LymphedemaV1, Pmc, Curation, bibRecord, 003126

Lower-Limb Drainage Mapping for Lymphedema Risk Reduction After Pelvic Lymphadenectomy for Endometrial Cancer

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Lower-Limb Drainage Mapping for Lymphedema Risk Reduction After Pelvic Lymphadenectomy for Endometrial Cancer

Auteurs : Anne-Sophie Bats [France] ; Claude Nos ; Chérazade Bensaïd ; Marie-Aude Le Frère-Belda [France] ; Marie-Anne Collignon [France] ; Marc Faraggi [France] ; Fabrice Lécuru [France]

Source :

The Oncologist [ 1083-7159 ] ; 2013.

RBID : PMC:3579601

Abstract

Pelvic lymphadenectomy is associated with a significant risk of lower-limb lymphedema. This proof-of-concept study evaluates the feasibility of identifying the lower-limb drainage nodes during pelvic lymphadenectomy for endometrial cancer.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3579601

DOI: 10.1634/theoncologist.2012-0309
PubMed: 23335621
PubMed Central: 3579601

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<author><name sortKey="Le Frere Belda, Marie Aude" sort="Le Frere Belda, Marie Aude" uniqKey="Le Frere Belda M" first="Marie-Aude" last="Le Frère-Belda">Marie-Aude Le Frère-Belda</name>
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<author><name sortKey="Bensaid, Cherazade" sort="Bensaid, Cherazade" uniqKey="Bensaid C" first="Chérazade" last="Bensaïd">Chérazade Bensaïd</name>
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<author><name sortKey="Le Frere Belda, Marie Aude" sort="Le Frere Belda, Marie Aude" uniqKey="Le Frere Belda M" first="Marie-Aude" last="Le Frère-Belda">Marie-Aude Le Frère-Belda</name>
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<author><name sortKey="Collignon, Marie Anne" sort="Collignon, Marie Anne" uniqKey="Collignon M" first="Marie-Anne" last="Collignon">Marie-Anne Collignon</name>
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<author><name sortKey="Lecuru, Fabrice" sort="Lecuru, Fabrice" uniqKey="Lecuru F" first="Fabrice" last="Lécuru">Fabrice Lécuru</name>
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<series><title level="j">The Oncologist</title>
<idno type="ISSN">1083-7159</idno>
<idno type="eISSN">1549-490X</idno>
<imprint><date when="2013">2013</date>
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<front><div type="abstract" xml:lang="en"><p>Pelvic lymphadenectomy is associated with a significant risk of lower-limb lymphedema. This proof-of-concept study evaluates the feasibility of identifying the lower-limb drainage nodes during pelvic lymphadenectomy for endometrial cancer.</p>
</div>
</front>
</TEI>
<pmc article-type="research-article"><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">Oncologist</journal-id>
<journal-id journal-id-type="iso-abbrev">Oncologist</journal-id>
<journal-id journal-id-type="pmc">oncologist</journal-id>
<journal-id journal-id-type="hwp">theoncologist</journal-id>
<journal-id journal-id-type="publisher-id">The Oncologist</journal-id>
<journal-title-group><journal-title>The Oncologist</journal-title>
</journal-title-group>
<issn pub-type="ppub">1083-7159</issn>
<issn pub-type="epub">1549-490X</issn>
<publisher><publisher-name>AlphaMed Press</publisher-name>
<publisher-loc>Durham, NC, USA</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">23335621</article-id>
<article-id pub-id-type="pmc">3579601</article-id>
<article-id pub-id-type="publisher-id">3811596</article-id>
<article-id pub-id-type="doi">10.1634/theoncologist.2012-0309</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Gynecologic Oncology</subject>
</subj-group>
</article-categories>
<title-group><article-title>Lower-Limb Drainage Mapping for Lymphedema Risk Reduction After Pelvic Lymphadenectomy for Endometrial Cancer</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Bats</surname>
<given-names>Anne-Sophie</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>a</sup>
</xref>
<xref ref-type="aff" rid="aff2"><sup>b</sup>
</xref>
<xref ref-type="aff" rid="aff3"><sup>c</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nos</surname>
<given-names>Claude</given-names>
</name>
<xref ref-type="aff" rid="aff3"><sup>c</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bensaïd</surname>
<given-names>Chérazade</given-names>
</name>
<xref ref-type="aff" rid="aff3"><sup>c</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Le Frère-Belda</surname>
<given-names>Marie-Aude</given-names>
</name>
<xref ref-type="aff" rid="aff2"><sup>b</sup>
</xref>
<xref ref-type="aff" rid="aff4"><sup>d</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Collignon</surname>
<given-names>Marie-Anne</given-names>
</name>
<xref ref-type="aff" rid="aff5"><sup>e</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Faraggi</surname>
<given-names>Marc</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>a</sup>
</xref>
<xref ref-type="aff" rid="aff5"><sup>e</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lécuru</surname>
<given-names>Fabrice</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>a</sup>
</xref>
<xref ref-type="aff" rid="aff2"><sup>b</sup>
</xref>
<xref ref-type="aff" rid="aff3"><sup>c</sup>
</xref>
</contrib>
<aff id="aff1"><sup>a</sup>
Department of Medicine and</aff>
<aff id="aff2"><sup>b</sup>
INSERM UMR-S 747, Université Paris Descartes, Faculté de Médecine, Sorbonne Paris Cité, Paris, France;</aff>
<aff id="aff3">Departments of<sup>c</sup>
Gynecological and Breast Surgical Oncology,</aff>
<aff id="aff4"><sup>d</sup>
Pathology, and</aff>
<aff id="aff5"><sup>e</sup>
Nuclear Medicine, Assistance Publique-Hôpitaux de Paris, Hôpital Européen Georges-Pompidou, Paris, France</aff>
</contrib-group>
<author-notes><corresp>Correspondence: Anne-Sophie Bats, M.D., Ph.D., Service de Chirurgie Cancérologique Gynécologique et du Sein, Hôpital Européen Georges-Pompidou, 20-40 rue Leblanc, 75015 Paris, France. Telephone:
<phone>+33 156 093 584</phone>; Fax:
<fax>+33 156 092 587</fax>
; E-mail: <email>anne-sophie.bats@egp.aphp.fr</email>
</corresp>
<fn fn-type="conflict"><p>Disclosures of potential conflicts of interest may be found at the end of this article.</p>
</fn>
</author-notes>
<pub-date pub-type="ppub"><month>2</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="epub"><day>18</day>
<month>1</month>
<year>2013</year>
</pub-date>
<volume>18</volume>
<issue>2</issue>
<fpage>174</fpage>
<lpage>179</lpage>
<history><date date-type="received"><day>20</day>
<month>7</month>
<year>2012</year>
</date>
<date date-type="accepted"><day>24</day>
<month>9</month>
<year>2012</year>
</date>
</history>
<permissions><copyright-statement>©AlphaMed Press</copyright-statement>
<copyright-year>2013</copyright-year>
</permissions>
<self-uri xlink:title="pdf" xlink:type="simple" xlink:href="onc00213000174.pdf"></self-uri>
<abstract abstract-type="precis"><p>Pelvic lymphadenectomy is associated with a significant risk of lower-limb lymphedema. This proof-of-concept study evaluates the feasibility of identifying the lower-limb drainage nodes during pelvic lymphadenectomy for endometrial cancer.</p>
</abstract>
<abstract abstract-type="objectives"><title>Learning Objectives</title>
<p><list list-type="order"><list-item><p>Identify lower-limb drainage nodes preoperatively and during pelvic lymphadenectomy for endometrial cancer.</p>
</list-item>
<list-item><p>Map lower-limb drainage nodes during pelvic lymphadenectomy for endometrial cancer, using the “reverse mapping” concept.</p>
</list-item>
<list-item><p>Preserve lower-limb drainage nodes during pelvic lymphadenectomy for endometrial cancer in order to reduce the risk of lower limb lymphedema.</p>
</list-item>
</list>
</p>
</abstract>
<abstract><sec><title>Objectives.</title>
<p>Pelvic lymphadenectomy is associated with a significant risk of lower-limb lymphedema. In this proof-of-concept study, we evaluated the feasibility of identifying the lower-limb drainage nodes (LLDNs) during pelvic lymphadenectomy for endometrial cancer. Secondary objectives were to map lower-limb drainage and to assess the diagnostic value of our mapping technique.</p>
</sec>
<sec><title>Methods.</title>
<p>This prospective study included patients with endometrial cancer requiring pelvic lymphadenectomy, without neoadjuvant radiotherapy or chemotherapy and without history of lower-limb surgery. A radiopharmaceutical was injected into both feet on the day before surgery. LLDNs were identified using preoperative lymphoscintigraphy and intraoperative isotopic probe detection, then removed before complete pelvic lymphadenectomy. LLDNs and pelvic lymphadenectomy specimens underwent separate histological analysis.</p>
</sec>
<sec><title>Results.</title>
<p>Of the 12 patients with early-stage endometrial cancer, 10 underwent preoperative lymphoscintigraphy, which consistently identified inguinal, femoral, and pelvic LLDNs (detection rate: 100%). The intraoperative detection rate was 83% (10/12). Median number of hot nodes per patient was 5 nodes (range: 3–7) on the right and 3 nodes (range: 2–6) on the left. Of 107 LLDNs, 106 were in the external iliac area, including 38 in the lateral group and 45 in the intermediate and medial groups. None of the patients had node metastases at any site. No early complications related to the technique occurred.</p>
</sec>
<sec><title>Conclusion.</title>
<p>Our mapping technique appears feasible, safe, and associated with a high LLDN identification rate. LLDN mapping may allow the preservation of LLDNs, thereby decreasing the risk of lower-limb lymphedema and improving quality of life.</p>
</sec>
</abstract>
<kwd-group><kwd>Endometrial cancer</kwd>
<kwd>Pelvic lymphadenectomy</kwd>
<kwd>Lymphedema</kwd>
<kwd>Sentinel node</kwd>
<kwd>Reverse mapping</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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Lower-Limb Drainage Mapping for Lymphedema Risk Reduction After Pelvic Lymphadenectomy for Endometrial Cancer

Lower-Limb Drainage Mapping for Lymphedema Risk Reduction After Pelvic Lymphadenectomy for Endometrial Cancer

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