposition to BCRL in women treated by axillary nodal surgery for breast cancer; and (b) to test the 'stopcock' hypothesis that axillary lymph node surgery impairs forearm lymph flow in the short term.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25491189</PMID><DateCreated><Year>2015</Year><Month>01</Month><Day>12</Day></DateCreated><DateCompleted><Year>2015</Year><Month>09</Month><Day>14</Day></DateCompleted><DateRevised><Year>2015</Year><Month>01</Month><Day>12</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-3080</ISSN><JournalIssue CitedMedium="Internet"><Volume>24</Volume><Issue>1</Issue><PubDate><Year>2015</Year><Month>Feb</Month></PubDate></JournalIssue><Title>Breast (Edinburgh, Scotland)</Title><ISOAbbreviation>Breast</ISOAbbreviation></Journal><ArticleTitle>A constitutional predisposition to breast cancer-related lymphoedema and effect of axillary lymph node surgery on forearm muscle lymph flow.</ArticleTitle><Pagination><MedlinePgn>68-74</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.breast.2014.11.010</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0960-9776(14)00212-4</ELocationID><Abstract><AbstractText Label="AIM" NlmCategory="OBJECTIVE">The aims of this prospective study were (a) to examine the relationship between pre-operative muscle lymph flow and the predisposition to BCRL in women treated by axillary nodal surgery for breast cancer; and (b) to test the 'stopcock' hypothesis that axillary lymph node surgery impairs forearm lymph flow in the short term.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">(99m)Tc-nanocoll was injected intramuscularly into both forearms of women undergoing surgery for breast cancer. Lymphatic clearance rate constant, k, representing lymph flow per unit interstitial fluid volume, was measured as the fractional disappearance rate of radioactivity from the depot site by gamma camera imaging. Axillary lymph node activity was calculated as percentage injected activity. BCRL was assessed by clinical examination and upper limb perometry.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Of 38 pre-operative women, 33 attended at 8 ± 6 weeks post-operatively and 31 at 58 ± 9 weeks post-operatively. Seven patients (18%) developed BCRL. Prior to surgery the BCRL-destined patients had a higher mean k (0.0962 ± 0.034%/min) than non-BCRL patients (0.0830 ± 0.019%/min) (p = 0.10, unpaired t test). Post-operative k values were not significantly different from pre-operative, in either the ipsilateral (operated) or contralateral limb. Also, post-operative k values did not differ significantly between both upper limbs. Furthermore, there was no significant difference between pre- and post-operative axillary activity.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Patients who develop BCRL have high lymph flow pre-surgery, which may predispose them to lymphatic overload and failure. Axillary lymph node surgery has no early, measurable effect on forearm muscle lymph flow despite surgical disruption of routes of lymph drainage.</AbstractText><CopyrightInformation>Copyright © 2014 Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bains</LastName><ForeName>S K</ForeName><Initials>SK</Initials><AffiliationInfo><Affiliation>Division of Cancer Studies, King's College London, United Kingdom; Guy's & St Thomas' NHS Foundation Trust, United Kingdom.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stanton</LastName><ForeName>A W B</ForeName><Initials>AW</Initials><AffiliationInfo><Affiliation>Clinical Sciences, St George's, University of London, United Kingdom.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cintolesi</LastName><ForeName>V</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Clinical Sciences, St George's, University of London, United Kingdom.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ballinger</LastName><ForeName>J</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Guy's & St Thomas' NHS Foundation Trust, United Kingdom.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Allen</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Guy's & St Thomas' NHS Foundation Trust, United Kingdom.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zammit</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Breast Surgery, Brighton and Sussex University Hospitals NHS Trust, United Kingdom.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Levick</LastName><ForeName>J R</ForeName><Initials>JR</Initials><AffiliationInfo><Affiliation>Clinical Sciences, St George's, University of London, United Kingdom.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mortimer</LastName><ForeName>P S</ForeName><Initials>PS</Initials><AffiliationInfo><Affiliation>Clinical Sciences, St George's, University of London, United Kingdom.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Peters</LastName><ForeName>A M</ForeName><Initials>AM</Initials><AffiliationInfo><Affiliation>Department of Nuclear Medicine, Brighton and Sussex University Hospitals NHS Trust, United Kingdom.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Purushotham</LastName><ForeName>A D</ForeName><Initials>AD</Initials><AffiliationInfo><Affiliation>Division of Cancer Studies, King's College London, United Kingdom; Guy's & St Thomas' NHS Foundation Trust, United Kingdom. Electronic address: claire.arnold@kcl.ac.uk.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>C19621/A11009</GrantID><Agency>Cancer Research UK</Agency><Country>United Kingdom</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>12</Month><Day>06</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Breast</MedlineTA><NlmUniqueID>9213011</NlmUniqueID><ISSNLinking>0960-9776</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001365" MajorTopicYN="N">Axilla</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001824" MajorTopicYN="N">Body Constitution</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004198" MajorTopicYN="N">Disease Susceptibility</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005542" MajorTopicYN="N">Forearm</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008196" MajorTopicYN="N">Lymph</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008198" MajorTopicYN="N">Lymph Nodes</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018482" MajorTopicYN="N">Muscle, Skeletal</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Breast cancer</Keyword><Keyword MajorTopicYN="N">Lymph flow</Keyword><Keyword MajorTopicYN="N">Lymphoedema</Keyword><Keyword MajorTopicYN="N">Lymphoscintigraphy</Keyword><Keyword MajorTopicYN="N">Upper limb</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>07</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2014</Year><Month>08</Month><Day>13</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>11</Month><Day>19</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>12</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>12</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>9</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25491189</ArticleId><ArticleId IdType="pii">S0960-9776(14)00212-4</ArticleId><ArticleId IdType="doi">10.1016/j.breast.2014.11.010</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Londres</li></region><settlement><li>Londres</li></settlement><orgName><li>Université de Londres</li></orgName></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Bains, S K" sort="Bains, S K" uniqKey="Bains S" first="S K" last="Bains">S K Bains</name></noRegion><name sortKey="Allen, S" sort="Allen, S" uniqKey="Allen S" first="S" last="Allen">S. Allen</name><name sortKey="Ballinger, J" sort="Ballinger, J" uniqKey="Ballinger J" first="J" last="Ballinger">J. Ballinger</name><name sortKey="Cintolesi, V" sort="Cintolesi, V" uniqKey="Cintolesi V" first="V" last="Cintolesi">V. Cintolesi</name><name sortKey="Levick, J R" sort="Levick, J R" uniqKey="Levick J" first="J R" last="Levick">J R Levick</name><name sortKey="Mortimer, P S" sort="Mortimer, P S" uniqKey="Mortimer P" first="P S" last="Mortimer">Peter Mortimer (dermatologue)</name><name sortKey="Peters, A M" sort="Peters, A M" uniqKey="Peters A" first="A M" last="Peters">A M Peters</name><name sortKey="Purushotham, A D" sort="Purushotham, A D" uniqKey="Purushotham A" first="A D" last="Purushotham">A D Purushotham</name><name sortKey="Stanton, A W B" sort="Stanton, A W B" uniqKey="Stanton A" first="A W B" last="Stanton">A W B. Stanton</name><name sortKey="Zammit, C" sort="Zammit, C" uniqKey="Zammit C" first="C" last="Zammit">C. 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