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Breast cancer related lymphedema in patients with different loco-regional treatments.

Identifieur interne : 002141 ( PubMed/Checkpoint ); précédent : 002140; suivant : 002142

Breast cancer related lymphedema in patients with different loco-regional treatments.

Auteurs : Beyza Ozcinar [Turquie] ; Sertac Ata Guler ; Nazmiye Kocaman ; Mine Ozkan ; Bahadir M. Gulluoglu ; Vahit Ozmen

Source :

RBID : pubmed:22460058

Descripteurs français

English descriptors

Abstract

Lymphedema, a sequela of breast cancer and breast cancer therapy, changes functional abilities and may affect a patient's psychosocial adjustment and overall quality of life. Aim of this prospective observational study was to determine the rate of mid-term and late time period lymphedema in breast cancer patients with different loco-regional treatments, and factors associated with lymphedema.

DOI: 10.1016/j.breast.2012.03.002
PubMed: 22460058


Affiliations:


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pubmed:22460058

Le document en format XML

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<term>Adult</term>
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<term>Breast Neoplasms (epidemiology)</term>
<term>Breast Neoplasms (pathology)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Cohort Studies</term>
<term>Disease-Free Survival</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Incidence</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymph Node Excision (statistics & numerical data)</term>
<term>Lymphedema (epidemiology)</term>
<term>Lymphedema (etiology)</term>
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<term>Middle Aged</term>
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<term>Prospective Studies</term>
<term>Risk Factors</term>
<term>Sentinel Lymph Node Biopsy (adverse effects)</term>
<term>Sentinel Lymph Node Biopsy (statistics & numerical data)</term>
<term>Severity of Illness Index</term>
<term>Turkey</term>
<term>Women's Health</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
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<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Incidence</term>
<term>Indice de gravité médicale</term>
<term>Jeune adulte</term>
<term>Lymphadénectomie ()</term>
<term>Lymphadénectomie (effets indésirables)</term>
<term>Lymphoedème (anatomopathologie)</term>
<term>Lymphoedème (épidémiologie)</term>
<term>Lymphoedème (étiologie)</term>
<term>Santé des femmes</term>
<term>Stade de la tumeur</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Survie sans rechute</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (anatomopathologie)</term>
<term>Tumeurs du sein (épidémiologie)</term>
<term>Turquie</term>
<term>Études de cohortes</term>
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<term>Lymphoedème</term>
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<term>Breast Neoplasms</term>
<term>Lymphedema</term>
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<term>Lymphedema</term>
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<term>Breast Neoplasms</term>
<term>Lymphedema</term>
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<term>Lymph Node Excision</term>
<term>Sentinel Lymph Node Biopsy</term>
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<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Incidence</term>
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<term>Adulte d'âge moyen</term>
<term>Biopsie de noeud lymphatique sentinelle</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Incidence</term>
<term>Indice de gravité médicale</term>
<term>Jeune adulte</term>
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<div type="abstract" xml:lang="en">Lymphedema, a sequela of breast cancer and breast cancer therapy, changes functional abilities and may affect a patient's psychosocial adjustment and overall quality of life. Aim of this prospective observational study was to determine the rate of mid-term and late time period lymphedema in breast cancer patients with different loco-regional treatments, and factors associated with lymphedema.</div>
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<Month>06</Month>
<Day>19</Day>
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<Year>2012</Year>
<Month>10</Month>
<Day>22</Day>
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<Year>2012</Year>
<Month>06</Month>
<Day>19</Day>
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<ISSN IssnType="Electronic">1532-3080</ISSN>
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<Volume>21</Volume>
<Issue>3</Issue>
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<Year>2012</Year>
<Month>Jun</Month>
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<Title>Breast (Edinburgh, Scotland)</Title>
<ISOAbbreviation>Breast</ISOAbbreviation>
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<ArticleTitle>Breast cancer related lymphedema in patients with different loco-regional treatments.</ArticleTitle>
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<Abstract>
<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Lymphedema, a sequela of breast cancer and breast cancer therapy, changes functional abilities and may affect a patient's psychosocial adjustment and overall quality of life. Aim of this prospective observational study was to determine the rate of mid-term and late time period lymphedema in breast cancer patients with different loco-regional treatments, and factors associated with lymphedema.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Patients surgically treated for early-stage breast cancer were prospectively enrolled in the study. Demographic, clinical, pathological, and loco-regional treatments data of patients and lymphedema rates were recorded. Patients were divided into six groups regarding different loco-regional treatments. Pre- and postoperative (12 months, and median 64 months after surgery) circumferences of arms were recorded.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">218 patients, all female with a median age of 48 (19-82) years, were included in the study. The numbers of patients in breast conservation surgery group (BCS) (N=104), mastectomy group (N=114), sentinel lymph node biopsy group (SLNB) (N=80), axillary lymph node dissection group (ALND) (N=138), group with radiotherapy (RT) (N=88) and group without radiotherapy (N=130). Incidence of lymphedema after surgery in mid-term period was 24.8%. The rate of lymphedema at 64 months median follow-up time was 7.3%. (BCS: 11.1%, 4.2% and 0.5%; Mastectomy: 15.0%, 3.2% and 1.4%; SLNB: 8.0%, 1.9% and 0.5%; ALND: 18.0%, 5.3% and 1.4%; RT: 14.7%, 6.3% and 1.4%; without RT: 11.4%, 2.1% and 0.5%). When we excluded patients with both mid-term and late term lymphedema, only four patients developed lymphedema at late time, then re-calculated late term lypmhedema rate was 1.8%. The factors affecting the lymphedema was ALND and radiotherapy (RT) and no lymphedema was detected in patients underwent breast conserving surgery and SLNB. Age and body mass index were not related to lymphedema at any time.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The incidence of lymphedema gradually increased in time and a quarter of patients experienced the complication at the end of year. The rate of lymphedema in patients with ALND was significantly higher than patients with SLNB alone. If RT added to SLNB the lymphedema rate was getting higher than SLNB alone. In all patients lymphedema rate was decreased one year after the surgery and further decreased at median 64 months follow-up time period.</AbstractText>
<CopyrightInformation>Copyright © 2012 Elsevier Ltd. All rights reserved.</CopyrightInformation>
</Abstract>
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<ForeName>Beyza</ForeName>
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<Year>2012</Year>
<Month>03</Month>
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<Country>Netherlands</Country>
<MedlineTA>Breast</MedlineTA>
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<name sortKey="Gulluoglu, Bahadir M" sort="Gulluoglu, Bahadir M" uniqKey="Gulluoglu B" first="Bahadir M" last="Gulluoglu">Bahadir M. Gulluoglu</name>
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