Lower limb lymphedema and neurological complications after lymphadenectomy for gynecological cancer.
Identifieur interne : 006F74 ( Ncbi/Merge ); précédent : 006F73; suivant : 006F75Lower limb lymphedema and neurological complications after lymphadenectomy for gynecological cancer.
Auteurs : Nicoletta Biglia [Suisse] ; Armando Librino ; Maria Chiara Ottino ; Enrico Panuccio ; Alberto Daniele ; Achtari ChahinSource :
- International journal of gynecological cancer : official journal of the International Gynecological Cancer Society [ 1525-1438 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Facteurs de risque, Facteurs temps, Femelle, Humains, Incidence, Lymphadénectomie (effets indésirables), Lymphoedème (épidémiologie), Lymphoedème (étiologie), Lésions des nerfs périphériques (), Membre inférieur, Neuropathies périphériques (épidémiologie), Neuropathies périphériques (étiologie), Plexus lombosacral (traumatismes), Radiothérapie adjuvante (effets indésirables), Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs de l'appareil génital féminin ().
- MESH :
- effets indésirables : Lymphadénectomie, Radiothérapie adjuvante.
- traumatismes : Plexus lombosacral.
- épidémiologie : Lymphoedème, Neuropathies périphériques.
- étiologie : Lymphoedème, Neuropathies périphériques.
- Adulte, Adulte d'âge moyen, Facteurs de risque, Facteurs temps, Femelle, Humains, Incidence, Lésions des nerfs périphériques, Membre inférieur, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs de l'appareil génital féminin.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Female, Genital Neoplasms, Female (therapy), Humans, Incidence, Lower Extremity, Lumbosacral Plexus (injuries), Lymph Node Excision (adverse effects), Lymphedema (epidemiology), Lymphedema (etiology), Middle Aged, Peripheral Nerve Injuries (complications), Peripheral Nervous System Diseases (epidemiology), Peripheral Nervous System Diseases (etiology), Radiotherapy, Adjuvant (adverse effects), Risk Factors, Time Factors.
- MESH :
- adverse effects : Lymph Node Excision, Radiotherapy, Adjuvant.
- complications : Peripheral Nerve Injuries.
- epidemiology : Lymphedema, Peripheral Nervous System Diseases.
- etiology : Lymphedema, Peripheral Nervous System Diseases.
- injuries : Lumbosacral Plexus.
- therapy : Genital Neoplasms, Female.
- Adult, Aged, Aged, 80 and over, Female, Humans, Incidence, Lower Extremity, Middle Aged, Risk Factors, Time Factors.
Abstract
Lymphadenectomy is a frequent procedure for surgical staging of gynecological malignancies. Nevertheless, minor complications, such as lower limb lymphedema (LLL) and neurological complications (NCs), after pelvic and aorto-caval lymphadenectomy still remain underinvestigated. The present study considers short-term and long-term incidence and risk factors for LLL and NC in patients with gynecological cancer who underwent lymphadenectomy.
DOI: 10.1097/IGC.0000000000000341
PubMed: 25621410
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pubmed:25621410Le document en format XML
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effects)</term><term>Lymphedema (epidemiology)</term><term>Lymphedema (etiology)</term><term>Middle Aged</term><term>Peripheral Nerve Injuries (complications)</term><term>Peripheral Nervous System Diseases (epidemiology)</term><term>Peripheral Nervous System Diseases (etiology)</term><term>Radiotherapy, Adjuvant (adverse effects)</term><term>Risk Factors</term><term>Time Factors</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Facteurs de risque</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Incidence</term><term>Lymphadénectomie (effets indésirables)</term><term>Lymphoedème (épidémiologie)</term><term>Lymphoedème (étiologie)</term><term>Lésions des nerfs périphériques ()</term><term>Membre inférieur</term><term>Neuropathies périphériques (épidémiologie)</term><term>Neuropathies périphériques (étiologie)</term><term>Plexus lombosacral (traumatismes)</term><term>Radiothérapie adjuvante (effets indésirables)</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs de l'appareil génital féminin ()</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term><term>Radiotherapy, Adjuvant</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Peripheral Nerve Injuries</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Lymphadénectomie</term><term>Radiothérapie adjuvante</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Lymphedema</term><term>Peripheral Nervous System Diseases</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term><term>Peripheral Nervous System Diseases</term></keywords><keywords scheme="MESH" qualifier="injuries" xml:lang="en"><term>Lumbosacral Plexus</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Genital Neoplasms, Female</term></keywords><keywords scheme="MESH" qualifier="traumatismes" xml:lang="fr"><term>Plexus lombosacral</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Lymphoedème</term><term>Neuropathies périphériques</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term><term>Neuropathies périphériques</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Incidence</term><term>Lower Extremity</term><term>Middle Aged</term><term>Risk Factors</term><term>Time Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Facteurs de risque</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Incidence</term><term>Lésions des nerfs périphériques</term><term>Membre inférieur</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs de l'appareil génital féminin</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Lymphadenectomy is a frequent procedure for surgical staging of gynecological malignancies. Nevertheless, minor complications, such as lower limb lymphedema (LLL) and neurological complications (NCs), after pelvic and aorto-caval lymphadenectomy still remain underinvestigated. The present study considers short-term and long-term incidence and risk factors for LLL and NC in patients with gynecological cancer who underwent lymphadenectomy.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25621410</PMID><DateCreated><Year>2015</Year><Month>02</Month><Day>20</Day></DateCreated><DateCompleted><Year>2015</Year><Month>12</Month><Day>03</Day></DateCompleted><DateRevised><Year>2015</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1525-1438</ISSN><JournalIssue CitedMedium="Internet"><Volume>25</Volume><Issue>3</Issue><PubDate><Year>2015</Year><Month>Mar</Month></PubDate></JournalIssue><Title>International journal of gynecological cancer : official journal of the International Gynecological Cancer Society</Title><ISOAbbreviation>Int. J. Gynecol. Cancer</ISOAbbreviation></Journal><ArticleTitle>Lower limb lymphedema and neurological complications after lymphadenectomy for gynecological cancer.</ArticleTitle><Pagination><MedlinePgn>521-5</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/IGC.0000000000000341</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Lymphadenectomy is a frequent procedure for surgical staging of gynecological malignancies. Nevertheless, minor complications, such as lower limb lymphedema (LLL) and neurological complications (NCs), after pelvic and aorto-caval lymphadenectomy still remain underinvestigated. The present study considers short-term and long-term incidence and risk factors for LLL and NC in patients with gynecological cancer who underwent lymphadenectomy.</AbstractText><AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">In 2 different institutions, University of Turin and University of Lausanne, a total of 152 patients who received lymphadenectomy for endometrial, cervical, or ovarian cancer were retrospectively identified. During the follow-up, data about LLL and NC were collected by means of a questionnaire. Short-term and long-term incidence of LLL and NC was evaluated, and risk factors, such as age, body mass index, type of cancer, surgical approach, number and extension of the removed lymph nodes, presence of lymph node metastasis, and adjuvant treatments, were analyzed.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Short-term incidence of LLL and NC after lymphadenectomy was high (36%) and predictive of long-term persistence. Between the analyzed risk factors, number of removed lymph nodes and adjuvant radiotherapy were significantly associated with an increased incidence of minor complications (P < 0.05).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Lower limb lymphedema and NC are more frequent than expected. They are related to the radicality of lymphadenectomy and adjuvant radiotherapy. They affect the quality of life of the patients treated for gynecological cancer and their perceptions of healing. Minor complications are commonly persistent and need a prompt diagnosis and a specialized management to improve their prognosis.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Biglia</LastName><ForeName>Nicoletta</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>*Department of Gynecological Oncology, Ospedale Mauriziano Umberto I, University of Turin, Turin, Italy; and †Département de Gynecologie-Obstétrique et Génétique Médical, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Librino</LastName><ForeName>Armando</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Ottino</LastName><ForeName>Maria Chiara</ForeName><Initials>MC</Initials></Author><Author ValidYN="Y"><LastName>Panuccio</LastName><ForeName>Enrico</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Daniele</LastName><ForeName>Alberto</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Chahin</LastName><ForeName>Achtari</ForeName><Initials>A</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Int J Gynecol Cancer</MedlineTA><NlmUniqueID>9111626</NlmUniqueID><ISSNLinking>1048-891X</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="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005833" MajorTopicYN="N">Genital Neoplasms, Female</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015994" MajorTopicYN="N">Incidence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D035002" MajorTopicYN="N">Lower Extremity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008160" MajorTopicYN="N">Lumbosacral Plexus</DescriptorName><QualifierName UI="Q000293" MajorTopicYN="Y">injuries</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D059348" MajorTopicYN="N">Peripheral Nerve Injuries</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010523" MajorTopicYN="N">Peripheral Nervous System Diseases</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018714" MajorTopicYN="N">Radiotherapy, Adjuvant</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>1</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>1</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>12</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25621410</ArticleId><ArticleId IdType="doi">10.1097/IGC.0000000000000341</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Suisse</li></country><region><li>Canton de Vaud</li></region><settlement><li>Lausanne</li></settlement></list><tree><noCountry><name sortKey="Chahin, Achtari" sort="Chahin, Achtari" uniqKey="Chahin A" first="Achtari" last="Chahin">Achtari Chahin</name><name sortKey="Daniele, Alberto" sort="Daniele, Alberto" uniqKey="Daniele A" first="Alberto" last="Daniele">Alberto Daniele</name><name sortKey="Librino, Armando" sort="Librino, Armando" uniqKey="Librino A" first="Armando" last="Librino">Armando Librino</name><name sortKey="Ottino, Maria Chiara" sort="Ottino, Maria Chiara" uniqKey="Ottino M" first="Maria Chiara" last="Ottino">Maria Chiara Ottino</name><name sortKey="Panuccio, Enrico" sort="Panuccio, Enrico" uniqKey="Panuccio E" first="Enrico" last="Panuccio">Enrico Panuccio</name></noCountry><country name="Suisse"><region name="Canton de Vaud"><name sortKey="Biglia, Nicoletta" sort="Biglia, Nicoletta" uniqKey="Biglia N" first="Nicoletta" last="Biglia">Nicoletta Biglia</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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