Comparative morbidity of axillary lymph node dissection and the sentinel lymph node technique: implications for patients with breast cancer.
Identifieur interne : 003B66 ( PubMed/Checkpoint ); précédent : 003B65; suivant : 003B67Comparative morbidity of axillary lymph node dissection and the sentinel lymph node technique: implications for patients with breast cancer.
Auteurs : Allan W. Silberman [États-Unis] ; Carie Mcvay ; Jason S. Cohen ; Jack F. Altura ; Sandra Brackert ; Gregory P. Sarna ; Daphne Palmer ; Albert Ko ; Leslie MemsicSource :
- Annals of surgery [ 0003-4932 ] ; 2004.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Aisselle, Association thérapeutique, Biopsie de noeud lymphatique sentinelle (effets indésirables), Bras, Femelle, Humains, Lymphadénectomie (effets indésirables), Lymphoedème (étiologie), Mastectomie partielle, Mastectomie radicale modifiée, Métastase lymphatique (diagnostic), Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs du sein (), Tumeurs du sein (anatomopathologie), Tumeurs du sein (radiothérapie), Études de suivi, Études rétrospectives.
- MESH :
- anatomopathologie : Tumeurs du sein.
- diagnostic : Métastase lymphatique.
- effets indésirables : Biopsie de noeud lymphatique sentinelle, Lymphadénectomie.
- radiothérapie : Tumeurs du sein.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Aisselle, Association thérapeutique, Bras, Femelle, Humains, Mastectomie partielle, Mastectomie radicale modifiée, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs du sein, Études de suivi, Études rétrospectives.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Arm, Axilla, Breast Neoplasms (pathology), Breast Neoplasms (radiotherapy), Breast Neoplasms (surgery), Combined Modality Therapy, Female, Follow-Up Studies, Humans, Lymph Node Excision (adverse effects), Lymphatic Metastasis (diagnosis), Lymphedema (etiology), Mastectomy, Modified Radical, Mastectomy, Segmental, Middle Aged, Retrospective Studies, Sentinel Lymph Node Biopsy (adverse effects).
- MESH :
- adverse effects : Lymph Node Excision, Sentinel Lymph Node Biopsy.
- diagnosis : Lymphatic Metastasis.
- etiology : Lymphedema.
- pathology : Breast Neoplasms.
- radiotherapy : Breast Neoplasms.
- surgery : Breast Neoplasms.
- Adult, Aged, Aged, 80 and over, Arm, Axilla, Combined Modality Therapy, Female, Follow-Up Studies, Humans, Mastectomy, Modified Radical, Mastectomy, Segmental, Middle Aged, Retrospective Studies.
Abstract
To assess our long-term complications from complete axillary lymph node dissection (AXLND) in patients with breast cancer.
PubMed: 15213610
Affiliations:
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Silberman</name><affiliation wicri:level="2"><nlm:affiliation>Divisions of Surgical Oncology, Cedars-Sinai Medical Center, Los Angeles, California, USA. AWS222@aol.com</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Divisions of Surgical Oncology, Cedars-Sinai Medical Center, Los Angeles, California</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Mcvay, Carie" sort="Mcvay, Carie" uniqKey="Mcvay C" first="Carie" last="Mcvay">Carie Mcvay</name></author><author><name sortKey="Cohen, Jason S" sort="Cohen, Jason S" uniqKey="Cohen J" first="Jason S" last="Cohen">Jason S. Cohen</name></author><author><name sortKey="Altura, Jack F" sort="Altura, Jack F" uniqKey="Altura J" first="Jack F" last="Altura">Jack F. Altura</name></author><author><name sortKey="Brackert, Sandra" sort="Brackert, Sandra" uniqKey="Brackert S" first="Sandra" last="Brackert">Sandra Brackert</name></author><author><name sortKey="Sarna, Gregory P" sort="Sarna, Gregory P" uniqKey="Sarna G" first="Gregory P" last="Sarna">Gregory P. Sarna</name></author><author><name sortKey="Palmer, Daphne" sort="Palmer, Daphne" uniqKey="Palmer D" first="Daphne" last="Palmer">Daphne Palmer</name></author><author><name sortKey="Ko, Albert" sort="Ko, Albert" uniqKey="Ko A" first="Albert" last="Ko">Albert Ko</name></author><author><name sortKey="Memsic, Leslie" sort="Memsic, Leslie" uniqKey="Memsic L" first="Leslie" last="Memsic">Leslie Memsic</name></author></analytic><series><title level="j">Annals of surgery</title><idno type="ISSN">0003-4932</idno><imprint><date when="2004" type="published">2004</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</term><term>Axilla</term><term>Breast Neoplasms (pathology)</term><term>Breast Neoplasms (radiotherapy)</term><term>Breast Neoplasms (surgery)</term><term>Combined Modality Therapy</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Lymph Node Excision (adverse effects)</term><term>Lymphatic Metastasis (diagnosis)</term><term>Lymphedema (etiology)</term><term>Mastectomy, Modified Radical</term><term>Mastectomy, Segmental</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Sentinel Lymph Node Biopsy (adverse effects)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aisselle</term><term>Association thérapeutique</term><term>Biopsie de noeud lymphatique sentinelle (effets indésirables)</term><term>Bras</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie (effets indésirables)</term><term>Lymphoedème (étiologie)</term><term>Mastectomie partielle</term><term>Mastectomie radicale modifiée</term><term>Métastase lymphatique (diagnostic)</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (anatomopathologie)</term><term>Tumeurs du sein (radiothérapie)</term><term>Études de suivi</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term><term>Sentinel Lymph Node Biopsy</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphatic Metastasis</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Métastase lymphatique</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Biopsie de noeud lymphatique sentinelle</term><term>Lymphadénectomie</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="radiotherapy" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="radiothérapie" xml:lang="fr"><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Arm</term><term>Axilla</term><term>Combined Modality Therapy</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Mastectomy, Modified Radical</term><term>Mastectomy, Segmental</term><term>Middle Aged</term><term>Retrospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aisselle</term><term>Association thérapeutique</term><term>Bras</term><term>Femelle</term><term>Humains</term><term>Mastectomie partielle</term><term>Mastectomie radicale modifiée</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs du sein</term><term>Études de suivi</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To assess our long-term complications from complete axillary lymph node dissection (AXLND) in patients with breast cancer.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">15213610</PMID><DateCreated><Year>2004</Year><Month>06</Month><Day>23</Day></DateCreated><DateCompleted><Year>2004</Year><Month>07</Month><Day>22</Day></DateCompleted><DateRevised><Year>2014</Year><Month>06</Month><Day>09</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0003-4932</ISSN><JournalIssue CitedMedium="Print"><Volume>240</Volume><Issue>1</Issue><PubDate><Year>2004</Year><Month>Jul</Month></PubDate></JournalIssue><Title>Annals of surgery</Title><ISOAbbreviation>Ann. Surg.</ISOAbbreviation></Journal><ArticleTitle>Comparative morbidity of axillary lymph node dissection and the sentinel lymph node technique: implications for patients with breast cancer.</ArticleTitle><Pagination><MedlinePgn>1-6</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To assess our long-term complications from complete axillary lymph node dissection (AXLND) in patients with breast cancer.</AbstractText><AbstractText Label="SUMMARY BACKGROUND DATA" NlmCategory="BACKGROUND">Complete AXLND as part of the surgical therapy for breast cancer has come under increased scrutiny due the use of the sentinel lymph node (SLN) biopsy technique to assess the status of the axillary nodes. As the enthusiasm for the SLN technique has increased, our impression has been that the perceived complication rate from AXLND has increased dramatically while the negative aspects of the SLN technique have been underemphasized.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Female patients seen in routine follow-up over a 1-year period were eligible for our retrospective study of the long-term complications from AXLND if they were a minimum of 1 year out from all primary therapy; ie, surgery, radiation, and/or chemotherapy. All patients had previously undergone either a modified radical mastectomy (MRM) or a segmental mastectomy with axillary dissection and postoperative radiation (SegAx/XRT). All patients had a Level I-III dissection. Objective measurements, including upper and lower arm circumferences and body mass index (BMI), were obtained, and a subjective evaluation from the patients was conducted.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Ninety-four patients were eligible for our study; 44 had undergone MRM, and 50 had undergone SegAx/XRT. The average number of nodes removed was 25.6 (standard deviation, 8). Thirty-three percent of the patients had positive nodal disease, 95% of the patients had an upper arm circumference within 2 cm of the unaffected side, and 93.3% had a lower arm circumference within 2 cm of the unaffected side. Subjectively, 90.4% of the patients had either no or minimal arm swelling, and 96.8% of the patients had "good" or "excellent" overall arm function. The most common long-term symptom was numbness involving the upper, inner aspect of the affected arm (25.5%).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Our data indicate that a complete AXLND can be performed with minimal long-term morbidity. The lower the morbidity of AXLND, the less acceptable are the unique complications of the SLN technique.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Silberman</LastName><ForeName>Allan W</ForeName><Initials>AW</Initials><AffiliationInfo><Affiliation>Divisions of Surgical Oncology, Cedars-Sinai Medical Center, Los Angeles, California, USA. AWS222@aol.com</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>McVay</LastName><ForeName>Carie</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Cohen</LastName><ForeName>Jason S</ForeName><Initials>JS</Initials></Author><Author ValidYN="Y"><LastName>Altura</LastName><ForeName>Jack F</ForeName><Initials>JF</Initials></Author><Author ValidYN="Y"><LastName>Brackert</LastName><ForeName>Sandra</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Sarna</LastName><ForeName>Gregory P</ForeName><Initials>GP</Initials></Author><Author ValidYN="Y"><LastName>Palmer</LastName><ForeName>Daphne</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Ko</LastName><ForeName>Albert</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Memsic</LastName><ForeName>Leslie</ForeName><Initials>L</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Ann Surg</MedlineTA><NlmUniqueID>0372354</NlmUniqueID><ISSNLinking>0003-4932</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Cancer. 1989 Jan 1;63(1):181-7</RefSource><PMID Version="1">2910416</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Radiology. 1991 Jul;180(1):177-84</RefSource><PMID Version="1">2052688</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Clin Oncol. 1996 Dec;14(12):3105-11</RefSource><PMID Version="1">8955655</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>N Engl J Med. 1997 Oct 2;337(14):949-55</RefSource><PMID 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Version="1">14974761</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Ann Surg. 1977 Oct;186(4):481-90</RefSource><PMID Version="1">907393</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Cancer. 1987 Feb 15;59(4):682-7</RefSource><PMID Version="1">3802027</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Ann Surg. 1987 Aug;206(2):206-9</RefSource><PMID Version="1">3606247</PMID></CommentsCorrections><CommentsCorrections RefType="CommentIn"><RefSource>Ann Surg. 2004 Jul;240(1):7-8</RefSource><PMID Version="1">15213611</PMID></CommentsCorrections></CommentsCorrectionsList><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></MeshHeading><MeshHeading><DescriptorName UI="D001365" MajorTopicYN="N">Axilla</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000532" MajorTopicYN="N">radiotherapy</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003131" MajorTopicYN="N">Combined Modality Therapy</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="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008207" MajorTopicYN="N">Lymphatic Metastasis</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015411" MajorTopicYN="N">Mastectomy, Modified Radical</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015412" MajorTopicYN="N">Mastectomy, Segmental</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D021701" MajorTopicYN="N">Sentinel Lymph Node Biopsy</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading></MeshHeadingList><OtherID Source="NLM">PMC1356366</OtherID></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2004</Year><Month>6</Month><Day>24</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2004</Year><Month>7</Month><Day>23</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2004</Year><Month>6</Month><Day>24</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">15213610</ArticleId><ArticleId IdType="pii">00000658-200407000-00001</ArticleId><ArticleId IdType="pmc">PMC1356366</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Californie</li></region></list><tree><noCountry><name sortKey="Altura, Jack F" sort="Altura, Jack F" uniqKey="Altura J" first="Jack F" last="Altura">Jack F. Altura</name><name sortKey="Brackert, Sandra" sort="Brackert, Sandra" uniqKey="Brackert S" first="Sandra" last="Brackert">Sandra Brackert</name><name sortKey="Cohen, Jason S" sort="Cohen, Jason S" uniqKey="Cohen J" first="Jason S" last="Cohen">Jason S. Cohen</name><name sortKey="Ko, Albert" sort="Ko, Albert" uniqKey="Ko A" first="Albert" last="Ko">Albert Ko</name><name sortKey="Mcvay, Carie" sort="Mcvay, Carie" uniqKey="Mcvay C" first="Carie" last="Mcvay">Carie Mcvay</name><name sortKey="Memsic, Leslie" sort="Memsic, Leslie" uniqKey="Memsic L" first="Leslie" last="Memsic">Leslie Memsic</name><name sortKey="Palmer, Daphne" sort="Palmer, Daphne" uniqKey="Palmer D" first="Daphne" last="Palmer">Daphne Palmer</name><name sortKey="Sarna, Gregory P" sort="Sarna, Gregory P" uniqKey="Sarna G" first="Gregory P" last="Sarna">Gregory P. Sarna</name></noCountry><country name="États-Unis"><region name="Californie"><name sortKey="Silberman, Allan W" sort="Silberman, Allan W" uniqKey="Silberman A" first="Allan W" last="Silberman">Allan W. Silberman</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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