Lower extremity edema in patients with early ovarian cancer
Identifieur interne : 001A45 ( Pmc/Checkpoint ); précédent : 001A44; suivant : 001A46Lower extremity edema in patients with early ovarian cancer
Auteurs : Myong Cheol Lim [Corée du Sud] ; Jeong Seon Lee [Corée du Sud] ; Byung Ho Nam [Corée du Sud] ; Sang-Soo Seo [Corée du Sud] ; Sokbom Kang [Corée du Sud] ; Sang-Yoon Park [Corée du Sud]Source :
- Journal of Ovarian Research [ 1757-2215 ] ; 2014.
Abstract
The objective of this study was to investigate clinical manifestations of lower extremity edema (LEE) in early ovarian cancer.
Patients with early ovarian cancer who underwent staging surgery between January 2001 and December 2010. Medical records for LEE and/or responses to the Gynecologic Cancer Lymphedema Questionnaire (GCLQ) were evaluated.
Patients had a median age of 46 years. Twenty-nine patients (40.8%) had past (13 patients, 44.8%) and/or current patient-reported LEE (16 patients, 55.2%). Symptoms reported on the GCLQ in over 20% of respondents were numbness, firmness/tightness, swelling, heaviness, limited movement of knee, and aching. GCLQ total symptoms score was significantly higher in patients with current LEE. Most of the LEE (25/29, 86.2%) developed within 12 months after surgery and LEE lasted more than 6 months in approximately two-thirds of the patients (18/29, 62.1%). Only half of the patients (52.1%) indicated knowledge of lymphedema: 86.2% of LEE patients and 28.6% of patients with no LEE.
Although a significant proportion of patients with ovarian cancer have LEE after surgery, most are not aware of lymphedema until they develop. Education and analyses for LEE and lymphedema are needed in patients with ovarian cancer.
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DOI: 10.1186/1757-2215-7-28
PubMed: 24602386
PubMed Central: 3975336
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Gyeonggi-do</wicri:regionArea><wicri:noRegion>Gyeonggi-do</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Gynecologic Cancer Branch, Research Institute and Hospital, National Cancer Center, 323, Ilsan-ro, Ilsandong-gu, Goyang-si 410-769, Gyeonggi-do, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Gynecologic Cancer Branch, Research Institute and Hospital, National Cancer Center, 323, Ilsan-ro, Ilsandong-gu, Goyang-si 410-769, Gyeonggi-do</wicri:regionArea><wicri:noRegion>Gyeonggi-do</wicri:noRegion></affiliation></author><author><name sortKey="Lee, Jeong Seon" sort="Lee, Jeong Seon" uniqKey="Lee J" first="Jeong Seon" last="Lee">Jeong Seon Lee</name><affiliation wicri:level="1"><nlm:aff id="I1">Center for Uterine Cancer, Research Institute and Hospital, National Cancer Center, 323, Ilsan-ro, Ilsandong-gu, Goyang-si 410-769, Gyeonggi-do, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Center for Uterine Cancer, Research Institute and Hospital, National Cancer Center, 323, Ilsan-ro, Ilsandong-gu, Goyang-si 410-769, Gyeonggi-do</wicri:regionArea><wicri:noRegion>Gyeonggi-do</wicri:noRegion></affiliation></author><author><name sortKey="Nam, Byung Ho" sort="Nam, Byung Ho" uniqKey="Nam B" first="Byung Ho" last="Nam">Byung Ho Nam</name><affiliation wicri:level="1"><nlm:aff id="I3">Biostatistics Biometric Research Branch, Research Institute and Hospital, National Cancer Center, 323, Ilsan-ro, Ilsandong-gu, Goyang-si 410-769, Gyeonggi-do, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Biostatistics Biometric Research Branch, Research Institute and Hospital, National Cancer Center, 323, Ilsan-ro, Ilsandong-gu, Goyang-si 410-769, Gyeonggi-do</wicri:regionArea><wicri:noRegion>Gyeonggi-do</wicri:noRegion></affiliation></author><author><name sortKey="Seo, Sang Soo" sort="Seo, Sang Soo" uniqKey="Seo S" first="Sang-Soo" last="Seo">Sang-Soo Seo</name><affiliation wicri:level="1"><nlm:aff id="I1">Center for Uterine Cancer, Research Institute and Hospital, National Cancer Center, 323, Ilsan-ro, Ilsandong-gu, Goyang-si 410-769, Gyeonggi-do, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Center for Uterine Cancer, Research Institute and Hospital, National Cancer Center, 323, Ilsan-ro, Ilsandong-gu, Goyang-si 410-769, Gyeonggi-do</wicri:regionArea><wicri:noRegion>Gyeonggi-do</wicri:noRegion></affiliation></author><author><name sortKey="Kang, Sokbom" sort="Kang, Sokbom" uniqKey="Kang S" first="Sokbom" last="Kang">Sokbom Kang</name><affiliation wicri:level="1"><nlm:aff id="I1">Center for Uterine Cancer, Research Institute and Hospital, National Cancer Center, 323, Ilsan-ro, Ilsandong-gu, Goyang-si 410-769, Gyeonggi-do, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Center for Uterine Cancer, Research Institute and Hospital, National Cancer Center, 323, Ilsan-ro, Ilsandong-gu, Goyang-si 410-769, Gyeonggi-do</wicri:regionArea><wicri:noRegion>Gyeonggi-do</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Gynecologic Cancer Branch, Research Institute and Hospital, National Cancer Center, 323, Ilsan-ro, Ilsandong-gu, Goyang-si 410-769, Gyeonggi-do, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Gynecologic Cancer Branch, Research Institute and Hospital, National Cancer Center, 323, Ilsan-ro, Ilsandong-gu, Goyang-si 410-769, Gyeonggi-do</wicri:regionArea><wicri:noRegion>Gyeonggi-do</wicri:noRegion></affiliation></author><author><name sortKey="Park, Sang Yoon" sort="Park, Sang Yoon" uniqKey="Park S" first="Sang-Yoon" last="Park">Sang-Yoon Park</name><affiliation wicri:level="1"><nlm:aff id="I1">Center for Uterine Cancer, Research Institute and Hospital, National Cancer Center, 323, Ilsan-ro, Ilsandong-gu, Goyang-si 410-769, Gyeonggi-do, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Center for Uterine Cancer, Research Institute and Hospital, National Cancer Center, 323, Ilsan-ro, Ilsandong-gu, Goyang-si 410-769, Gyeonggi-do</wicri:regionArea><wicri:noRegion>Gyeonggi-do</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Gynecologic Cancer Branch, Research Institute and Hospital, National Cancer Center, 323, Ilsan-ro, Ilsandong-gu, Goyang-si 410-769, Gyeonggi-do, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Gynecologic Cancer Branch, Research Institute and Hospital, National Cancer Center, 323, Ilsan-ro, Ilsandong-gu, Goyang-si 410-769, Gyeonggi-do</wicri:regionArea><wicri:noRegion>Gyeonggi-do</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Ovarian Research</title><idno type="eISSN">1757-2215</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The objective of this study was to investigate clinical manifestations of lower extremity edema (LEE) in early ovarian cancer.</p></sec><sec><title>Methods</title><p>Patients with early ovarian cancer who underwent staging surgery between January 2001 and December 2010. Medical records for LEE and/or responses to the Gynecologic Cancer Lymphedema Questionnaire (GCLQ) were evaluated.</p></sec><sec><title>Results</title><p>Patients had a median age of 46 years. Twenty-nine patients (40.8%) had past (13 patients, 44.8%) and/or current patient-reported LEE (16 patients, 55.2%). Symptoms reported on the GCLQ in over 20% of respondents were numbness, firmness/tightness, swelling, heaviness, limited movement of knee, and aching. GCLQ total symptoms score was significantly higher in patients with current LEE. Most of the LEE (25/29, 86.2%) developed within 12 months after surgery and LEE lasted more than 6 months in approximately two-thirds of the patients (18/29, 62.1%). Only half of the patients (52.1%) indicated knowledge of lymphedema: 86.2% of LEE patients and 28.6% of patients with no LEE.</p></sec><sec><title>Conclusions</title><p>Although a significant proportion of patients with ovarian cancer have LEE after surgery, most are not aware of lymphedema until they develop. Education and analyses for LEE and lymphedema are needed in patients with ovarian cancer.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Lim, Mc" uniqKey="Lim M">MC Lim</name></author><author><name sortKey="Moon, Ek" uniqKey="Moon E">EK Moon</name></author><author><name sortKey="Shin, A" uniqKey="Shin A">A Shin</name></author><author><name sortKey="Jung, Kw" uniqKey="Jung K">KW Jung</name></author><author><name sortKey="Won, Yj" uniqKey="Won Y">YJ Won</name></author><author><name sortKey="Seo, Ss" uniqKey="Seo S">SS Seo</name></author><author><name sortKey="Kang, S" uniqKey="Kang S">S Kang</name></author><author><name sortKey="Kim, Jw" uniqKey="Kim J">JW Kim</name></author><author><name sortKey="Kim, Jy" uniqKey="Kim J">JY Kim</name></author><author><name sortKey="Park, Sy" uniqKey="Park S">SY Park</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jung, Kw" uniqKey="Jung K">KW 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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Ovarian Res</journal-id><journal-id journal-id-type="iso-abbrev">J Ovarian Res</journal-id><journal-title-group><journal-title>Journal of Ovarian Research</journal-title></journal-title-group><issn pub-type="epub">1757-2215</issn><publisher><publisher-name>BioMed Central</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24602386</article-id><article-id pub-id-type="pmc">3975336</article-id><article-id pub-id-type="publisher-id">1757-2215-7-28</article-id><article-id pub-id-type="doi">10.1186/1757-2215-7-28</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research</subject></subj-group></article-categories><title-group><article-title>Lower extremity edema in patients with early ovarian cancer</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes" id="A1"><name><surname>Lim</surname><given-names>Myong Cheol</given-names></name><xref ref-type="aff" rid="I1">1</xref><xref ref-type="aff" rid="I2">2</xref><email>gynlim@gmail.com</email></contrib><contrib contrib-type="author" id="A2"><name><surname>Lee</surname><given-names>Jeong Seon</given-names></name><xref ref-type="aff" rid="I1">1</xref><email>jslee78@ncc.re.kr</email></contrib><contrib contrib-type="author" id="A3"><name><surname>Nam</surname><given-names>Byung Ho</given-names></name><xref ref-type="aff" rid="I3">3</xref><email>byunghonam@ncc.re.kr</email></contrib><contrib contrib-type="author" id="A4"><name><surname>Seo</surname><given-names>Sang-Soo</given-names></name><xref ref-type="aff" rid="I1">1</xref><email>ssseomd@ncc.re.kr</email></contrib><contrib contrib-type="author" id="A5"><name><surname>Kang</surname><given-names>Sokbom</given-names></name><xref ref-type="aff" rid="I1">1</xref><xref ref-type="aff" rid="I2">2</xref><email>sokbom@ncc.re.kr</email></contrib><contrib contrib-type="author" corresp="yes" id="A6"><name><surname>Park</surname><given-names>Sang-Yoon</given-names></name><xref ref-type="aff" rid="I1">1</xref><xref ref-type="aff" rid="I2">2</xref><email>sypark.ncc@hotmail.com</email></contrib></contrib-group><aff id="I1"><label>1</label>Center for Uterine Cancer, Research Institute and Hospital, National Cancer Center, 323, Ilsan-ro, Ilsandong-gu, Goyang-si 410-769, Gyeonggi-do, Republic of Korea</aff><aff id="I2"><label>2</label>Gynecologic Cancer Branch, Research Institute and Hospital, National Cancer Center, 323, Ilsan-ro, Ilsandong-gu, Goyang-si 410-769, Gyeonggi-do, Republic of Korea</aff><aff id="I3"><label>3</label>Biostatistics Biometric Research Branch, Research Institute and Hospital, National Cancer Center, 323, Ilsan-ro, Ilsandong-gu, Goyang-si 410-769, Gyeonggi-do, Republic of Korea</aff><pub-date pub-type="collection"><year>2014</year></pub-date><pub-date pub-type="epub"><day>7</day><month>3</month><year>2014</year></pub-date><volume>7</volume><fpage>28</fpage><lpage>28</lpage><history><date date-type="received"><day>21</day><month>1</month><year>2014</year></date><date date-type="accepted"><day>3</day><month>3</month><year>2014</year></date></history><permissions><copyright-statement>Copyright © 2014 Lim et al.; licensee BioMed Central Ltd.</copyright-statement><copyright-year>2014</copyright-year><copyright-holder>Lim et al.; licensee BioMed Central Ltd.</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0">http://creativecommons.org/licenses/by/2.0</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>) applies to the data made available in this article, unless otherwise stated.</license-p></license></permissions><self-uri xlink:href="http://www.ovarianresearch.com/content/7/1/28"></self-uri><abstract><sec><title>Background</title><p>The objective of this study was to investigate clinical manifestations of lower extremity edema (LEE) in early ovarian cancer.</p></sec><sec><title>Methods</title><p>Patients with early ovarian cancer who underwent staging surgery between January 2001 and December 2010. Medical records for LEE and/or responses to the Gynecologic Cancer Lymphedema Questionnaire (GCLQ) were evaluated.</p></sec><sec><title>Results</title><p>Patients had a median age of 46 years. Twenty-nine patients (40.8%) had past (13 patients, 44.8%) and/or current patient-reported LEE (16 patients, 55.2%). Symptoms reported on the GCLQ in over 20% of respondents were numbness, firmness/tightness, swelling, heaviness, limited movement of knee, and aching. GCLQ total symptoms score was significantly higher in patients with current LEE. Most of the LEE (25/29, 86.2%) developed within 12 months after surgery and LEE lasted more than 6 months in approximately two-thirds of the patients (18/29, 62.1%). Only half of the patients (52.1%) indicated knowledge of lymphedema: 86.2% of LEE patients and 28.6% of patients with no LEE.</p></sec><sec><title>Conclusions</title><p>Although a significant proportion of patients with ovarian cancer have LEE after surgery, most are not aware of lymphedema until they develop. Education and analyses for LEE and lymphedema are needed in patients with ovarian cancer.</p></sec></abstract><kwd-group><kwd>Ovarian cancer</kwd><kwd>Lymphedema</kwd><kwd>Lower extremity edema</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>Corée du Sud</li></country></list><tree><country name="Corée du Sud"><noRegion><name sortKey="Lim, Myong Cheol" sort="Lim, Myong Cheol" uniqKey="Lim M" first="Myong Cheol" last="Lim">Myong Cheol Lim</name></noRegion><name sortKey="Kang, Sokbom" sort="Kang, Sokbom" uniqKey="Kang S" first="Sokbom" last="Kang">Sokbom Kang</name><name sortKey="Kang, Sokbom" sort="Kang, Sokbom" uniqKey="Kang S" first="Sokbom" last="Kang">Sokbom Kang</name><name sortKey="Lee, Jeong Seon" sort="Lee, Jeong Seon" uniqKey="Lee J" first="Jeong Seon" last="Lee">Jeong Seon Lee</name><name sortKey="Lim, Myong Cheol" sort="Lim, Myong Cheol" uniqKey="Lim M" first="Myong Cheol" last="Lim">Myong Cheol Lim</name><name sortKey="Nam, Byung Ho" sort="Nam, Byung Ho" uniqKey="Nam B" first="Byung Ho" last="Nam">Byung Ho Nam</name><name sortKey="Park, Sang Yoon" sort="Park, Sang Yoon" uniqKey="Park S" first="Sang-Yoon" last="Park">Sang-Yoon Park</name><name sortKey="Park, Sang Yoon" sort="Park, Sang Yoon" uniqKey="Park S" first="Sang-Yoon" last="Park">Sang-Yoon Park</name><name sortKey="Seo, Sang Soo" sort="Seo, Sang Soo" uniqKey="Seo S" first="Sang-Soo" last="Seo">Sang-Soo Seo</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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