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Lymph drainage studied by lymphoscintigraphy in the arms after sentinel node biopsy compared with axillary lymph node dissection following conservative breast cancer surgery

Identifieur interne : 000494 ( PascalFrancis/Curation ); précédent : 000493; suivant : 000495

Lymph drainage studied by lymphoscintigraphy in the arms after sentinel node biopsy compared with axillary lymph node dissection following conservative breast cancer surgery

Auteurs : F. Celebioglu [Suède] ; L. Perbeck ; J. Frisell ; E. Grondal ; L. Svensson ; R. Danielsson

Source :

RBID : Pascal:07-0311864

Descripteurs français

English descriptors

Abstract

Purpose: To investigate lymphatic drainage as measured by lymphoscintigraphy in the arms of patients undergoing either sentinel lymph node biopsy (SNB) or axillary lymph node dissection (ALND). Material and Methods: From January 2001 to December 2002, 30 patients with unilateral invasive breast carcinoma underwent breast-conserving surgery with SNB and 30 patients with ALND. All patients received radiotherapy to the breast. Lymphoscintigraphy was performed, and skin circulation, skin temperature, and arm volume were measured 2-3 years after radiotherapy. Results: None of the 30 patients who underwent SNB showed any clinical manifestation of lymphedema. Of the 30 patients undergoing ALND, six (20%) had clinical lymphedema, with an arm volume that was >10% larger on the operated than on the non-operated side (P<0.01). Scintigraphically, visual analysis revealed lymphatic dysfunction in three patients, manifested as forearm dermal back flow. Two of these patients also had an increased arm volume. Quantitative analysis showed no differences between the groups, apart from a smaller amount of isotope in the axilla in the ALND group. There was no difference in skin circulation or skin temperature. Conclusion: Our study shows that lymph drainage in the operated arm compared with the non-operated arm was less affected by SNB than by ALND, and that morbidity associated with SNB was lower than with ALND. However, the results do not confirm our hypothesis that lymphoscintigraphy can reveal differences in lymph circulation that are not evident clinically in the form of manifest lymphedema. The most sensitive clinical method of assessing lymph drainage seems to be measurement of arm volume.
pA  
A01 01  1    @0 0284-1851
A02 01      @0 ACRAE3
A03   1    @0 Acta radiol. : (1987)
A05       @2 48
A06       @2 5
A08 01  1  ENG  @1 Lymph drainage studied by lymphoscintigraphy in the arms after sentinel node biopsy compared with axillary lymph node dissection following conservative breast cancer surgery
A11 01  1    @1 CELEBIOGLU (F.)
A11 02  1    @1 PERBECK (L.)
A11 03  1    @1 FRISELL (J.)
A11 04  1    @1 GRONDAL (E.)
A11 05  1    @1 SVENSSON (L.)
A11 06  1    @1 DANIELSSON (R.)
A14 01      @1 Department of Molecular Medicine and Surgery, Karolinska Institute, Karolinska University Hospital Solna @2 Stockholm @3 SWE
A14 02      @1 Division of Radiology, Department of Clinical Science, Intervention, and Technology (CLINTEC), Karolinska Institute, Karolinska University Hospital @2 Huddinge @3 SWE
A14 03      @1 Medical Physics, Karolinska University Hospital @2 Huddinge @3 SWE
A20       @1 488-495
A21       @1 2007
A23 01      @0 ENG
A43 01      @1 INIST @2 6429A @5 354000162835590050
A44       @0 0000 @1 © 2007 INIST-CNRS. All rights reserved.
A45       @0 30 ref.
A47 01  1    @0 07-0311864
A60       @1 P
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A64 01  1    @0 Acta radiologica : (1987)
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C01 01    ENG  @0 Purpose: To investigate lymphatic drainage as measured by lymphoscintigraphy in the arms of patients undergoing either sentinel lymph node biopsy (SNB) or axillary lymph node dissection (ALND). Material and Methods: From January 2001 to December 2002, 30 patients with unilateral invasive breast carcinoma underwent breast-conserving surgery with SNB and 30 patients with ALND. All patients received radiotherapy to the breast. Lymphoscintigraphy was performed, and skin circulation, skin temperature, and arm volume were measured 2-3 years after radiotherapy. Results: None of the 30 patients who underwent SNB showed any clinical manifestation of lymphedema. Of the 30 patients undergoing ALND, six (20%) had clinical lymphedema, with an arm volume that was >10% larger on the operated than on the non-operated side (P<0.01). Scintigraphically, visual analysis revealed lymphatic dysfunction in three patients, manifested as forearm dermal back flow. Two of these patients also had an increased arm volume. Quantitative analysis showed no differences between the groups, apart from a smaller amount of isotope in the axilla in the ALND group. There was no difference in skin circulation or skin temperature. Conclusion: Our study shows that lymph drainage in the operated arm compared with the non-operated arm was less affected by SNB than by ALND, and that morbidity associated with SNB was lower than with ALND. However, the results do not confirm our hypothesis that lymphoscintigraphy can reveal differences in lymph circulation that are not evident clinically in the form of manifest lymphedema. The most sensitive clinical method of assessing lymph drainage seems to be measurement of arm volume.
C02 01  X    @0 002B20E02
C02 02  X    @0 002B12B04
C03 01  X  FRE  @0 Lymphoedème @5 01
C03 01  X  ENG  @0 Lymphedema @5 01
C03 01  X  SPA  @0 Linfedema @5 01
C03 02  X  FRE  @0 Carcinome sein @2 NM @5 02
C03 02  X  ENG  @0 Breast carcinoma @2 NM @5 02
C03 02  X  SPA  @0 Carcinoma pecho @2 NM @5 02
C03 03  X  FRE  @0 Biopsie @5 04
C03 03  X  ENG  @0 Biopsy @5 04
C03 03  X  SPA  @0 Biopsia @5 04
C03 04  X  FRE  @0 Radiothérapie @5 05
C03 04  X  ENG  @0 Radiotherapy @5 05
C03 04  X  SPA  @0 Radioterapia @5 05
C03 05  X  FRE  @0 Système lymphatique @5 07
C03 05  X  ENG  @0 Lymphatic system @5 07
C03 05  X  SPA  @0 Sistema linfático @5 07
C03 06  X  FRE  @0 Bras @5 08
C03 06  X  ENG  @0 Arm @5 08
C03 06  X  SPA  @0 Brazo @5 08
C03 07  X  FRE  @0 Ganglion sentinelle @5 09
C03 07  X  ENG  @0 Sentinel lymph node @5 09
C03 07  X  SPA  @0 Ganglio centinela @5 09
C03 08  X  FRE  @0 Etude comparative @5 13
C03 08  X  ENG  @0 Comparative study @5 13
C03 08  X  SPA  @0 Estudio comparativo @5 13
C03 09  X  FRE  @0 Ganglion lymphatique @5 14
C03 09  X  ENG  @0 Lymph node @5 14
C03 09  X  SPA  @0 Ganglio linfático @5 14
C03 10  X  FRE  @0 Chirurgie conservatrice @5 15
C03 10  X  ENG  @0 Conservative surgery @5 15
C03 10  X  SPA  @0 Cirugía conservatriz @5 15
C03 11  X  FRE  @0 Volume @5 16
C03 11  X  ENG  @0 Volume @5 16
C03 11  X  SPA  @0 Volumen @5 16
C03 12  X  FRE  @0 Glande mammaire @5 17
C03 12  X  ENG  @0 Mammary gland @5 17
C03 12  X  SPA  @0 Glándula mamaria @5 17
C03 13  X  FRE  @0 Sein @5 18
C03 13  X  ENG  @0 Breast @5 18
C03 13  X  SPA  @0 Seno @5 18
C03 14  X  FRE  @0 Peau @5 19
C03 14  X  ENG  @0 Skin @5 19
C03 14  X  SPA  @0 Piel @5 19
C03 15  X  FRE  @0 Avant bras @5 20
C03 15  X  ENG  @0 Forearm @5 20
C03 15  X  SPA  @0 Antebrazo @5 20
C03 16  X  FRE  @0 Derme @5 21
C03 16  X  ENG  @0 Derm @5 21
C03 16  X  SPA  @0 Dermis @5 21
C03 17  X  FRE  @0 Creux axillaire @5 22
C03 17  X  ENG  @0 Axilla @5 22
C03 17  X  SPA  @0 Axila @5 22
C03 18  X  FRE  @0 Traitement @5 30
C03 18  X  ENG  @0 Treatment @5 30
C03 18  X  SPA  @0 Tratamiento @5 30
C03 19  X  FRE  @0 Cancer du sein @4 CD @5 96
C03 19  X  ENG  @0 Breast cancer @4 CD @5 96
C03 19  X  SPA  @0 Cáncer de pecho @4 CD @5 96
C07 01  X  FRE  @0 Tumeur maligne @5 37
C07 01  X  ENG  @0 Malignant tumor @5 37
C07 01  X  SPA  @0 Tumor maligno @5 37
C07 02  X  FRE  @0 Glande mammaire pathologie @2 NM @5 38
C07 02  X  ENG  @0 Mammary gland diseases @2 NM @5 38
C07 02  X  SPA  @0 Glándula mamaria patología @2 NM @5 38
C07 03  X  FRE  @0 Appareil circulatoire pathologie @5 39
C07 03  X  ENG  @0 Cardiovascular disease @5 39
C07 03  X  SPA  @0 Aparato circulatorio patología @5 39
C07 04  X  FRE  @0 Lymphatique pathologie @5 40
C07 04  X  ENG  @0 Lymphatic vessel disease @5 40
C07 04  X  SPA  @0 Linfático patología @5 40
N21       @1 204
N44 01      @1 OTO
N82       @1 OTO

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Pascal:07-0311864

Le document en format XML

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<div type="abstract" xml:lang="en">Purpose: To investigate lymphatic drainage as measured by lymphoscintigraphy in the arms of patients undergoing either sentinel lymph node biopsy (SNB) or axillary lymph node dissection (ALND). Material and Methods: From January 2001 to December 2002, 30 patients with unilateral invasive breast carcinoma underwent breast-conserving surgery with SNB and 30 patients with ALND. All patients received radiotherapy to the breast. Lymphoscintigraphy was performed, and skin circulation, skin temperature, and arm volume were measured 2-3 years after radiotherapy. Results: None of the 30 patients who underwent SNB showed any clinical manifestation of lymphedema. Of the 30 patients undergoing ALND, six (20%) had clinical lymphedema, with an arm volume that was >10% larger on the operated than on the non-operated side (P<0.01). Scintigraphically, visual analysis revealed lymphatic dysfunction in three patients, manifested as forearm dermal back flow. Two of these patients also had an increased arm volume. Quantitative analysis showed no differences between the groups, apart from a smaller amount of isotope in the axilla in the ALND group. There was no difference in skin circulation or skin temperature. Conclusion: Our study shows that lymph drainage in the operated arm compared with the non-operated arm was less affected by SNB than by ALND, and that morbidity associated with SNB was lower than with ALND. However, the results do not confirm our hypothesis that lymphoscintigraphy can reveal differences in lymph circulation that are not evident clinically in the form of manifest lymphedema. The most sensitive clinical method of assessing lymph drainage seems to be measurement of arm volume.</div>
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<s5>07</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Lymphatic system</s0>
<s5>07</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Sistema linfático</s0>
<s5>07</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Bras</s0>
<s5>08</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Arm</s0>
<s5>08</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Brazo</s0>
<s5>08</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Ganglion sentinelle</s0>
<s5>09</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG">
<s0>Sentinel lymph node</s0>
<s5>09</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA">
<s0>Ganglio centinela</s0>
<s5>09</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE">
<s0>Etude comparative</s0>
<s5>13</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG">
<s0>Comparative study</s0>
<s5>13</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA">
<s0>Estudio comparativo</s0>
<s5>13</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE">
<s0>Ganglion lymphatique</s0>
<s5>14</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG">
<s0>Lymph node</s0>
<s5>14</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA">
<s0>Ganglio linfático</s0>
<s5>14</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE">
<s0>Chirurgie conservatrice</s0>
<s5>15</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG">
<s0>Conservative surgery</s0>
<s5>15</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA">
<s0>Cirugía conservatriz</s0>
<s5>15</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE">
<s0>Volume</s0>
<s5>16</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG">
<s0>Volume</s0>
<s5>16</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA">
<s0>Volumen</s0>
<s5>16</s5>
</fC03>
<fC03 i1="12" i2="X" l="FRE">
<s0>Glande mammaire</s0>
<s5>17</s5>
</fC03>
<fC03 i1="12" i2="X" l="ENG">
<s0>Mammary gland</s0>
<s5>17</s5>
</fC03>
<fC03 i1="12" i2="X" l="SPA">
<s0>Glándula mamaria</s0>
<s5>17</s5>
</fC03>
<fC03 i1="13" i2="X" l="FRE">
<s0>Sein</s0>
<s5>18</s5>
</fC03>
<fC03 i1="13" i2="X" l="ENG">
<s0>Breast</s0>
<s5>18</s5>
</fC03>
<fC03 i1="13" i2="X" l="SPA">
<s0>Seno</s0>
<s5>18</s5>
</fC03>
<fC03 i1="14" i2="X" l="FRE">
<s0>Peau</s0>
<s5>19</s5>
</fC03>
<fC03 i1="14" i2="X" l="ENG">
<s0>Skin</s0>
<s5>19</s5>
</fC03>
<fC03 i1="14" i2="X" l="SPA">
<s0>Piel</s0>
<s5>19</s5>
</fC03>
<fC03 i1="15" i2="X" l="FRE">
<s0>Avant bras</s0>
<s5>20</s5>
</fC03>
<fC03 i1="15" i2="X" l="ENG">
<s0>Forearm</s0>
<s5>20</s5>
</fC03>
<fC03 i1="15" i2="X" l="SPA">
<s0>Antebrazo</s0>
<s5>20</s5>
</fC03>
<fC03 i1="16" i2="X" l="FRE">
<s0>Derme</s0>
<s5>21</s5>
</fC03>
<fC03 i1="16" i2="X" l="ENG">
<s0>Derm</s0>
<s5>21</s5>
</fC03>
<fC03 i1="16" i2="X" l="SPA">
<s0>Dermis</s0>
<s5>21</s5>
</fC03>
<fC03 i1="17" i2="X" l="FRE">
<s0>Creux axillaire</s0>
<s5>22</s5>
</fC03>
<fC03 i1="17" i2="X" l="ENG">
<s0>Axilla</s0>
<s5>22</s5>
</fC03>
<fC03 i1="17" i2="X" l="SPA">
<s0>Axila</s0>
<s5>22</s5>
</fC03>
<fC03 i1="18" i2="X" l="FRE">
<s0>Traitement</s0>
<s5>30</s5>
</fC03>
<fC03 i1="18" i2="X" l="ENG">
<s0>Treatment</s0>
<s5>30</s5>
</fC03>
<fC03 i1="18" i2="X" l="SPA">
<s0>Tratamiento</s0>
<s5>30</s5>
</fC03>
<fC03 i1="19" i2="X" l="FRE">
<s0>Cancer du sein</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC03 i1="19" i2="X" l="ENG">
<s0>Breast cancer</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC03 i1="19" i2="X" l="SPA">
<s0>Cáncer de pecho</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Tumeur maligne</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Malignant tumor</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Tumor maligno</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Glande mammaire pathologie</s0>
<s2>NM</s2>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Mammary gland diseases</s0>
<s2>NM</s2>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Glándula mamaria patología</s0>
<s2>NM</s2>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Appareil circulatoire pathologie</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Cardiovascular disease</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Aparato circulatorio patología</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Lymphatique pathologie</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Lymphatic vessel disease</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Linfático patología</s0>
<s5>40</s5>
</fC07>
<fN21>
<s1>204</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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