Surgical prevention of arm lymphedema after breast cancer treatment.
Identifieur interne : 002279 ( PubMed/Checkpoint ); précédent : 002278; suivant : 002280Surgical prevention of arm lymphedema after breast cancer treatment.
Auteurs : Francesco M. Boccardo [Italie] ; Federico Casabona ; Daniele Friedman ; Maria Puglisi ; Franco De Cian ; Filippo Ansaldi ; Corradino CampisiSource :
- Annals of surgical oncology [ 1534-4681 ] ; 2011.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Bras (), Bras (anatomopathologie), Bras (imagerie diagnostique), Facteurs de risque, Femelle, Humains, Lymphoedème (), Lymphoedème (imagerie diagnostique), Lymphoscintigraphie, Microchirurgie, Métastase lymphatique, Pronostic, Sujet âgé, Sujet âgé de 80 ans ou plus, Taux de survie, Tumeurs du sein (), Tumeurs du sein (anatomopathologie), Études cas-témoins, Études de suivi, Études prospectives.
- MESH :
- anatomopathologie : Bras, Tumeurs du sein.
- imagerie diagnostique : Bras, Lymphoedème.
- Adulte, Adulte d'âge moyen, Bras, Facteurs de risque, Femelle, Humains, Lymphoedème, Lymphoscintigraphie, Microchirurgie, Métastase lymphatique, Pronostic, Sujet âgé, Sujet âgé de 80 ans ou plus, Taux de survie, Tumeurs du sein, Études cas-témoins, Études de suivi, Études prospectives.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Arm (diagnostic imaging), Arm (pathology), Arm (surgery), Breast Neoplasms (pathology), Breast Neoplasms (therapy), Case-Control Studies, Female, Follow-Up Studies, Humans, Lymphatic Metastasis, Lymphedema (diagnostic imaging), Lymphedema (prevention & control), Lymphedema (surgery), Lymphoscintigraphy, Microsurgery, Middle Aged, Prognosis, Prospective Studies, Risk Factors, Survival Rate.
- MESH :
- diagnostic imaging : Arm, Lymphedema.
- pathology : Arm, Breast Neoplasms.
- prevention & control : Lymphedema.
- surgery : Arm, Lymphedema.
- therapy : Breast Neoplasms.
- Adult, Aged, Aged, 80 and over, Case-Control Studies, Female, Follow-Up Studies, Humans, Lymphatic Metastasis, Lymphoscintigraphy, Microsurgery, Middle Aged, Prognosis, Prospective Studies, Risk Factors, Survival Rate.
Abstract
To prospectively assess the efficacy of the lymphatic microsurgical preventive healing approach (LYMPHA) to prevent lymphedema after axillary dissection (AD) for breast cancer treatment.
DOI: 10.1245/s10434-011-1624-4
PubMed: 21369739
Affiliations:
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Martino Hospital, University of Genoa, Genoa</wicri:regionArea><wicri:noRegion>Genoa</wicri:noRegion></affiliation></author><author><name sortKey="Casabona, Federico" sort="Casabona, Federico" uniqKey="Casabona F" first="Federico" last="Casabona">Federico Casabona</name></author><author><name sortKey="Friedman, Daniele" sort="Friedman, Daniele" uniqKey="Friedman D" first="Daniele" last="Friedman">Daniele Friedman</name></author><author><name sortKey="Puglisi, Maria" sort="Puglisi, Maria" uniqKey="Puglisi M" first="Maria" last="Puglisi">Maria Puglisi</name></author><author><name sortKey="De Cian, Franco" sort="De Cian, Franco" uniqKey="De Cian F" first="Franco" last="De Cian">Franco De Cian</name></author><author><name sortKey="Ansaldi, Filippo" sort="Ansaldi, Filippo" uniqKey="Ansaldi F" first="Filippo" last="Ansaldi">Filippo Ansaldi</name></author><author><name sortKey="Campisi, Corradino" sort="Campisi, Corradino" uniqKey="Campisi C" first="Corradino" last="Campisi">Corradino Campisi</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2011">2011</date><idno type="RBID">pubmed:21369739</idno><idno type="pmid">21369739</idno><idno type="doi">10.1245/s10434-011-1624-4</idno><idno type="wicri:Area/PubMed/Corpus">002727</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002727</idno><idno type="wicri:Area/PubMed/Curation">002727</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">002727</idno><idno type="wicri:Area/PubMed/Checkpoint">002727</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">002727</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Surgical prevention of arm lymphedema after breast cancer treatment.</title><author><name sortKey="Boccardo, Francesco M" sort="Boccardo, Francesco M" uniqKey="Boccardo F" first="Francesco M" last="Boccardo">Francesco M. Boccardo</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, Unit of Lymphatic Surgery, S. Martino Hospital, University of Genoa, Genoa, Italy. francesco.boccardo@unige.it</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgery, Unit of Lymphatic Surgery, S. Martino Hospital, University of Genoa, Genoa</wicri:regionArea><wicri:noRegion>Genoa</wicri:noRegion></affiliation></author><author><name sortKey="Casabona, Federico" sort="Casabona, Federico" uniqKey="Casabona F" first="Federico" last="Casabona">Federico Casabona</name></author><author><name sortKey="Friedman, Daniele" sort="Friedman, Daniele" uniqKey="Friedman D" first="Daniele" last="Friedman">Daniele Friedman</name></author><author><name sortKey="Puglisi, Maria" sort="Puglisi, Maria" uniqKey="Puglisi M" first="Maria" last="Puglisi">Maria Puglisi</name></author><author><name sortKey="De Cian, Franco" sort="De Cian, Franco" uniqKey="De Cian F" first="Franco" last="De Cian">Franco De Cian</name></author><author><name sortKey="Ansaldi, Filippo" sort="Ansaldi, Filippo" uniqKey="Ansaldi F" first="Filippo" last="Ansaldi">Filippo Ansaldi</name></author><author><name sortKey="Campisi, Corradino" sort="Campisi, Corradino" uniqKey="Campisi C" first="Corradino" last="Campisi">Corradino Campisi</name></author></analytic><series><title level="j">Annals of surgical oncology</title><idno type="eISSN">1534-4681</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Arm (diagnostic imaging)</term><term>Arm (pathology)</term><term>Arm (surgery)</term><term>Breast Neoplasms (pathology)</term><term>Breast Neoplasms (therapy)</term><term>Case-Control Studies</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Lymphatic Metastasis</term><term>Lymphedema (diagnostic imaging)</term><term>Lymphedema (prevention & control)</term><term>Lymphedema (surgery)</term><term>Lymphoscintigraphy</term><term>Microsurgery</term><term>Middle Aged</term><term>Prognosis</term><term>Prospective Studies</term><term>Risk Factors</term><term>Survival Rate</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Bras ()</term><term>Bras (anatomopathologie)</term><term>Bras (imagerie diagnostique)</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Lymphoedème ()</term><term>Lymphoedème (imagerie diagnostique)</term><term>Lymphoscintigraphie</term><term>Microchirurgie</term><term>Métastase lymphatique</term><term>Pronostic</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Taux de survie</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (anatomopathologie)</term><term>Études cas-témoins</term><term>Études de suivi</term><term>Études prospectives</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Bras</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Arm</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Bras</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Arm</term><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Arm</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Case-Control Studies</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Lymphatic Metastasis</term><term>Lymphoscintigraphy</term><term>Microsurgery</term><term>Middle Aged</term><term>Prognosis</term><term>Prospective Studies</term><term>Risk Factors</term><term>Survival Rate</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Bras</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Lymphoedème</term><term>Lymphoscintigraphie</term><term>Microchirurgie</term><term>Métastase lymphatique</term><term>Pronostic</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Taux de survie</term><term>Tumeurs du sein</term><term>Études cas-témoins</term><term>Études de suivi</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To prospectively assess the efficacy of the lymphatic microsurgical preventive healing approach (LYMPHA) to prevent lymphedema after axillary dissection (AD) for breast cancer treatment.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21369739</PMID><DateCreated><Year>2011</Year><Month>08</Month><Day>29</Day></DateCreated><DateCompleted><Year>2012</Year><Month>01</Month><Day>03</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>25</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1534-4681</ISSN><JournalIssue CitedMedium="Internet"><Volume>18</Volume><Issue>9</Issue><PubDate><Year>2011</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Annals of surgical oncology</Title><ISOAbbreviation>Ann. Surg. Oncol.</ISOAbbreviation></Journal><ArticleTitle>Surgical prevention of arm lymphedema after breast cancer treatment.</ArticleTitle><Pagination><MedlinePgn>2500-5</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1245/s10434-011-1624-4</ELocationID><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To prospectively assess the efficacy of the lymphatic microsurgical preventive healing approach (LYMPHA) to prevent lymphedema after axillary dissection (AD) for breast cancer treatment.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Among 49 consecutive women referred from March 2008 to September 2009 to undergo complete AD, 46 were randomly divided in 2 groups. Twenty-three underwent the LYMPHA technique for the prevention of arm lymphedema. The other 23 patients had no preventive surgical approach (control group). The LYMPHA procedure consisted of performing lymphatic-venous anastomoses (LVA) at the time of AD. All patients underwent preoperative lymphoscintigraphy (LS). Patients were followed up clinically at 1, 3, 6, 12, and 18 months by volumetry. Postoperatively, LS was performed after 18 months in 41 patients (21 treatment group and 20 control group). Arm volume and LS alterations were assessed.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Lymphedema appeared in 1 patient in the treatment group 6 months after surgery (4.34%). In the control group, lymphedema occurred in 7 patients (30.43%). No statistically significant differences in the arm volume were observed in the treatment group during follow-up, while the arm volume in the control group showed a significant increase after 1, 3, and 6 months from operation. There was significant difference between the 2 groups in the volume changes with respect to baseline after 1, 3, 6, 12, and 18 months after surgery (every timing P value < 0.01).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">LYMPHA represents a valid technique for primary prevention of secondary arm lymphedema with no risk of leaving undetected malignant disease in the axilla.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Boccardo</LastName><ForeName>Francesco M</ForeName><Initials>FM</Initials><AffiliationInfo><Affiliation>Department of Surgery, Unit of Lymphatic Surgery, S. Martino Hospital, University of Genoa, Genoa, Italy. francesco.boccardo@unige.it</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Casabona</LastName><ForeName>Federico</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Friedman</LastName><ForeName>Daniele</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Puglisi</LastName><ForeName>Maria</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>De Cian</LastName><ForeName>Franco</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Ansaldi</LastName><ForeName>Filippo</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Campisi</LastName><ForeName>Corradino</ForeName><Initials>C</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2011</Year><Month>03</Month><Day>03</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Ann Surg Oncol</MedlineTA><NlmUniqueID>9420840</NlmUniqueID><ISSNLinking>1068-9265</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001132" MajorTopicYN="N">Arm</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016022" MajorTopicYN="N">Case-Control Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008207" MajorTopicYN="N">Lymphatic Metastasis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D061305" MajorTopicYN="N">Lymphoscintigraphy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008866" MajorTopicYN="N">Microsurgery</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011379" MajorTopicYN="N">Prognosis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015996" MajorTopicYN="N">Survival Rate</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2010</Year><Month>08</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2011</Year><Month>3</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>3</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2012</Year><Month>1</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">21369739</ArticleId><ArticleId IdType="doi">10.1245/s10434-011-1624-4</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Italie</li></country></list><tree><noCountry><name sortKey="Ansaldi, Filippo" sort="Ansaldi, Filippo" uniqKey="Ansaldi F" first="Filippo" last="Ansaldi">Filippo Ansaldi</name><name sortKey="Campisi, Corradino" sort="Campisi, Corradino" uniqKey="Campisi C" first="Corradino" last="Campisi">Corradino Campisi</name><name sortKey="Casabona, Federico" sort="Casabona, Federico" uniqKey="Casabona F" first="Federico" last="Casabona">Federico Casabona</name><name sortKey="De Cian, Franco" sort="De Cian, Franco" uniqKey="De Cian F" first="Franco" last="De Cian">Franco De Cian</name><name sortKey="Friedman, Daniele" sort="Friedman, Daniele" uniqKey="Friedman D" first="Daniele" last="Friedman">Daniele Friedman</name><name sortKey="Puglisi, Maria" sort="Puglisi, Maria" uniqKey="Puglisi M" first="Maria" last="Puglisi">Maria Puglisi</name></noCountry><country name="Italie"><noRegion><name sortKey="Boccardo, Francesco M" sort="Boccardo, Francesco M" uniqKey="Boccardo F" first="Francesco M" last="Boccardo">Francesco M. 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