[Secondary lymphedema of the arm following primary therapy of breast carcinoma].
Identifieur interne : 005087 ( PubMed/Checkpoint ); précédent : 005086; suivant : 005088[Secondary lymphedema of the arm following primary therapy of breast carcinoma].
Auteurs : H. Schünemann ; N. WillichSource :
- Zentralblatt fur Chirurgie [ 0044-409X ] ; 1992.
Descripteurs français
- KwdFr :
- MESH :
- effets indésirables : Mastectomie.
- radiothérapie : Tumeurs du sein.
- étiologie : Lymphoedème.
- Bras, Facteurs temps, Femelle, Humains, Lymphoedème, Lésions radio-induites, Mastectomie, Tumeurs du sein.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Mastectomy.
- complications : Radiation Injuries.
- etiology : Lymphedema.
- methods : Mastectomy.
- prevention & control : Lymphedema.
- radiotherapy : Breast Neoplasms.
- surgery : Breast Neoplasms.
- Arm, Female, Humans, Time Factors.
Abstract
1107 cases of lymphedema of the ipsilateral arm (27%) were found in 4011 female breast cancer patients suffered from 4101 breast cancer, seen in the Bad Trissl hospital between 1972 and 1990. The right arm was affected in 47.5%, the left in 52.5%. Primary treatment had consisted of operation alone in 1630 patients with a consecutive rate of edema of 20.3%. Additional irradiation increased this rate up to 31.4% (n = 2471). The rate of edema after radical mastectomy (n = 731), modified radical mastectomy (n = 3149) and breast preserving operation (n = 221) were 39.2% and 9.5% respectively. Adjuvant radiotherapy increased the edema rate of each the surgical procedures (radical mastectomy alone 22.7%, with irradiation 44.7%, modified radical mastectomy alone 19.9%, with irradiation 29.3%, breast preserving operation alone 6.9%, with irradiation 10.4%). During the observation time from 1972 to 1990, the edema rate was reduced from 38% to 18%, reflecting the change of the chosen therapy modalities (radical surgery and conventional irradiation from the 50th's to the early 70th's, breast preserving techniques with modern megavoltage irradiation in the late 80th's). A further reduction of the lymphedema rates by minimization of the aggressiveness of the treatment seems to be possible and should be taken into account for preserving an optimal quality of life.
PubMed: 1604944
Affiliations:
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Willich</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1992">1992</date><idno type="RBID">pubmed:1604944</idno><idno type="pmid">1604944</idno><idno type="wicri:Area/PubMed/Corpus">005996</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">005996</idno><idno type="wicri:Area/PubMed/Curation">005996</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">005996</idno><idno type="wicri:Area/PubMed/Checkpoint">005996</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">005996</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Secondary lymphedema of the arm following primary therapy of breast carcinoma].</title><author><name sortKey="Schunemann, H" sort="Schunemann, H" uniqKey="Schunemann H" first="H" last="Schünemann">H. Schünemann</name><affiliation><nlm:affiliation>Onkologische Klinik, Abteilung Gynäkolgie, Westfälischen Wilhelms-Universität Münster.</nlm:affiliation><wicri:noCountry code="subField">Westfälischen Wilhelms-Universität Münster</wicri:noCountry></affiliation></author><author><name sortKey="Willich, N" sort="Willich, N" uniqKey="Willich N" first="N" last="Willich">N. Willich</name></author></analytic><series><title level="j">Zentralblatt fur Chirurgie</title><idno type="ISSN">0044-409X</idno><imprint><date when="1992" type="published">1992</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Arm</term><term>Breast Neoplasms (radiotherapy)</term><term>Breast Neoplasms (surgery)</term><term>Female</term><term>Humans</term><term>Lymphedema (etiology)</term><term>Lymphedema (prevention & control)</term><term>Mastectomy (adverse effects)</term><term>Mastectomy (methods)</term><term>Radiation Injuries (complications)</term><term>Time Factors</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Bras</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Lymphoedème ()</term><term>Lymphoedème (étiologie)</term><term>Lésions radio-induites ()</term><term>Mastectomie ()</term><term>Mastectomie (effets indésirables)</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (radiothérapie)</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Mastectomy</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Radiation Injuries</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Mastectomie</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Mastectomy</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Lymphedema</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>Arm</term><term>Female</term><term>Humans</term><term>Time Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Bras</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Lymphoedème</term><term>Lésions radio-induites</term><term>Mastectomie</term><term>Tumeurs du sein</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">1107 cases of lymphedema of the ipsilateral arm (27%) were found in 4011 female breast cancer patients suffered from 4101 breast cancer, seen in the Bad Trissl hospital between 1972 and 1990. The right arm was affected in 47.5%, the left in 52.5%. Primary treatment had consisted of operation alone in 1630 patients with a consecutive rate of edema of 20.3%. Additional irradiation increased this rate up to 31.4% (n = 2471). The rate of edema after radical mastectomy (n = 731), modified radical mastectomy (n = 3149) and breast preserving operation (n = 221) were 39.2% and 9.5% respectively. Adjuvant radiotherapy increased the edema rate of each the surgical procedures (radical mastectomy alone 22.7%, with irradiation 44.7%, modified radical mastectomy alone 19.9%, with irradiation 29.3%, breast preserving operation alone 6.9%, with irradiation 10.4%). During the observation time from 1972 to 1990, the edema rate was reduced from 38% to 18%, reflecting the change of the chosen therapy modalities (radical surgery and conventional irradiation from the 50th's to the early 70th's, breast preserving techniques with modern megavoltage irradiation in the late 80th's). A further reduction of the lymphedema rates by minimization of the aggressiveness of the treatment seems to be possible and should be taken into account for preserving an optimal quality of life.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">1604944</PMID><DateCreated><Year>1992</Year><Month>07</Month><Day>10</Day></DateCreated><DateCompleted><Year>1992</Year><Month>07</Month><Day>10</Day></DateCompleted><DateRevised><Year>2006</Year><Month>11</Month><Day>15</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0044-409X</ISSN><JournalIssue CitedMedium="Print"><Volume>117</Volume><Issue>4</Issue><PubDate><Year>1992</Year></PubDate></JournalIssue><Title>Zentralblatt fur Chirurgie</Title><ISOAbbreviation>Zentralbl Chir</ISOAbbreviation></Journal><ArticleTitle>[Secondary lymphedema of the arm following primary therapy of breast carcinoma].</ArticleTitle><Pagination><MedlinePgn>220-5</MedlinePgn></Pagination><Abstract><AbstractText>1107 cases of lymphedema of the ipsilateral arm (27%) were found in 4011 female breast cancer patients suffered from 4101 breast cancer, seen in the Bad Trissl hospital between 1972 and 1990. The right arm was affected in 47.5%, the left in 52.5%. Primary treatment had consisted of operation alone in 1630 patients with a consecutive rate of edema of 20.3%. Additional irradiation increased this rate up to 31.4% (n = 2471). The rate of edema after radical mastectomy (n = 731), modified radical mastectomy (n = 3149) and breast preserving operation (n = 221) were 39.2% and 9.5% respectively. Adjuvant radiotherapy increased the edema rate of each the surgical procedures (radical mastectomy alone 22.7%, with irradiation 44.7%, modified radical mastectomy alone 19.9%, with irradiation 29.3%, breast preserving operation alone 6.9%, with irradiation 10.4%). During the observation time from 1972 to 1990, the edema rate was reduced from 38% to 18%, reflecting the change of the chosen therapy modalities (radical surgery and conventional irradiation from the 50th's to the early 70th's, breast preserving techniques with modern megavoltage irradiation in the late 80th's). A further reduction of the lymphedema rates by minimization of the aggressiveness of the treatment seems to be possible and should be taken into account for preserving an optimal quality of life.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Schünemann</LastName><ForeName>H</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Onkologische Klinik, Abteilung Gynäkolgie, Westfälischen Wilhelms-Universität Münster.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Willich</LastName><ForeName>N</ForeName><Initials>N</Initials></Author></AuthorList><Language>ger</Language><PublicationTypeList><PublicationType UI="D004740">English Abstract</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Sekundäre Armlymphödeme nach Primärtherapie von Mammakarzinomen.</VernacularTitle></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Zentralbl Chir</MedlineTA><NlmUniqueID>0413645</NlmUniqueID><ISSNLinking>0044-409X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D001132" MajorTopicYN="N">Arm</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000532" MajorTopicYN="N">radiotherapy</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008408" MajorTopicYN="N">Mastectomy</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011832" MajorTopicYN="N">Radiation Injuries</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1992</Year><Month>1</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1992</Year><Month>1</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1992</Year><Month>1</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">1604944</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list></list><tree><noCountry><name sortKey="Schunemann, H" sort="Schunemann, H" uniqKey="Schunemann H" first="H" last="Schünemann">H. Schünemann</name><name sortKey="Willich, N" sort="Willich, N" uniqKey="Willich N" first="N" last="Willich">N. Willich</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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