Postmastectomy Lymphedema
Identifieur interne : 001228 ( Pmc/Curation ); précédent : 001227; suivant : 001229Postmastectomy Lymphedema
Auteurs : Corinne Becker ; Jalal Assouad ; Marc Riquet ; Geneviève HiddenSource :
- Annals of Surgery [ 0003-4932 ] ; 2006.
Abstract
Lymphedema complicating breast cancer treatment remains a challenging problem. The purpose of this study was to analyze the long-term results following microsurgical lymph node (LN) transplantation.
Twenty-four female patients with lymphedema for more than 5 years underwent LN transplantation. They were treated by physiotherapy and resistant to it. LNs were harvested in the femoral region, transferred to the axillary region, and transplanted by microsurgical procedures. Long-term results were evaluated according to skin elasticity, decrease, or disappearance of lymphedema assessed by measurements, isotopic lymphangiography, and ability to stop physiotherapy.
The postoperative period was uneventful; skin infectious diseases disappeared in all patients. Upper limb perimeter returned to normal in 10 cases, decreased in 12 cases, and remained unchanged in 2 cases. Five of 16 (31%) isotopic lymphoscintigraphies demonstrated activity of the transplanted nodes. Physiotherapy was discontinued in 15 patients (62.5%). Ten patients were considered as cured, important improvement was noted in 12 patients, and only 2 patients were not improved.
LN transplantation is a safe procedure permitting good long-term results, disappearance, or a noteworthy improvement, in postmastectomy lymphedema, especially in the early stages of the disease.
Url:
DOI: 10.1097/01.sla.0000201258.10304.16
PubMed: 16495693
PubMed Central: 1448940
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Postmastectomy Lymphedema</title><author><name sortKey="Becker, Corinne" sort="Becker, Corinne" uniqKey="Becker C" first="Corinne" last="Becker">Corinne Becker</name></author><author><name sortKey="Assouad, Jalal" sort="Assouad, Jalal" uniqKey="Assouad J" first="Jalal" last="Assouad">Jalal Assouad</name></author><author><name sortKey="Riquet, Marc" sort="Riquet, Marc" uniqKey="Riquet M" first="Marc" last="Riquet">Marc Riquet</name></author><author><name sortKey="Hidden, Genevieve" sort="Hidden, Genevieve" uniqKey="Hidden G" first="Geneviève" last="Hidden">Geneviève Hidden</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">16495693</idno><idno type="pmc">1448940</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1448940</idno><idno type="RBID">PMC:1448940</idno><idno type="doi">10.1097/01.sla.0000201258.10304.16</idno><date when="2006">2006</date><idno type="wicri:Area/Pmc/Corpus">001229</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001229</idno><idno type="wicri:Area/Pmc/Curation">001228</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001228</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Postmastectomy Lymphedema</title><author><name sortKey="Becker, Corinne" sort="Becker, Corinne" uniqKey="Becker C" first="Corinne" last="Becker">Corinne Becker</name></author><author><name sortKey="Assouad, Jalal" sort="Assouad, Jalal" uniqKey="Assouad J" first="Jalal" last="Assouad">Jalal Assouad</name></author><author><name sortKey="Riquet, Marc" sort="Riquet, Marc" uniqKey="Riquet M" first="Marc" last="Riquet">Marc Riquet</name></author><author><name sortKey="Hidden, Genevieve" sort="Hidden, Genevieve" uniqKey="Hidden G" first="Geneviève" last="Hidden">Geneviève Hidden</name></author></analytic><series><title level="j">Annals of Surgery</title><idno type="ISSN">0003-4932</idno><idno type="eISSN">1528-1140</idno><imprint><date when="2006">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background and Objectives:</title><p>Lymphedema complicating breast cancer treatment remains a challenging problem. The purpose of this study was to analyze the long-term results following microsurgical lymph node (LN) transplantation.</p></sec><sec><title>Methods:</title><p>Twenty-four female patients with lymphedema for more than 5 years underwent LN transplantation. They were treated by physiotherapy and resistant to it. LNs were harvested in the femoral region, transferred to the axillary region, and transplanted by microsurgical procedures. Long-term results were evaluated according to skin elasticity, decrease, or disappearance of lymphedema assessed by measurements, isotopic lymphangiography, and ability to stop physiotherapy.</p></sec><sec><title>Results:</title><p>The postoperative period was uneventful; skin infectious diseases disappeared in all patients. Upper limb perimeter returned to normal in 10 cases, decreased in 12 cases, and remained unchanged in 2 cases. Five of 16 (31%) isotopic lymphoscintigraphies demonstrated activity of the transplanted nodes. Physiotherapy was discontinued in 15 patients (62.5%). Ten patients were considered as cured, important improvement was noted in 12 patients, and only 2 patients were not improved.</p></sec><sec><title>Conclusion:</title><p>LN transplantation is a safe procedure permitting good long-term results, disappearance, or a noteworthy improvement, in postmastectomy lymphedema, especially in the early stages of the disease.</p></sec></div></front></TEI><pmc article-type="other"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Ann Surg</journal-id><journal-id journal-id-type="publisher-id">Annals of Surgery</journal-id><journal-title>Annals of Surgery</journal-title><issn pub-type="ppub">0003-4932</issn><issn pub-type="epub">1528-1140</issn></journal-meta><article-meta><article-id pub-id-type="pmid">16495693</article-id><article-id pub-id-type="pmc">1448940</article-id><article-id pub-id-type="publisher-id">0000658-200603000-00004</article-id><article-id pub-id-type="doi">10.1097/01.sla.0000201258.10304.16</article-id><article-categories><subj-group subj-group-type="heading"><subject>Surgical Technique</subject></subj-group></article-categories><title-group><article-title>Postmastectomy Lymphedema</article-title><subtitle>Long-term Results Following Microsurgical Lymph Node Transplantation</subtitle></title-group><contrib-group><contrib contrib-type="author"><name><surname>Becker</surname><given-names>Corinne</given-names></name><degrees>MD</degrees></contrib><contrib contrib-type="author"><name><surname>Assouad</surname><given-names>Jalal</given-names></name><degrees>MD</degrees></contrib><contrib contrib-type="author"><name><surname>Riquet</surname><given-names>Marc</given-names></name><degrees>MD, PhD</degrees></contrib><contrib contrib-type="author"><name><surname>Hidden</surname><given-names>Geneviève</given-names></name><degrees>MD</degrees></contrib></contrib-group><aff id="N0x9148678.0x94d1c50">From Service de Chirurgie Thoracique, Hôpital Européen Georges Pompidou, Paris, France.<break></break></aff><pub-date pub-type="ppub"><month>3</month><year>2006</year></pub-date><volume>243</volume><issue>3</issue><fpage>313</fpage><lpage>315</lpage><copyright-statement>© 2006 Lippincott Williams & Wilkins, Inc.</copyright-statement><abstract><sec><title>Background and Objectives:</title><p>Lymphedema complicating breast cancer treatment remains a challenging problem. The purpose of this study was to analyze the long-term results following microsurgical lymph node (LN) transplantation.</p></sec><sec><title>Methods:</title><p>Twenty-four female patients with lymphedema for more than 5 years underwent LN transplantation. They were treated by physiotherapy and resistant to it. LNs were harvested in the femoral region, transferred to the axillary region, and transplanted by microsurgical procedures. Long-term results were evaluated according to skin elasticity, decrease, or disappearance of lymphedema assessed by measurements, isotopic lymphangiography, and ability to stop physiotherapy.</p></sec><sec><title>Results:</title><p>The postoperative period was uneventful; skin infectious diseases disappeared in all patients. Upper limb perimeter returned to normal in 10 cases, decreased in 12 cases, and remained unchanged in 2 cases. Five of 16 (31%) isotopic lymphoscintigraphies demonstrated activity of the transplanted nodes. Physiotherapy was discontinued in 15 patients (62.5%). Ten patients were considered as cured, important improvement was noted in 12 patients, and only 2 patients were not improved.</p></sec><sec><title>Conclusion:</title><p>LN transplantation is a safe procedure permitting good long-term results, disappearance, or a noteworthy improvement, in postmastectomy lymphedema, especially in the early stages of the disease.</p></sec></abstract><abstract abstract-type="toc"><p>Postmastectomy upper limb lymphedema is a challenging problem. Twenty-four patients underwent lymph node transplantation to the axillary region by microsurgical procedures. Ten patients were cured and the 12 of the others were greatly improved after more than 5 years of follow-up.</p></abstract></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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