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Preoperative Lymphedema-Related Risk Factors in Early-Stage Breast Cancer.

Identifieur interne : 000281 ( PubMed/Corpus ); précédent : 000280; suivant : 000282

Preoperative Lymphedema-Related Risk Factors in Early-Stage Breast Cancer.

Auteurs : Zeynep Erdogan Iyigun ; Tomris Duymaz ; Ahmet Serkan Ilgun ; Gul Alco ; Cetin Ordu ; Dauren Sarsenov ; Ayse Esra Aydin ; Filiz Elbuken Celebi ; Filiz Izci ; Ye Im Eralp ; Vahit Ozmen

Source :

RBID : pubmed:28346852

Abstract

Prolongation of survival in patients with breast cancer due to early diagnosis and modern methods of treatment has turned the attention on lymphedema, which is the most important morbidity secondary to the treatment of the disease. Determination of lymphedema and related risk factors in patients before a surgical intervention may provide protection for patients and early treatment. The aim of this study was to determine the presence of lymphedema before surgery by bioimpedance analysis in patients with breast cancer and to establish risk factors associated with lymphedema.

DOI: 10.1089/lrb.2016.0045
PubMed: 28346852

Links to Exploration step

pubmed:28346852

Le document en format XML

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<nlm:affiliation>1 Department of Physical Theraphy and Rehabilitation, Istanbul Bilim University School of Medicine , Istanbul, Turkey .</nlm:affiliation>
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<nlm:affiliation>9 Department of Breast Surgery, Istanbul University Istanbul Medical Faculty , Istanbul, Turkey .</nlm:affiliation>
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<name sortKey="Erdogan Iyigun, Zeynep" sort="Erdogan Iyigun, Zeynep" uniqKey="Erdogan Iyigun Z" first="Zeynep" last="Erdogan Iyigun">Zeynep Erdogan Iyigun</name>
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<nlm:affiliation>1 Department of Physical Theraphy and Rehabilitation, Istanbul Bilim University School of Medicine , Istanbul, Turkey .</nlm:affiliation>
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<name sortKey="Ilgun, Ahmet Serkan" sort="Ilgun, Ahmet Serkan" uniqKey="Ilgun A" first="Ahmet Serkan" last="Ilgun">Ahmet Serkan Ilgun</name>
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<nlm:affiliation>2 Department of General Surgery, Gaziosmanpaşa Taksim Training and Research Hospital , Istanbul, Turkey .</nlm:affiliation>
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<name sortKey="Ordu, Cetin" sort="Ordu, Cetin" uniqKey="Ordu C" first="Cetin" last="Ordu">Cetin Ordu</name>
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<nlm:affiliation>4 Department of Medical Oncology, Gayrettepe Florence Nightingale Hospital , Istanbul, Turkey .</nlm:affiliation>
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<name sortKey="Sarsenov, Dauren" sort="Sarsenov, Dauren" uniqKey="Sarsenov D" first="Dauren" last="Sarsenov">Dauren Sarsenov</name>
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<nlm:affiliation>5 Department of Breast Surgery, Istanbul Florence Nightingale Hospital , Istanbul, Turkey .</nlm:affiliation>
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<name sortKey="Aydin, Ayse Esra" sort="Aydin, Ayse Esra" uniqKey="Aydin A" first="Ayse Esra" last="Aydin">Ayse Esra Aydin</name>
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<nlm:affiliation>5 Department of Breast Surgery, Istanbul Florence Nightingale Hospital , Istanbul, Turkey .</nlm:affiliation>
</affiliation>
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<name sortKey="Elbuken Celebi, Filiz" sort="Elbuken Celebi, Filiz" uniqKey="Elbuken Celebi F" first="Filiz" last="Elbuken Celebi">Filiz Elbuken Celebi</name>
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<nlm:affiliation>6 Department of Radiology, Gayrettepe Florence Nightingale Hospital , Istanbul, Turkey .</nlm:affiliation>
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<name sortKey="Izci, Filiz" sort="Izci, Filiz" uniqKey="Izci F" first="Filiz" last="Izci">Filiz Izci</name>
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<nlm:affiliation>7 Department of Psychiatry, Istanbul Bilim University School of Medicine , Istanbul, Turkey .</nlm:affiliation>
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<name sortKey="Eralp, Ye Im" sort="Eralp, Ye Im" uniqKey="Eralp Y" first="Ye Im" last="Eralp">Ye Im Eralp</name>
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<nlm:affiliation>8 Department of Medical Oncology, Oncology Institute, Istanbul University , Istanbul, Turkey .</nlm:affiliation>
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<name sortKey="Ozmen, Vahit" sort="Ozmen, Vahit" uniqKey="Ozmen V" first="Vahit" last="Ozmen">Vahit Ozmen</name>
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<nlm:affiliation>9 Department of Breast Surgery, Istanbul University Istanbul Medical Faculty , Istanbul, Turkey .</nlm:affiliation>
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<title level="j">Lymphatic research and biology</title>
<idno type="eISSN">1557-8585</idno>
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<div type="abstract" xml:lang="en">Prolongation of survival in patients with breast cancer due to early diagnosis and modern methods of treatment has turned the attention on lymphedema, which is the most important morbidity secondary to the treatment of the disease. Determination of lymphedema and related risk factors in patients before a surgical intervention may provide protection for patients and early treatment. The aim of this study was to determine the presence of lymphedema before surgery by bioimpedance analysis in patients with breast cancer and to establish risk factors associated with lymphedema.</div>
</front>
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<PMID Version="1">28346852</PMID>
<DateCreated>
<Year>2017</Year>
<Month>03</Month>
<Day>27</Day>
</DateCreated>
<DateRevised>
<Year>2017</Year>
<Month>04</Month>
<Day>24</Day>
</DateRevised>
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<ISSN IssnType="Electronic">1557-8585</ISSN>
<JournalIssue CitedMedium="Internet">
<PubDate>
<Year>2017</Year>
<Month>Mar</Month>
<Day>27</Day>
</PubDate>
</JournalIssue>
<Title>Lymphatic research and biology</Title>
<ISOAbbreviation>Lymphat Res Biol</ISOAbbreviation>
</Journal>
<ArticleTitle>Preoperative Lymphedema-Related Risk Factors in Early-Stage Breast Cancer.</ArticleTitle>
<ELocationID EIdType="doi" ValidYN="Y">10.1089/lrb.2016.0045</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Prolongation of survival in patients with breast cancer due to early diagnosis and modern methods of treatment has turned the attention on lymphedema, which is the most important morbidity secondary to the treatment of the disease. Determination of lymphedema and related risk factors in patients before a surgical intervention may provide protection for patients and early treatment. The aim of this study was to determine the presence of lymphedema before surgery by bioimpedance analysis in patients with breast cancer and to establish risk factors associated with lymphedema.</AbstractText>
<AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">A total of 277 patients who were diagnosed as having breast cancer, were planned to undergo a surgical intervention, and had no clinical lymphedema were included in the study. The presence of lymphedema was evaluated with clinical examination, measurement of arm circumference, and bioimpedance analysis.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Lymphedema was found in 59 (21.3%) patients with no detected differences in arm circumferences. A significant relationship was found between the presence of lymphedema and body mass index (BMI), number of positive lymph nodes, and capsule invasion of the tumor (p = 0.001, p = 0.003, p = 0.002, respectively). Multiple regression analysis revealed that BMI and the number of positive lymph nodes were independent variables (p = 0.024, p = 0.002). ROC curve analysis resulted in an increased risk of preoperative lymphedema when the number of positive lymph nodes was ≥8. Correlation analysis revealed a positive correlation between the number of positive lymph nodes and L-dex score (p = 0.001, r = 0.219).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Preoperative bioimpedance analysis demonstrated that ∼1/5 of the patients had subclinical lymphedema. Preoperative subclinical lymphedema is associated with obesity and the number of positive lymph nodes, and thus, treatment of the axilla in patients who are preoperatively detected to have subclinical lymphedema should be revised.</AbstractText>
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<LastName>Erdogan Iyigun</LastName>
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<Affiliation>1 Department of Physical Theraphy and Rehabilitation, Istanbul Bilim University School of Medicine , Istanbul, Turkey .</Affiliation>
</AffiliationInfo>
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<Affiliation>9 Department of Breast Surgery, Istanbul University Istanbul Medical Faculty , Istanbul, Turkey .</Affiliation>
</AffiliationInfo>
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<Language>eng</Language>
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<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">bioimpedance analysis</Keyword>
<Keyword MajorTopicYN="N">lymphedema</Keyword>
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