Identifying risk factors for occult lower extremity lymphedema using computed tomography in patients undergoing lymphadenectomy for gynecologic cancers.
Identifieur interne : 000310 ( PubMed/Checkpoint ); précédent : 000309; suivant : 000311Identifying risk factors for occult lower extremity lymphedema using computed tomography in patients undergoing lymphadenectomy for gynecologic cancers.
Auteurs : Miseon Kim [Corée du Sud] ; Dong Hoon Suh [Corée du Sud] ; Eun Joo Yang [Corée du Sud] ; Myong Cheol Lim [Corée du Sud] ; Jin Young Choi [Corée du Sud] ; Kidong Kim [Corée du Sud] ; Jae Hong No [Corée du Sud] ; Yong-Beom Kim [Corée du Sud]Source :
- Gynecologic oncology [ 1095-6859 ] ; 2017.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Aorte, Durée opératoire, Facteurs de risque, Femelle, Humains, Lymphadénectomie (effets indésirables), Lymphoedème (étiologie), Membre inférieur, Pelvis, Radiothérapie adjuvante (effets indésirables), Tissu sous-cutané (imagerie diagnostique), Tomodensitométrie, Tumeurs de l'appareil génital féminin (), Tumeurs de l'appareil génital féminin (radiothérapie), Études rétrospectives.
- MESH :
- effets indésirables : Lymphadénectomie, Radiothérapie adjuvante.
- imagerie diagnostique : Tissu sous-cutané.
- radiothérapie : Tumeurs de l'appareil génital féminin.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Aorte, Durée opératoire, Facteurs de risque, Femelle, Humains, Membre inférieur, Pelvis, Tomodensitométrie, Tumeurs de l'appareil génital féminin, Études rétrospectives.
English descriptors
- KwdEn :
- Adult, Aorta, Female, Genital Neoplasms, Female (radiotherapy), Genital Neoplasms, Female (surgery), Humans, Lower Extremity, Lymph Node Excision (adverse effects), Lymphedema (etiology), Middle Aged, Operative Time, Pelvis, Radiotherapy, Adjuvant (adverse effects), Retrospective Studies, Risk Factors, Subcutaneous Tissue (diagnostic imaging), Tomography, X-Ray Computed.
- MESH :
- adverse effects : Lymph Node Excision, Radiotherapy, Adjuvant.
- diagnostic imaging : Subcutaneous Tissue.
- etiology : Lymphedema.
- radiotherapy : Genital Neoplasms, Female.
- surgery : Genital Neoplasms, Female.
- Adult, Aorta, Female, Humans, Lower Extremity, Middle Aged, Operative Time, Pelvis, Retrospective Studies, Risk Factors, Tomography, X-Ray Computed.
Abstract
To identify risk factors for lower extremity lymphedema (LEL) using computed tomographic (CT) scan in patients undergoing lymphadenectomy for gynecologic cancers.
DOI: 10.1016/j.ygyno.2016.10.037
PubMed: 28094037
Affiliations:
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Gynecology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam</wicri:regionArea><wicri:noRegion>Seongnam</wicri:noRegion></affiliation></author><author><name sortKey="Yang, Eun Joo" sort="Yang, Eun Joo" uniqKey="Yang E" first="Eun Joo" last="Yang">Eun Joo Yang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam</wicri:regionArea><wicri:noRegion>Seongnam</wicri:noRegion></affiliation></author><author><name sortKey="Lim, Myong Cheol" sort="Lim, Myong Cheol" uniqKey="Lim M" first="Myong Cheol" last="Lim">Myong Cheol Lim</name><affiliation wicri:level="1"><nlm:affiliation>Gynecologic Cancer Branch and Center for Uterine Cancer, Research Institute and Hospital, National Cancer Center, Goyang, Republic of Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Gynecologic Cancer Branch and Center for Uterine Cancer, Research Institute and Hospital, National Cancer Center, Goyang</wicri:regionArea><wicri:noRegion>Goyang</wicri:noRegion></affiliation></author><author><name sortKey="Choi, Jin Young" sort="Choi, Jin Young" uniqKey="Choi J" first="Jin Young" last="Choi">Jin Young Choi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam</wicri:regionArea><wicri:noRegion>Seongnam</wicri:noRegion></affiliation></author><author><name sortKey="Kim, Kidong" sort="Kim, Kidong" uniqKey="Kim K" first="Kidong" last="Kim">Kidong Kim</name><affiliation wicri:level="1"><nlm:affiliation>Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam</wicri:regionArea><wicri:noRegion>Seongnam</wicri:noRegion></affiliation></author><author><name sortKey="No, Jae Hong" sort="No, Jae Hong" uniqKey="No J" first="Jae Hong" last="No">Jae Hong No</name><affiliation wicri:level="1"><nlm:affiliation>Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam</wicri:regionArea><wicri:noRegion>Seongnam</wicri:noRegion></affiliation></author><author><name sortKey="Kim, Yong Beom" sort="Kim, Yong Beom" uniqKey="Kim Y" first="Yong-Beom" last="Kim">Yong-Beom Kim</name><affiliation wicri:level="1"><nlm:affiliation>Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea. Electronic address: ybkimlh@snubh.org.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam</wicri:regionArea><wicri:noRegion>Seongnam</wicri:noRegion></affiliation></author></analytic><series><title level="j">Gynecologic oncology</title><idno type="eISSN">1095-6859</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aorta</term><term>Female</term><term>Genital Neoplasms, Female (radiotherapy)</term><term>Genital Neoplasms, Female (surgery)</term><term>Humans</term><term>Lower Extremity</term><term>Lymph Node Excision (adverse effects)</term><term>Lymphedema (etiology)</term><term>Middle Aged</term><term>Operative Time</term><term>Pelvis</term><term>Radiotherapy, Adjuvant (adverse effects)</term><term>Retrospective Studies</term><term>Risk Factors</term><term>Subcutaneous Tissue (diagnostic imaging)</term><term>Tomography, X-Ray Computed</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aorte</term><term>Durée opératoire</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie (effets indésirables)</term><term>Lymphoedème (étiologie)</term><term>Membre inférieur</term><term>Pelvis</term><term>Radiothérapie adjuvante (effets indésirables)</term><term>Tissu sous-cutané (imagerie diagnostique)</term><term>Tomodensitométrie</term><term>Tumeurs de l'appareil génital féminin ()</term><term>Tumeurs de l'appareil génital féminin (radiothérapie)</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term><term>Radiotherapy, Adjuvant</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Subcutaneous Tissue</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Lymphadénectomie</term><term>Radiothérapie adjuvante</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Tissu sous-cutané</term></keywords><keywords scheme="MESH" qualifier="radiotherapy" xml:lang="en"><term>Genital Neoplasms, Female</term></keywords><keywords scheme="MESH" qualifier="radiothérapie" xml:lang="fr"><term>Tumeurs de l'appareil génital féminin</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Genital Neoplasms, Female</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aorta</term><term>Female</term><term>Humans</term><term>Lower Extremity</term><term>Middle Aged</term><term>Operative Time</term><term>Pelvis</term><term>Retrospective Studies</term><term>Risk Factors</term><term>Tomography, X-Ray Computed</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aorte</term><term>Durée opératoire</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Membre inférieur</term><term>Pelvis</term><term>Tomodensitométrie</term><term>Tumeurs de l'appareil génital féminin</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To identify risk factors for lower extremity lymphedema (LEL) using computed tomographic (CT) scan in patients undergoing lymphadenectomy for gynecologic cancers.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28094037</PMID><DateCreated><Year>2017</Year><Month>01</Month><Day>17</Day></DateCreated><DateCompleted><Year>2017</Year><Month>05</Month><Day>30</Day></DateCompleted><DateRevised><Year>2017</Year><Month>05</Month><Day>30</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1095-6859</ISSN><JournalIssue CitedMedium="Internet"><Volume>144</Volume><Issue>1</Issue><PubDate><Year>2017</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Gynecologic oncology</Title><ISOAbbreviation>Gynecol. Oncol.</ISOAbbreviation></Journal><ArticleTitle>Identifying risk factors for occult lower extremity lymphedema using computed tomography in patients undergoing lymphadenectomy for gynecologic cancers.</ArticleTitle><Pagination><MedlinePgn>153-158</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0090-8258(16)31514-1</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ygyno.2016.10.037</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To identify risk factors for lower extremity lymphedema (LEL) using computed tomographic (CT) scan in patients undergoing lymphadenectomy for gynecologic cancers.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We retrospectively reviewed 511 consecutive gynecologic cancer patients undergoing lymphadenectomy. Mean difference (3.77±3.14mm) of subcutaneous layer thicknesses between preoperative and postoperative 1-year CT scans of 106 patients with clinical LEL was used as an objective criterion for regrouping all the patients into those with mean difference >3.77mm and ≤3.77mm. Risk factors for clinical LEL and significant increase of subcutaneous layer thickness on CT were evaluated using a logistic regression model.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 106 (20.7%) patients were clinically diagnosed with LEL by a physician. Total number of lymph nodes (LNs) retrieved >30 (Odds ratio [OR] 3.2; 95% Confidence interval [CI] 1.94-5.32; p<0.001) and adjuvant pelvic radiotherapy (OR 3.1; 95% CI 1.75-5.52; p<0.001) were risk factors for clinical LEL. One hundred-nineteen (23.3%) had subcutaneous layer thickness increase of >3.77mm. In addition to number of LNs retrieved >30 (OR 2.3; 95% CI 1.40-3.74; p=0.001) and adjuvant pelvic radiotherapy (OR 1.7; 95% CI 1.01-2.74; p=0.046), open surgery (OR 1.8; 95% CI 1.01-3.11; p=0.045), long operation time (OR 1.7; 95% CI 1.05-2.83; p=0.032), and no use of intermittent pneumatic compression (IPC) (OR 2.1; 95% CI 1.06-4.16; p=0.034) were risk factors for thick subcutaneous layer on postoperative CT.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In addition to high LN retrieval and adjuvant pelvic radiotherapy, open surgery, long operation time, and no IPC use could be risk factors for occult LEL after lymphadenectomy in gynecologic cancers.</AbstractText><CopyrightInformation>Copyright © 2016 Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kim</LastName><ForeName>Miseon</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Suh</LastName><ForeName>Dong Hoon</ForeName><Initials>DH</Initials><AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Yang</LastName><ForeName>Eun Joo</ForeName><Initials>EJ</Initials><AffiliationInfo><Affiliation>Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lim</LastName><ForeName>Myong Cheol</ForeName><Initials>MC</Initials><AffiliationInfo><Affiliation>Gynecologic Cancer Branch and Center for Uterine Cancer, Research Institute and Hospital, National Cancer Center, Goyang, Republic of Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Choi</LastName><ForeName>Jin Young</ForeName><Initials>JY</Initials><AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kim</LastName><ForeName>Kidong</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>No</LastName><ForeName>Jae Hong</ForeName><Initials>JH</Initials><AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kim</LastName><ForeName>Yong-Beom</ForeName><Initials>YB</Initials><AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea. Electronic address: ybkimlh@snubh.org.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>10</Month><Day>27</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Gynecol Oncol</MedlineTA><NlmUniqueID>0365304</NlmUniqueID><ISSNLinking>0090-8258</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001011" MajorTopicYN="N">Aorta</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005833" MajorTopicYN="N">Genital Neoplasms, Female</DescriptorName><QualifierName UI="Q000532" MajorTopicYN="N">radiotherapy</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D035002" MajorTopicYN="N">Lower Extremity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D061646" MajorTopicYN="N">Operative Time</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010388" MajorTopicYN="N">Pelvis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018714" MajorTopicYN="N">Radiotherapy, Adjuvant</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D040521" MajorTopicYN="N">Subcutaneous Tissue</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014057" MajorTopicYN="N">Tomography, X-Ray Computed</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Computed tomography</Keyword><Keyword MajorTopicYN="Y">Gynecologic cancer</Keyword><Keyword MajorTopicYN="Y">Lower extremity lymphedema</Keyword><Keyword MajorTopicYN="Y">Lymphadenectomy</Keyword><Keyword MajorTopicYN="Y">Risk factor</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>06</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2016</Year><Month>10</Month><Day>18</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>10</Month><Day>23</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>1</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>1</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>5</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28094037</ArticleId><ArticleId IdType="pii">S0090-8258(16)31514-1</ArticleId><ArticleId IdType="doi">10.1016/j.ygyno.2016.10.037</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Corée du Sud</li></country></list><tree><country name="Corée du Sud"><noRegion><name sortKey="Kim, Miseon" sort="Kim, Miseon" uniqKey="Kim M" first="Miseon" last="Kim">Miseon Kim</name></noRegion><name sortKey="Choi, Jin Young" sort="Choi, Jin Young" uniqKey="Choi J" first="Jin Young" last="Choi">Jin Young Choi</name><name sortKey="Kim, Kidong" sort="Kim, Kidong" uniqKey="Kim K" first="Kidong" last="Kim">Kidong Kim</name><name sortKey="Kim, Yong Beom" sort="Kim, Yong Beom" uniqKey="Kim Y" first="Yong-Beom" last="Kim">Yong-Beom Kim</name><name sortKey="Lim, Myong Cheol" sort="Lim, Myong Cheol" uniqKey="Lim M" first="Myong Cheol" last="Lim">Myong Cheol Lim</name><name sortKey="No, Jae Hong" sort="No, Jae Hong" uniqKey="No J" first="Jae Hong" last="No">Jae Hong No</name><name sortKey="Suh, Dong Hoon" sort="Suh, Dong Hoon" uniqKey="Suh D" first="Dong Hoon" last="Suh">Dong Hoon Suh</name><name sortKey="Yang, Eun Joo" sort="Yang, Eun Joo" uniqKey="Yang E" first="Eun Joo" last="Yang">Eun Joo Yang</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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