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Effects of stellate ganglion block on breast cancer-related lymphedema: comparison of various injectates.

Identifieur interne : 007030 ( Ncbi/Merge ); précédent : 007029; suivant : 007031

Effects of stellate ganglion block on breast cancer-related lymphedema: comparison of various injectates.

Auteurs : Jae Hyeon Park ; Yu-Sun Min ; Seong Min Chun ; Kwan Sik Seo [Corée du Sud]

Source :

RBID : pubmed:25675063

Descripteurs français

English descriptors

Abstract

To determine the effects of SGB in BCRL patients and the efficacy of corticosteroids in SGB.

PubMed: 25675063

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Links to Exploration step

pubmed:25675063

Le document en format XML

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<title xml:lang="en">Effects of stellate ganglion block on breast cancer-related lymphedema: comparison of various injectates.</title>
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<name sortKey="Park, Jae Hyeon" sort="Park, Jae Hyeon" uniqKey="Park J" first="Jae Hyeon" last="Park">Jae Hyeon Park</name>
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<name sortKey="Min, Yu Sun" sort="Min, Yu Sun" uniqKey="Min Y" first="Yu-Sun" last="Min">Yu-Sun Min</name>
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<name sortKey="Chun, Seong Min" sort="Chun, Seong Min" uniqKey="Chun S" first="Seong Min" last="Chun">Seong Min Chun</name>
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<name sortKey="Seo, Kwan Sik" sort="Seo, Kwan Sik" uniqKey="Seo K" first="Kwan Sik" last="Seo">Kwan Sik Seo</name>
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<nlm:affiliation>Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul, Korea. Department of Rehabilitation Medicine, Kyungpook National University Hospital, Daegu, Korea.</nlm:affiliation>
<country xml:lang="fr">Corée du Sud</country>
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<name sortKey="Min, Yu Sun" sort="Min, Yu Sun" uniqKey="Min Y" first="Yu-Sun" last="Min">Yu-Sun Min</name>
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<name sortKey="Chun, Seong Min" sort="Chun, Seong Min" uniqKey="Chun S" first="Seong Min" last="Chun">Seong Min Chun</name>
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<title level="j">Pain physician</title>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Anesthetics, Local (therapeutic use)</term>
<term>Arm (pathology)</term>
<term>Autonomic Nerve Block (methods)</term>
<term>Axilla</term>
<term>Breast Neoplasms (complications)</term>
<term>Breast Neoplasms (therapy)</term>
<term>Bupivacaine (therapeutic use)</term>
<term>Double-Blind Method</term>
<term>Drug Therapy, Combination</term>
<term>Female</term>
<term>Glucocorticoids (administration & dosage)</term>
<term>Glucocorticoids (therapeutic use)</term>
<term>Humans</term>
<term>Injections</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymphedema (drug therapy)</term>
<term>Lymphedema (etiology)</term>
<term>Middle Aged</term>
<term>Organ Size</term>
<term>Radiotherapy, Adjuvant (adverse effects)</term>
<term>Stellate Ganglion</term>
<term>Treatment Outcome</term>
<term>Triamcinolone (administration & dosage)</term>
<term>Triamcinolone (therapeutic use)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Aisselle</term>
<term>Anesthésiques locaux (usage thérapeutique)</term>
<term>Association de médicaments</term>
<term>Bloc anesthésique du système nerveux autonome ()</term>
<term>Bras (anatomopathologie)</term>
<term>Bupivacaïne (usage thérapeutique)</term>
<term>Femelle</term>
<term>Ganglion cervicothoracique</term>
<term>Glucocorticoïdes (administration et posologie)</term>
<term>Glucocorticoïdes (usage thérapeutique)</term>
<term>Humains</term>
<term>Injections</term>
<term>Lymphadénectomie (effets indésirables)</term>
<term>Lymphoedème (traitement médicamenteux)</term>
<term>Lymphoedème (étiologie)</term>
<term>Méthode en double aveugle</term>
<term>Radiothérapie adjuvante (effets indésirables)</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Taille d'organe</term>
<term>Triamcinolone (administration et posologie)</term>
<term>Triamcinolone (usage thérapeutique)</term>
<term>Tumeurs du sein ()</term>
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<term>Glucocorticoids</term>
<term>Triamcinolone</term>
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<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en">
<term>Anesthetics, Local</term>
<term>Bupivacaine</term>
<term>Glucocorticoids</term>
<term>Triamcinolone</term>
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<keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr">
<term>Glucocorticoïdes</term>
<term>Triamcinolone</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="anatomopathologie" xml:lang="fr">
<term>Bras</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr">
<term>Lymphadénectomie</term>
<term>Radiothérapie adjuvante</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Autonomic Nerve Block</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Arm</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr">
<term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr">
<term>Anesthésiques locaux</term>
<term>Bupivacaïne</term>
<term>Glucocorticoïdes</term>
<term>Triamcinolone</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>Double-Blind Method</term>
<term>Drug Therapy, Combination</term>
<term>Female</term>
<term>Humans</term>
<term>Injections</term>
<term>Middle Aged</term>
<term>Organ Size</term>
<term>Stellate Ganglion</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Aisselle</term>
<term>Association de médicaments</term>
<term>Bloc anesthésique du système nerveux autonome</term>
<term>Femelle</term>
<term>Ganglion cervicothoracique</term>
<term>Humains</term>
<term>Injections</term>
<term>Méthode en double aveugle</term>
<term>Résultat thérapeutique</term>
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<term>Taille d'organe</term>
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<front>
<div type="abstract" xml:lang="en">To determine the effects of SGB in BCRL patients and the efficacy of corticosteroids in SGB.</div>
</front>
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<pubmed>
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<PMID Version="1">25675063</PMID>
<DateCreated>
<Year>2015</Year>
<Month>02</Month>
<Day>14</Day>
</DateCreated>
<DateCompleted>
<Year>2015</Year>
<Month>11</Month>
<Day>12</Day>
</DateCompleted>
<DateRevised>
<Year>2015</Year>
<Month>02</Month>
<Day>14</Day>
</DateRevised>
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<ISSN IssnType="Electronic">2150-1149</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>18</Volume>
<Issue>1</Issue>
<PubDate>
<MedlineDate>2015 Jan-Feb</MedlineDate>
</PubDate>
</JournalIssue>
<Title>Pain physician</Title>
<ISOAbbreviation>Pain Physician</ISOAbbreviation>
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<ArticleTitle>Effects of stellate ganglion block on breast cancer-related lymphedema: comparison of various injectates.</ArticleTitle>
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<MedlinePgn>93-9</MedlinePgn>
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<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To determine the effects of SGB in BCRL patients and the efficacy of corticosteroids in SGB.</AbstractText>
<AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">A double-blinded, randomized, controlled trial.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">A single academic hospital, outpatient setting.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">In total, 32 patients with BCRL were recruited. Patients were divided randomly into 3 groups (Group A: 0.5% bupivacaine 5 mL, n = 12; Group B: 0.5% bupivacaine 4.5 mL + 20 mg of triamcinolone 0.5 mL, n = 10; and Group C: 0.5% bupivacaine 4 mL + 40 mg of triamcinolone 1 mL, n = 10). All patients received 3 consecutive SGBs, every 2 weeks. The primary outcomes were changes in forearm and upper arm circumference. Circumference was measured at baseline, 2 weeks (before the second injection), 4 weeks (before the third injection), and 8 weeks (one month follow-up after 3 consecutive SGBs). Moreover, subjective data were collected using EORTC C-30 at baseline and 8 weeks.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">After 3 consecutive SGBs, forearm and upper arm circumferences were decreased significantly from baseline in all groups (P < 0.05/3). The upper arm circumference of group C was reduced significantly more than that of group A (P < 0.05/3). The subjective data by EORTC-C30 at baseline and one month after 3 consecutive SGBs revealed no statistically significant difference.</AbstractText>
<AbstractText Label="LIMITATIONS" NlmCategory="CONCLUSIONS">Relatively few patients were enrolled. We did not compare SGB with any other BCRL treatment, such as complex decongestive therapy.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This study suggests that SGB may be an effective treatment for BCRL. Furthermore, it appears that corticosteroids could have an additive effect in SGB.</AbstractText>
</Abstract>
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<ForeName>Yu-Sun</ForeName>
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<LastName>Chun</LastName>
<ForeName>Seong Min</ForeName>
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<ForeName>Kwan Sik</ForeName>
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<Affiliation>Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul, Korea. Department of Rehabilitation Medicine, Kyungpook National University Hospital, Daegu, Korea.</Affiliation>
</AffiliationInfo>
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<Language>eng</Language>
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<Country>United States</Country>
<MedlineTA>Pain Physician</MedlineTA>
<NlmUniqueID>100954394</NlmUniqueID>
<ISSNLinking>1533-3159</ISSNLinking>
</MedlineJournalInfo>
<ChemicalList>
<Chemical>
<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D000779">Anesthetics, Local</NameOfSubstance>
</Chemical>
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<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D005938">Glucocorticoids</NameOfSubstance>
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<RegistryNumber>1ZK20VI6TY</RegistryNumber>
<NameOfSubstance UI="D014221">Triamcinolone</NameOfSubstance>
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<Chemical>
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<NameOfSubstance UI="D002045">Bupivacaine</NameOfSubstance>
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<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D000779" MajorTopicYN="N">Anesthetics, Local</DescriptorName>
<QualifierName UI="Q000627" MajorTopicYN="Y">therapeutic use</QualifierName>
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<QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName>
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<DescriptorName UI="D001340" MajorTopicYN="N">Autonomic Nerve Block</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
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<QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName>
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<DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
<QualifierName UI="Q000188" MajorTopicYN="Y">drug therapy</QualifierName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
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<MeshHeading>
<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<DescriptorName UI="D009929" MajorTopicYN="N">Organ Size</DescriptorName>
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<DescriptorName UI="D018714" MajorTopicYN="N">Radiotherapy, Adjuvant</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D013233" MajorTopicYN="Y">Stellate Ganglion</DescriptorName>
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<DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D014221" MajorTopicYN="N">Triamcinolone</DescriptorName>
<QualifierName UI="Q000008" MajorTopicYN="Y">administration & dosage</QualifierName>
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<li>Corée du Sud</li>
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<name sortKey="Chun, Seong Min" sort="Chun, Seong Min" uniqKey="Chun S" first="Seong Min" last="Chun">Seong Min Chun</name>
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<name sortKey="Park, Jae Hyeon" sort="Park, Jae Hyeon" uniqKey="Park J" first="Jae Hyeon" last="Park">Jae Hyeon Park</name>
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