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Risk of breast cancer recurrence in patients receiving manual lymphatic drainage: a hospital-based cohort study.

Identifieur interne : 000C97 ( PubMed/Checkpoint ); précédent : 000C96; suivant : 000C98

Risk of breast cancer recurrence in patients receiving manual lymphatic drainage: a hospital-based cohort study.

Auteurs : Pei-Chi Hsiao [Taïwan] ; Jung-Tai Liu [Taïwan] ; Chien-Liang Lin [Taïwan] ; Willy Chou [Taïwan] ; Shiang-Ru Lu [Taïwan]

Source :

RBID : pubmed:25767390

Abstract

This retrospective cohort study evaluated whether manual lymphatic drainage (MLD) therapy increases the risk of recurrence of breast cancer.

DOI: 10.2147/TCRM.S79118
PubMed: 25767390


Affiliations:


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pubmed:25767390

Le document en format XML

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<div type="abstract" xml:lang="en">This retrospective cohort study evaluated whether manual lymphatic drainage (MLD) therapy increases the risk of recurrence of breast cancer.</div>
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<Day>13</Day>
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<Month>03</Month>
<Day>13</Day>
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<Month>02</Month>
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<ArticleTitle>Risk of breast cancer recurrence in patients receiving manual lymphatic drainage: a hospital-based cohort study.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">This retrospective cohort study evaluated whether manual lymphatic drainage (MLD) therapy increases the risk of recurrence of breast cancer.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We analyzed 1,106 women who were diagnosed with stage 0-3 breast cancer between 2007 and 2011 and experienced remission after surgery and adjuvant therapy. The patients were divided into two groups: group A (n=996), in which patients did not participate in any MLD therapy, regardless of whether they developed breast cancer-related lymphedema (BCRL) after cancer treatment; and group B (n=110), in which patients participated in MLD therapy for BCRL. All patients were monitored until October 2013 to determine whether breast cancer recurrence developed, including local or regional recurrence and distant metastasis. Patients who developed cancer recurrence prior to MLD therapy were excluded from analysis. Risk factors associated with cancer recurrence were evaluated using Cox proportional hazards models.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">During the monitoring period, 166 patients (15.0%) developed cancer recurrence, including 154 (15.5%) in group A and 12 (10.9%) in group B. The median period from surgery to cancer recurrence was 1.85 (interquartile range 1.18-2.93) years. Independent risk factors for cancer recurrence were tumor histological grading of grade 3, high number (≥3) of axillary lymph node invasion, and a large tumor size (>5 cm). Factors protecting against recurrence were positive progesterone receptor status and receiving radiation therapy. Receiving MLD therapy was not an outcome factor in multivariate analyses (hazard ratio 0.71, 95% confidence interval 0.39-1.29, P=0.259).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">MLD is a gentle procedure that does not increase the risk of breast cancer recurrence in patients who develop BCRL.</AbstractText>
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