LymphedemaV1, Ncbi, Merge, bibRecord, 006F76

An algorithmic approach to simultaneous vascularized lymph node transfer with microvascular breast reconstruction.

Identifieur interne : 006F76 ( Ncbi/Merge ); précédent : 006F75; suivant : 006F77

An algorithmic approach to simultaneous vascularized lymph node transfer with microvascular breast reconstruction.

Auteurs : Alexander T. Nguyen ; Edward I. Chang ; Hiroo Suami ; David W. Chang

Source :

Annals of surgical oncology [ 1534-4681 ] ; 2015.

RBID : pubmed:25623599

Descripteurs français

KwdFr :
- Adulte, Adulte d'âge moyen, Complications postopératoires, Femelle, Humains, Lambeaux chirurgicaux (), Lymphoedème (), Lymphoedème (étiologie), Mammoplastie, Mastectomie (effets indésirables), Noeuds lymphatiques (transplantation), Pronostic, Stade de la tumeur, Sujet âgé, Tumeurs du sein (), Vaisseaux lymphatiques (anatomopathologie), Études de suivi.
MESH :
- anatomopathologie : Vaisseaux lymphatiques.
- effets indésirables : Mastectomie.
- étiologie : Lymphoedème, Noeuds lymphatiques.
- Adulte, Adulte d'âge moyen, Complications postopératoires, Femelle, Humains, Lambeaux chirurgicaux, Lymphoedème, Mammoplastie, Pronostic, Stade de la tumeur, Sujet âgé, Tumeurs du sein, Études de suivi.

English descriptors

KwdEn :
- Adult, Aged, Breast Neoplasms (blood supply), Breast Neoplasms (complications), Breast Neoplasms (surgery), Female, Follow-Up Studies, Humans, Lymph Nodes (transplantation), Lymphatic Vessels (pathology), Lymphedema (etiology), Lymphedema (surgery), Mammaplasty, Mastectomy (adverse effects), Middle Aged, Neoplasm Staging, Postoperative Complications, Prognosis, Surgical Flaps (blood supply).
MESH :
- adverse effects : Mastectomy.
- blood supply : Breast Neoplasms, Surgical Flaps.
- complications : Breast Neoplasms.
- etiology : Lymphedema.
- pathology : Lymphatic Vessels.
- surgery : Breast Neoplasms, Lymphedema.
- transplantation : Lymph Nodes.
- Adult, Aged, Female, Follow-Up Studies, Humans, Mammaplasty, Middle Aged, Neoplasm Staging, Postoperative Complications, Prognosis.

Abstract

Lymphedema is a common, progressive, and often debilitating condition that can occur after breast cancer treatment. Preliminary reports on vascularized lymph node transfer (VLNT) have been promising. We propose an algorithmic approach to simultaneous VLNT with microvascular breast reconstruction (MBR) and provide early results.

DOI: 10.1245/s10434-015-4408-4
PubMed: 25623599

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pubmed:25623599

Le document en format XML

<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">An algorithmic approach to simultaneous vascularized lymph node transfer with microvascular breast reconstruction.</title>
<author><name sortKey="Nguyen, Alexander T" sort="Nguyen, Alexander T" uniqKey="Nguyen A" first="Alexander T" last="Nguyen">Alexander T. Nguyen</name>
<affiliation><nlm:affiliation>Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, USA, atnguyen3@mdanderson.org.</nlm:affiliation>
<wicri:noCountry code="subField">atnguyen3@mdanderson.org.</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Chang, Edward I" sort="Chang, Edward I" uniqKey="Chang E" first="Edward I" last="Chang">Edward I. Chang</name>
</author>
<author><name sortKey="Suami, Hiroo" sort="Suami, Hiroo" uniqKey="Suami H" first="Hiroo" last="Suami">Hiroo Suami</name>
</author>
<author><name sortKey="Chang, David W" sort="Chang, David W" uniqKey="Chang D" first="David W" last="Chang">David W. Chang</name>
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<author><name sortKey="Chang, Edward I" sort="Chang, Edward I" uniqKey="Chang E" first="Edward I" last="Chang">Edward I. Chang</name>
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<author><name sortKey="Suami, Hiroo" sort="Suami, Hiroo" uniqKey="Suami H" first="Hiroo" last="Suami">Hiroo Suami</name>
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<author><name sortKey="Chang, David W" sort="Chang, David W" uniqKey="Chang D" first="David W" last="Chang">David W. Chang</name>
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<series><title level="j">Annals of surgical oncology</title>
<idno type="eISSN">1534-4681</idno>
<imprint><date when="2015" type="published">2015</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Breast Neoplasms (blood supply)</term>
<term>Breast Neoplasms (complications)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Lymph Nodes (transplantation)</term>
<term>Lymphatic Vessels (pathology)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (surgery)</term>
<term>Mammaplasty</term>
<term>Mastectomy (adverse effects)</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
<term>Postoperative Complications</term>
<term>Prognosis</term>
<term>Surgical Flaps (blood supply)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Complications postopératoires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lambeaux chirurgicaux ()</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (étiologie)</term>
<term>Mammoplastie</term>
<term>Mastectomie (effets indésirables)</term>
<term>Noeuds lymphatiques (transplantation)</term>
<term>Pronostic</term>
<term>Stade de la tumeur</term>
<term>Sujet âgé</term>
<term>Tumeurs du sein ()</term>
<term>Vaisseaux lymphatiques (anatomopathologie)</term>
<term>Études de suivi</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Mastectomy</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Vaisseaux lymphatiques</term>
</keywords>
<keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Breast Neoplasms</term>
<term>Surgical Flaps</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Mastectomie</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Lymphatic Vessels</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term>
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Lymph Nodes</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term>
<term>Noeuds lymphatiques</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Mammaplasty</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
<term>Postoperative Complications</term>
<term>Prognosis</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Complications postopératoires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lambeaux chirurgicaux</term>
<term>Lymphoedème</term>
<term>Mammoplastie</term>
<term>Pronostic</term>
<term>Stade de la tumeur</term>
<term>Sujet âgé</term>
<term>Tumeurs du sein</term>
<term>Études de suivi</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Lymphedema is a common, progressive, and often debilitating condition that can occur after breast cancer treatment. Preliminary reports on vascularized lymph node transfer (VLNT) have been promising. We propose an algorithmic approach to simultaneous VLNT with microvascular breast reconstruction (MBR) and provide early results.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25623599</PMID>
<DateCreated><Year>2015</Year>
<Month>08</Month>
<Day>11</Day>
</DateCreated>
<DateCompleted><Year>2016</Year>
<Month>05</Month>
<Day>12</Day>
</DateCompleted>
<DateRevised><Year>2015</Year>
<Month>08</Month>
<Day>11</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1534-4681</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>22</Volume>
<Issue>9</Issue>
<PubDate><Year>2015</Year>
<Month>Sep</Month>
</PubDate>
</JournalIssue>
<Title>Annals of surgical oncology</Title>
<ISOAbbreviation>Ann. Surg. Oncol.</ISOAbbreviation>
</Journal>
<ArticleTitle>An algorithmic approach to simultaneous vascularized lymph node transfer with microvascular breast reconstruction.</ArticleTitle>
<Pagination><MedlinePgn>2919-24</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1245/s10434-015-4408-4</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Lymphedema is a common, progressive, and often debilitating condition that can occur after breast cancer treatment. Preliminary reports on vascularized lymph node transfer (VLNT) have been promising. We propose an algorithmic approach to simultaneous VLNT with microvascular breast reconstruction (MBR) and provide early results.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">All patients who underwent simultaneous VLNT with MBR were included. Postoperative evaluation was performed at standardized time points and included qualitative assessment and quantitative volumetric analysis.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Between 2011 and 2013, 29 consecutive patients with refractory lymphedema secondary to breast cancer treatment underwent simultaneous VLNT with MBR. Mean follow-up was 11 months. On average, patients had experienced 3.3 years of lymphedema symptoms with 21 % increased volume in the affected arm compared with the unaffected arm. Using our algorithmic approach, all patients underwent successful breast reconstruction. There were no flap losses, and no patients developed donor site lymphedema. Six patients (21 %) experienced donor site wound complications that resolved with conservative measures; 23 patients (79 %) reported sustained symptomatic improvement after reconstruction. The mean volume differential volumes improved to 20, 19, 14, and 10 % at 1, 3, 6, and 12 months after reconstruction, respectively.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Our algorithm provides a reliable approach to optimizing simultaneous abdominal free flap breast reconstruction and VLNT and demonstrates promising results. Long-term studies are warranted to further delineate and improve the safety and efficacy of lymph node transfers.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Nguyen</LastName>
<ForeName>Alexander T</ForeName>
<Initials>AT</Initials>
<AffiliationInfo><Affiliation>Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, USA, atnguyen3@mdanderson.org.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Chang</LastName>
<ForeName>Edward I</ForeName>
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</Author>
<Author ValidYN="Y"><LastName>Suami</LastName>
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</Author>
<Author ValidYN="Y"><LastName>Chang</LastName>
<ForeName>David W</ForeName>
<Initials>DW</Initials>
</Author>
</AuthorList>
<Language>eng</Language>
<GrantList CompleteYN="Y"><Grant><GrantID>P30CA016672</GrantID>
<Acronym>CA</Acronym>
<Agency>NCI NIH HHS</Agency>
<Country>United States</Country>
</Grant>
</GrantList>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
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</MeshHeading>
<MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName>
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<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
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<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading><DescriptorName UI="D008198" MajorTopicYN="N">Lymph Nodes</DescriptorName>
<QualifierName UI="Q000637" MajorTopicYN="Y">transplantation</QualifierName>
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<MeshHeading><DescriptorName UI="D042601" MajorTopicYN="N">Lymphatic Vessels</DescriptorName>
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<MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
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<QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName>
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<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<MeshHeading><DescriptorName UI="D009367" MajorTopicYN="N">Neoplasm Staging</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011183" MajorTopicYN="Y">Postoperative Complications</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011379" MajorTopicYN="N">Prognosis</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013524" MajorTopicYN="N">Surgical Flaps</DescriptorName>
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</MeshHeading>
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</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year>
<Month>06</Month>
<Day>17</Day>
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<tree><noCountry><name sortKey="Chang, David W" sort="Chang, David W" uniqKey="Chang D" first="David W" last="Chang">David W. Chang</name>
<name sortKey="Chang, Edward I" sort="Chang, Edward I" uniqKey="Chang E" first="Edward I" last="Chang">Edward I. Chang</name>
<name sortKey="Nguyen, Alexander T" sort="Nguyen, Alexander T" uniqKey="Nguyen A" first="Alexander T" last="Nguyen">Alexander T. Nguyen</name>
<name sortKey="Suami, Hiroo" sort="Suami, Hiroo" uniqKey="Suami H" first="Hiroo" last="Suami">Hiroo Suami</name>
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An algorithmic approach to simultaneous vascularized lymph node transfer with microvascular breast reconstruction.

An algorithmic approach to simultaneous vascularized lymph node transfer with microvascular breast reconstruction.

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

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Pour manipuler ce document sous Unix (Dilib)

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