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Axillary lymphadenectomy prepared by fat and lymph node suction in breast cancer.

Identifieur interne : 00BB58 ( Ncbi/Merge ); précédent : 00BB57; suivant : 00BB59

Axillary lymphadenectomy prepared by fat and lymph node suction in breast cancer.

Auteurs : J L Brun [France] ; E. Rousseau ; G. Belleannée ; A. De Mascarel ; G. Brun

Source :

RBID : pubmed:9542509

Descripteurs français

English descriptors

Abstract

To describe a new technique of axillary dissection and evaluate the results.

PubMed: 9542509

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pubmed:9542509

Le document en format XML

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<title xml:lang="en">Axillary lymphadenectomy prepared by fat and lymph node suction in breast cancer.</title>
<author>
<name sortKey="Brun, J L" sort="Brun, J L" uniqKey="Brun J" first="J L" last="Brun">J L Brun</name>
<affiliation wicri:level="3">
<nlm:affiliation>Department of Gynecology, University Hospital Saint-André, Bordeaux, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Gynecology, University Hospital Saint-André, Bordeaux</wicri:regionArea>
<placeName>
<region type="region">Nouvelle-Aquitaine</region>
<region type="old region">Aquitaine</region>
<settlement type="city">Bordeaux</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Rousseau, E" sort="Rousseau, E" uniqKey="Rousseau E" first="E" last="Rousseau">E. Rousseau</name>
</author>
<author>
<name sortKey="Belleannee, G" sort="Belleannee, G" uniqKey="Belleannee G" first="G" last="Belleannée">G. Belleannée</name>
</author>
<author>
<name sortKey="De Mascarel, A" sort="De Mascarel, A" uniqKey="De Mascarel A" first="A" last="De Mascarel">A. De Mascarel</name>
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<author>
<name sortKey="Brun, G" sort="Brun, G" uniqKey="Brun G" first="G" last="Brun">G. Brun</name>
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<title xml:lang="en">Axillary lymphadenectomy prepared by fat and lymph node suction in breast cancer.</title>
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<name sortKey="Brun, J L" sort="Brun, J L" uniqKey="Brun J" first="J L" last="Brun">J L Brun</name>
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<nlm:affiliation>Department of Gynecology, University Hospital Saint-André, Bordeaux, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Gynecology, University Hospital Saint-André, Bordeaux</wicri:regionArea>
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<name sortKey="Rousseau, E" sort="Rousseau, E" uniqKey="Rousseau E" first="E" last="Rousseau">E. Rousseau</name>
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<name sortKey="Belleannee, G" sort="Belleannee, G" uniqKey="Belleannee G" first="G" last="Belleannée">G. Belleannée</name>
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<name sortKey="De Mascarel, A" sort="De Mascarel, A" uniqKey="De Mascarel A" first="A" last="De Mascarel">A. De Mascarel</name>
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<series>
<title level="j">European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology</title>
<idno type="ISSN">0748-7983</idno>
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<date when="1998" type="published">1998</date>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Arm</term>
<term>Axilla</term>
<term>Breast Neoplasms (surgery)</term>
<term>Female</term>
<term>Humans</term>
<term>Lipectomy</term>
<term>Lymph Node Excision (methods)</term>
<term>Lymph Nodes (surgery)</term>
<term>Lymphedema (prevention & control)</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Suction</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Aisselle</term>
<term>Aspiration (technique)</term>
<term>Bras</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lipectomie</term>
<term>Lymphadénectomie ()</term>
<term>Lymphoedème ()</term>
<term>Noeuds lymphatiques ()</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs du sein ()</term>
<term>Études prospectives</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Lymph Node Excision</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en">
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Breast Neoplasms</term>
<term>Lymph Nodes</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Arm</term>
<term>Axilla</term>
<term>Female</term>
<term>Humans</term>
<term>Lipectomy</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Suction</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Aisselle</term>
<term>Aspiration (technique)</term>
<term>Bras</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lipectomie</term>
<term>Lymphadénectomie</term>
<term>Lymphoedème</term>
<term>Noeuds lymphatiques</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs du sein</term>
<term>Études prospectives</term>
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<front>
<div type="abstract" xml:lang="en">To describe a new technique of axillary dissection and evaluate the results.</div>
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<pubmed>
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<PMID Version="1">9542509</PMID>
<DateCreated>
<Year>1998</Year>
<Month>04</Month>
<Day>16</Day>
</DateCreated>
<DateCompleted>
<Year>1998</Year>
<Month>04</Month>
<Day>16</Day>
</DateCompleted>
<DateRevised>
<Year>2007</Year>
<Month>07</Month>
<Day>02</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0748-7983</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>24</Volume>
<Issue>1</Issue>
<PubDate>
<Year>1998</Year>
<Month>Feb</Month>
</PubDate>
</JournalIssue>
<Title>European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology</Title>
<ISOAbbreviation>Eur J Surg Oncol</ISOAbbreviation>
</Journal>
<ArticleTitle>Axillary lymphadenectomy prepared by fat and lymph node suction in breast cancer.</ArticleTitle>
<Pagination>
<MedlinePgn>17-20</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="AIMS" NlmCategory="OBJECTIVE">To describe a new technique of axillary dissection and evaluate the results.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Axillary lymphadenectomy prepared by fat and lymph node suction was performed on 43 patients with breast cancer and uninvolved axilla on physical examination. The mean follow-up was 18 months (range 12-27). After lipolysis and liposuction of the axilla, lymph node dissection was performed by axilloscopy in patients treated with conservative surgery. For patients undergoing modified radical mastectomy, a mastectomy with open axillary dissection was carried out. The axillary space was drained until less than 20 ml of lymphorrhea was being produced per day. Seventeen modified radical mastectomies (group M) and 26 lumpectomies (group L) were performed.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">No injury of muscles, vessels or nerves was observed. An average of 13.6 lymph nodes (8-31) were removed. In group L, the mean number of lymph nodes removed by liposuction, axilloscopy and control incision was 2.5, 5.4 and 4.2, respectively. In group M, the mean number of lymph nodes removed was 14. None of the 589 lymph nodes examined showed any pathological trauma. Fourteen patients (32%) had more than one histologically positive node. The mean quantity of lymphorrhea was 390 ml in group M and 275 ml in group L. The mean duration of drainage was 6 days in group M and 5 days in group L. Four patients had seromas which required punctures. Two patients had shoulder restriction (movements < 90 degrees) at 12 months. No arm oedema was seen.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Axillary lymphadenectomy prepared by fat and lymph node suction is a reliable and effective procedure. However, it does not appear to be better than standard dissection as regards post-operative complications, except for arm oedema, but this must be confirmed by further studies.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Brun</LastName>
<ForeName>J L</ForeName>
<Initials>JL</Initials>
<AffiliationInfo>
<Affiliation>Department of Gynecology, University Hospital Saint-André, Bordeaux, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Rousseau</LastName>
<ForeName>E</ForeName>
<Initials>E</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Belleannée</LastName>
<ForeName>G</ForeName>
<Initials>G</Initials>
</Author>
<Author ValidYN="Y">
<LastName>de Mascarel</LastName>
<ForeName>A</ForeName>
<Initials>A</Initials>
</Author>
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<LastName>Brun</LastName>
<ForeName>G</ForeName>
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<Language>eng</Language>
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<Country>England</Country>
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<DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
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<DescriptorName UI="D001132" MajorTopicYN="N">Arm</DescriptorName>
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<DescriptorName UI="D001365" MajorTopicYN="N">Axilla</DescriptorName>
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<DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
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<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<DescriptorName UI="D015187" MajorTopicYN="Y">Lipectomy</DescriptorName>
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<DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
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<DescriptorName UI="D008198" MajorTopicYN="N">Lymph Nodes</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
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<DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
<QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName>
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<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName>
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<DescriptorName UI="D013396" MajorTopicYN="Y">Suction</DescriptorName>
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<PubmedData>
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<Month>4</Month>
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<list>
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<li>France</li>
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<name sortKey="De Mascarel, A" sort="De Mascarel, A" uniqKey="De Mascarel A" first="A" last="De Mascarel">A. De Mascarel</name>
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