The incidence and risk factors for occurrence of arm lymphedema after treatment of breast cancer.
Identifieur interne : 007177 ( Ncbi/Merge ); précédent : 007176; suivant : 007178The incidence and risk factors for occurrence of arm lymphedema after treatment of breast cancer.
Auteurs : L. Rebegea ; D. Firescu ; M. Dumitru ; R. AnghelSource :
- Chirurgia (Bucharest, Romania : 1990) [ 1221-9118 ]
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Biopsie de noeud lymphatique sentinelle (effets indésirables), Bras (anatomopathologie), Facteurs de risque, Femelle, Humains, Incidence, Indice de masse corporelle, Lymphadénectomie (effets indésirables), Lymphoedème (épidémiologie), Lymphoedème (étiologie), Mastectomie (effets indésirables), Obésité (épidémiologie), Qualité de vie, Radiothérapie adjuvante (effets indésirables), Roumanie (épidémiologie), Résultat thérapeutique, Stade de la tumeur, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs du sein (), Tumeurs du sein (anatomopathologie), Tumeurs du sein (radiothérapie), Études de suivi, Études rétrospectives, Évaluation des risques.
- MESH :
- anatomopathologie : Bras, Tumeurs du sein.
- effets indésirables : Biopsie de noeud lymphatique sentinelle, Lymphadénectomie, Mastectomie, Radiothérapie adjuvante.
- radiothérapie : Tumeurs du sein.
- épidémiologie : Lymphoedème, Obésité, Roumanie.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Facteurs de risque, Femelle, Humains, Incidence, Indice de masse corporelle, Qualité de vie, Résultat thérapeutique, Stade de la tumeur, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs du sein, Études de suivi, Études rétrospectives, Évaluation des risques.
- Wicri :
- geographic : Roumanie.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Arm (pathology), Body Mass Index, Breast Neoplasms (pathology), Breast Neoplasms (radiotherapy), Breast Neoplasms (surgery), Breast Neoplasms (therapy), Female, Follow-Up Studies, Humans, Incidence, Lymph Node Excision (adverse effects), Lymphedema (epidemiology), Lymphedema (etiology), Mastectomy (adverse effects), Middle Aged, Neoplasm Staging, Obesity (epidemiology), Quality of Life, Radiotherapy, Adjuvant (adverse effects), Retrospective Studies, Risk Assessment, Risk Factors, Romania (epidemiology), Sentinel Lymph Node Biopsy (adverse effects), Treatment Outcome.
- MESH :
- geographic , epidemiology : Romania.
- adverse effects : Lymph Node Excision, Mastectomy, Radiotherapy, Adjuvant, Sentinel Lymph Node Biopsy.
- epidemiology : Lymphedema, Obesity.
- etiology : Lymphedema.
- pathology : Arm, Breast Neoplasms.
- radiotherapy : Breast Neoplasms.
- surgery : Breast Neoplasms.
- therapy : Breast Neoplasms.
- Adult, Aged, Aged, 80 and over, Body Mass Index, Female, Follow-Up Studies, Humans, Incidence, Middle Aged, Neoplasm Staging, Quality of Life, Retrospective Studies, Risk Assessment, Risk Factors, Treatment Outcome.
Abstract
The arm lymphedema is reported as being the most frequent late reaction and complication that influences breast cancer patients' quality of life after lymph node dissection and radiotherapy. The aim of the study is to identify the risk factors in arm lymphedema occurrence in breast cancer patients who performed radical conservatory surgery, chemotherapy and radiotherapy.
PubMed: 25800313
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: 000F68
- to stream PubMed, to step Curation: 000F68
- to stream PubMed, to step Checkpoint: 000F68
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pubmed:25800313Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Arm (pathology)</term>
<term>Body Mass Index</term>
<term>Breast Neoplasms (pathology)</term>
<term>Breast Neoplasms (radiotherapy)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Breast Neoplasms (therapy)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Incidence</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymphedema (epidemiology)</term>
<term>Lymphedema (etiology)</term>
<term>Mastectomy (adverse effects)</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
<term>Obesity (epidemiology)</term>
<term>Quality of Life</term>
<term>Radiotherapy, Adjuvant (adverse effects)</term>
<term>Retrospective Studies</term>
<term>Risk Assessment</term>
<term>Risk Factors</term>
<term>Romania (epidemiology)</term>
<term>Sentinel Lymph Node Biopsy (adverse effects)</term>
<term>Treatment Outcome</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Biopsie de noeud lymphatique sentinelle (effets indésirables)</term>
<term>Bras (anatomopathologie)</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Incidence</term>
<term>Indice de masse corporelle</term>
<term>Lymphadénectomie (effets indésirables)</term>
<term>Lymphoedème (épidémiologie)</term>
<term>Lymphoedème (étiologie)</term>
<term>Mastectomie (effets indésirables)</term>
<term>Obésité (épidémiologie)</term>
<term>Qualité de vie</term>
<term>Radiothérapie adjuvante (effets indésirables)</term>
<term>Roumanie (épidémiologie)</term>
<term>Résultat thérapeutique</term>
<term>Stade de la tumeur</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (anatomopathologie)</term>
<term>Tumeurs du sein (radiothérapie)</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
<term>Évaluation des risques</term>
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<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Romania</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term>
<term>Mastectomy</term>
<term>Radiotherapy, Adjuvant</term>
<term>Sentinel Lymph Node Biopsy</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Bras</term>
<term>Tumeurs du sein</term>
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<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Biopsie de noeud lymphatique sentinelle</term>
<term>Lymphadénectomie</term>
<term>Mastectomie</term>
<term>Radiothérapie adjuvante</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Lymphedema</term>
<term>Obesity</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Arm</term>
<term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="radiotherapy" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="radiothérapie" xml:lang="fr"><term>Tumeurs du sein</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Lymphoedème</term>
<term>Obésité</term>
<term>Roumanie</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>Aged, 80 and over</term>
<term>Body Mass Index</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Incidence</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
<term>Quality of Life</term>
<term>Retrospective Studies</term>
<term>Risk Assessment</term>
<term>Risk Factors</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Incidence</term>
<term>Indice de masse corporelle</term>
<term>Qualité de vie</term>
<term>Résultat thérapeutique</term>
<term>Stade de la tumeur</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs du sein</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
<term>Évaluation des risques</term>
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<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Roumanie</term>
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<front><div type="abstract" xml:lang="en">The arm lymphedema is reported as being the most frequent late reaction and complication that influences breast cancer patients' quality of life after lymph node dissection and radiotherapy. The aim of the study is to identify the risk factors in arm lymphedema occurrence in breast cancer patients who performed radical conservatory surgery, chemotherapy and radiotherapy.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25800313</PMID>
<DateCreated><Year>2015</Year>
<Month>03</Month>
<Day>24</Day>
</DateCreated>
<DateCompleted><Year>2015</Year>
<Month>05</Month>
<Day>27</Day>
</DateCompleted>
<DateRevised><Year>2015</Year>
<Month>03</Month>
<Day>24</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">1221-9118</ISSN>
<JournalIssue CitedMedium="Print"><Volume>110</Volume>
<Issue>1</Issue>
<PubDate><MedlineDate>2015 Jan-Feb</MedlineDate>
</PubDate>
</JournalIssue>
<Title>Chirurgia (Bucharest, Romania : 1990)</Title>
<ISOAbbreviation>Chirurgia (Bucur)</ISOAbbreviation>
</Journal>
<ArticleTitle>The incidence and risk factors for occurrence of arm lymphedema after treatment of breast cancer.</ArticleTitle>
<Pagination><MedlinePgn>33-7</MedlinePgn>
</Pagination>
<ELocationID EIdType="pii" ValidYN="Y">4</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The arm lymphedema is reported as being the most frequent late reaction and complication that influences breast cancer patients' quality of life after lymph node dissection and radiotherapy. The aim of the study is to identify the risk factors in arm lymphedema occurrence in breast cancer patients who performed radical conservatory surgery, chemotherapy and radiotherapy.</AbstractText>
<AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">We analysed 305 breast cancer patients who underwent treatment in the "Sf. Ap. Andrei" Emergency Clinical Hospital, Galati, Radiotherapy and Oncology Department, between the 1st of January 2010 and 31st of December 2012. We tried to find the risk factors for arm lymphedema development after treatment of breast cancer: the association of adjuvant radiotherapy with surgery, chemotherapy,hormonal therapy, number of removed lymph nodes,and number of lymph nodes with metastases, the co-morbid illnesses (obesity, diabetes mellitus and high blood pressure).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Our study evidences that the association of adjuvant radiotherapy, including the lymph node regions, with radical or conservatory surgery with lymph node dissection represents a statistically significant risk factor, with relative risk, RR =1.87, 95%C.I.=1.39-3.51, p<0.001. The number of removed lymph nodes was found to be a risk factor with statistical significance. For more than 25 removed lymph nodes, the relative risk for arm lymphedema development was RR=1.95(95%C.I. =1.79-4.51) and for 16-25 removed lymph nodes the relative risk, RR = 1.78, 95% C.I. = 1.46 - 3.23. Other analysed risk factors, which did not influence lymphedema development, were: associated chemotherapy or hormonal therapy,presence of co-morbid illnesses.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The development of arm lymphedema is an unpredictable occurrence that can happen years after axillary surgery.Breast and arm oedema continue to be late reactions that can be reduced by use of biopsy sentinel technique with avoiding of axillary lymph node dissection, when the sentinel lymph node is negative, knowing that lymphedema risk after sentinel lymph node is 5% comparative with lymphedema risk after axillary lymph node dissection which is 16%, by avoiding obesity, and performing modern therapy techniques.</AbstractText>
<CopyrightInformation>Celsius.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Rebegea</LastName>
<ForeName>L</ForeName>
<Initials>L</Initials>
</Author>
<Author ValidYN="Y"><LastName>Firescu</LastName>
<ForeName>D</ForeName>
<Initials>D</Initials>
</Author>
<Author ValidYN="Y"><LastName>Dumitru</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
</Author>
<Author ValidYN="Y"><LastName>Anghel</LastName>
<ForeName>R</ForeName>
<Initials>R</Initials>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
</Article>
<MedlineJournalInfo><Country>Romania</Country>
<MedlineTA>Chirurgia (Bucur)</MedlineTA>
<NlmUniqueID>9213031</NlmUniqueID>
<ISSNLinking>1221-9118</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="D001132" MajorTopicYN="N">Arm</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015992" MajorTopicYN="N">Body Mass Index</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
<QualifierName UI="Q000532" MajorTopicYN="N">radiotherapy</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015994" MajorTopicYN="N">Incidence</DescriptorName>
</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="N">epidemiology</QualifierName>
<QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008408" MajorTopicYN="N">Mastectomy</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009367" MajorTopicYN="N">Neoplasm Staging</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009765" MajorTopicYN="N">Obesity</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011788" MajorTopicYN="N">Quality of Life</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D018714" MajorTopicYN="N">Radiotherapy, Adjuvant</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D018570" MajorTopicYN="N">Risk Assessment</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012383" MajorTopicYN="N" Type="Geographic">Romania</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D021701" MajorTopicYN="N">Sentinel Lymph Node Biopsy</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
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<tree><noCountry><name sortKey="Anghel, R" sort="Anghel, R" uniqKey="Anghel R" first="R" last="Anghel">R. Anghel</name>
<name sortKey="Dumitru, M" sort="Dumitru, M" uniqKey="Dumitru M" first="M" last="Dumitru">M. Dumitru</name>
<name sortKey="Firescu, D" sort="Firescu, D" uniqKey="Firescu D" first="D" last="Firescu">D. Firescu</name>
<name sortKey="Rebegea, L" sort="Rebegea, L" uniqKey="Rebegea L" first="L" last="Rebegea">L. Rebegea</name>
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