Serveur d'exploration sur le lymphœdème

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Morbidity of sentinel node biopsy in breast cancer: the relationship between the number of excised lymph nodes and lymphedema.

Identifieur interne : 002782 ( PubMed/Checkpoint ); précédent : 002781; suivant : 002783

Morbidity of sentinel node biopsy in breast cancer: the relationship between the number of excised lymph nodes and lymphedema.

Auteurs : Jessica I. Goldberg [États-Unis] ; Lisa I. Wiechmann ; Elyn R. Riedel ; Monica Morrow ; Kimberly J. Van Zee

Source :

RBID : pubmed:20574774

Descripteurs français

English descriptors

Abstract

Despite the reduced morbidity associated with sentinel lymph node biopsy (SLNB), lymphedema remains a clinically relevant complication. We hypothesized that a higher number of lymph nodes (LNs) removed during SLNB is associated with a higher risk of lymphedema.

DOI: 10.1245/s10434-010-1155-4
PubMed: 20574774


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pubmed:20574774

Le document en format XML

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<term>Breast Neoplasms (surgery)</term>
<term>Carcinoma, Ductal, Breast (pathology)</term>
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<term>Carcinome canalaire du sein ()</term>
<term>Carcinome canalaire du sein (anatomopathologie)</term>
<term>Carcinome intracanalaire non infiltrant ()</term>
<term>Carcinome intracanalaire non infiltrant (anatomopathologie)</term>
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<term>Carcinome lobulaire (anatomopathologie)</term>
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<div type="abstract" xml:lang="en">Despite the reduced morbidity associated with sentinel lymph node biopsy (SLNB), lymphedema remains a clinically relevant complication. We hypothesized that a higher number of lymph nodes (LNs) removed during SLNB is associated with a higher risk of lymphedema.</div>
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<Day>02</Day>
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<Title>Annals of surgical oncology</Title>
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<ArticleTitle>Morbidity of sentinel node biopsy in breast cancer: the relationship between the number of excised lymph nodes and lymphedema.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Despite the reduced morbidity associated with sentinel lymph node biopsy (SLNB), lymphedema remains a clinically relevant complication. We hypothesized that a higher number of lymph nodes (LNs) removed during SLNB is associated with a higher risk of lymphedema.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Six hundred patients with clinically node-negative breast cancer who underwent SLNB were prospectively studied. Circumferential bilateral upper extremity measurements were performed preoperatively and at 3-8 years after surgery. Association of lymphedema with total number of LNs excised and other clinicopathologic variables was analyzed by the Spearman rank correlation coefficient, Fisher's exact test, Wilcoxon rank sum test, and logistic regression.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">At a median follow-up of 5 years, 5% of patients had developed lymphedema. Factors associated with lymphedema included weight and body mass index. There was no association between the number of LNs removed and the change in upper extremity measurements or in the incidence of lymphedema. Among patients with lymphedema (n = 31) compared to those without, the mean (3.9 vs. 4.2), median (4 vs. 3), and range (1-9 vs. 1-17) of number of LNs removed were similar (P = 0.93). Among the 33 women with ≥ 10 LNs removed, none developed lymphedema.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In this population of 600 women who underwent SLNB, there is no correlation between number of LNs removed and change in upper extremity circumference or incidence of lymphedema. These data suggest that other factors, such as the global disruption of the lymphatic channels during axillary lymph node dissection, play a larger role in development of lymphedema than does the number of LNs removed.</AbstractText>
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