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Risk Factors Affecting Breast Cancer-related Lymphedema: Serial Body Weight Change During Neoadjuvant Anthracycline Plus Cyclophosphamide Followed by Taxane.

Identifieur interne : 000105 ( PubMed/Corpus ); précédent : 000104; suivant : 000106

Risk Factors Affecting Breast Cancer-related Lymphedema: Serial Body Weight Change During Neoadjuvant Anthracycline Plus Cyclophosphamide Followed by Taxane.

Auteurs : Sungmin Park ; Jeong Eon Lee ; Jonghan Yu ; Hyun-June Paik ; Jai Min Ryu ; Isaac Kim ; Soo Youn Bae ; Se Kyung Lee ; Seok Won Kim ; Seok Jin Nam ; Eun-Kyu Kim ; Eunyoung Kang ; Eun Joo Yang

Source :

RBID : pubmed:28705541

Abstract

The aim of our study was to analyze the risk of lymphedema (LE) according to the clinicopathologic factors and to investigate the serial change in body weight during neoadjuvant anthracycline plus cyclophosphamide followed by taxane and its correlation with the incidence of LE.

DOI: 10.1016/j.clbc.2017.06.003
PubMed: 28705541

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pubmed:28705541

Le document en format XML

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<name sortKey="Ryu, Jai Min" sort="Ryu, Jai Min" uniqKey="Ryu J" first="Jai Min" last="Ryu">Jai Min Ryu</name>
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<title xml:lang="en">Risk Factors Affecting Breast Cancer-related Lymphedema: Serial Body Weight Change During Neoadjuvant Anthracycline Plus Cyclophosphamide Followed by Taxane.</title>
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<name sortKey="Kim, Seok Won" sort="Kim, Seok Won" uniqKey="Kim S" first="Seok Won" last="Kim">Seok Won Kim</name>
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<name sortKey="Kang, Eunyoung" sort="Kang, Eunyoung" uniqKey="Kang E" first="Eunyoung" last="Kang">Eunyoung Kang</name>
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<title level="j">Clinical breast cancer</title>
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<div type="abstract" xml:lang="en">The aim of our study was to analyze the risk of lymphedema (LE) according to the clinicopathologic factors and to investigate the serial change in body weight during neoadjuvant anthracycline plus cyclophosphamide followed by taxane and its correlation with the incidence of LE.</div>
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<DateCreated>
<Year>2017</Year>
<Month>07</Month>
<Day>14</Day>
</DateCreated>
<DateRevised>
<Year>2017</Year>
<Month>07</Month>
<Day>14</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1938-0666</ISSN>
<JournalIssue CitedMedium="Internet">
<PubDate>
<Year>2017</Year>
<Month>Jun</Month>
<Day>21</Day>
</PubDate>
</JournalIssue>
<Title>Clinical breast cancer</Title>
<ISOAbbreviation>Clin. Breast Cancer</ISOAbbreviation>
</Journal>
<ArticleTitle>Risk Factors Affecting Breast Cancer-related Lymphedema: Serial Body Weight Change During Neoadjuvant Anthracycline Plus Cyclophosphamide Followed by Taxane.</ArticleTitle>
<ELocationID EIdType="pii" ValidYN="Y">S1526-8209(16)30518-3</ELocationID>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.clbc.2017.06.003</ELocationID>
<Abstract>
<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">The aim of our study was to analyze the risk of lymphedema (LE) according to the clinicopathologic factors and to investigate the serial change in body weight during neoadjuvant anthracycline plus cyclophosphamide followed by taxane and its correlation with the incidence of LE.</AbstractText>
<AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">We performed a retrospective 2-center study of 406 patients who had undergone neoadjuvant chemotherapy (NAC) followed by surgery from 2007 to 2014. The regimen included 4 cycles of anthracycline plus cyclophosphamide, followed by 4 cycles of taxane. We investigated the presence and degree of LE using a telephone questionnaire assessment. Weight changes were calculated at each cycle of NAC, and the baseline and preoperative body weights were used to calculate the rate of change to account for the change in weight before and after NAC.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Of the 406 patients, 270 answered the questionnaires, of whom 97 (35.9%) experienced LE. The increase in body weight was significant during the 4 cycles of taxane, but the change in weight was not significant during the 4 cycles of anthracycline plus cyclophosphamide. The change in body weight was most significant just after the fourth cycle of taxane (P < .001). The body mass index (BMI) was an independent factor of LE occurrence on multivariate analysis. However, the change in body weight was not a significant factor for the incidence of LE.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Because a BMI ≥ 25 kg/m(2) was an independent factor of LE occurrence on multivariate analysis, patients with a preoperative BMI ≥ 25 kg/m(2) should be closely monitored for LE given their increased risk, and monitoring and education should be initiated before surgery and continued throughout the course of NAC.</AbstractText>
<CopyrightInformation>Copyright © 2017 The Authors. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
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<LastName>Park</LastName>
<ForeName>Sungmin</ForeName>
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<Affiliation>Department of Surgery, Chungbuk National University Hospital, College of Medicine, Chungbuk National University, Cheongju, Korea.</Affiliation>
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<ForeName>Eun-Kyu</ForeName>
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<LastName>Kang</LastName>
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<ForeName>Eun Joo</ForeName>
<Initials>EJ</Initials>
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<Affiliation>Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. Electronic address: graceloves@gmail.com.</Affiliation>
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<Language>eng</Language>
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<MedlineTA>Clin Breast Cancer</MedlineTA>
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<Keyword MajorTopicYN="N">Lymphedema</Keyword>
<Keyword MajorTopicYN="N">Neoadjuvant chemotherapy</Keyword>
<Keyword MajorTopicYN="N">Serial body weight change</Keyword>
<Keyword MajorTopicYN="N">Taxane</Keyword>
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