Arm lymphoedema and upper limb impairments in sentinel node-negative breast cancer patients: A one year follow-up study.
Identifieur interne : 000682 ( PubMed/Corpus ); précédent : 000681; suivant : 000683Arm lymphoedema and upper limb impairments in sentinel node-negative breast cancer patients: A one year follow-up study.
Auteurs : An De Groef ; Marijke Van Kampen ; Elena Tieto ; Petra Schönweger ; Marie-Rose Christiaens ; Patrick Neven ; Inge Geraerts ; Nick Gebruers ; Nele DevoogdtSource :
- Breast (Edinburgh, Scotland) [ 1532-3080 ] ; 2016.
English descriptors
- KwdEn :
- Aged, Arm (physiopathology), Breast Cancer Lymphedema (epidemiology), Breast Neoplasms (pathology), Breast Neoplasms (surgery), Female, Follow-Up Studies, Humans, Longitudinal Studies, Middle Aged, Musculoskeletal Diseases (epidemiology), Musculoskeletal Diseases (etiology), Musculoskeletal Pain (epidemiology), Musculoskeletal Pain (etiology), Prevalence, Range of Motion, Articular, Sentinel Lymph Node (pathology), Sentinel Lymph Node (surgery), Sentinel Lymph Node Biopsy (adverse effects), Shoulder (physiopathology), Surveys and Questionnaires, Upper Extremity (physiopathology).
- MESH :
- adverse effects : Sentinel Lymph Node Biopsy.
- epidemiology : Breast Cancer Lymphedema, Musculoskeletal Diseases, Musculoskeletal Pain.
- etiology : Musculoskeletal Diseases, Musculoskeletal Pain.
- pathology : Breast Neoplasms, Sentinel Lymph Node.
- physiopathology : Arm, Shoulder, Upper Extremity.
- surgery : Breast Neoplasms, Sentinel Lymph Node.
- Aged, Female, Follow-Up Studies, Humans, Longitudinal Studies, Middle Aged, Prevalence, Range of Motion, Articular, Surveys and Questionnaires.
Abstract
The aim of this study is (1) to investigate the prevalence rate of arm lymphedema, pain, impaired shoulder range of motion, strength and shoulder function one year after a sentinel lymph node biopsy (SLNB) for breast cancer and (2) to determine predictive factors for these complications.
DOI: 10.1016/j.breast.2016.07.021
PubMed: 27479040
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Electronic address: an.degroef@faber.kuleuven.be.</nlm:affiliation></affiliation></author><author><name sortKey="Van Kampen, Marijke" sort="Van Kampen, Marijke" uniqKey="Van Kampen M" first="Marijke" last="Van Kampen">Marijke Van Kampen</name><affiliation><nlm:affiliation>KU Leuven - University of Leuven, Department of Rehabilitation Sciences and University Hospitals Leuven, Department of Physical Medicine and Rehabilitation, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Tieto, Elena" sort="Tieto, Elena" uniqKey="Tieto E" first="Elena" last="Tieto">Elena Tieto</name><affiliation><nlm:affiliation>KU Leuven - University of Leuven, Department of Rehabilitation Sciences and University Hospitals Leuven, Department of Physical Medicine and Rehabilitation, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Schonweger, Petra" sort="Schonweger, Petra" uniqKey="Schonweger P" first="Petra" last="Schönweger">Petra Schönweger</name><affiliation><nlm:affiliation>KU Leuven - University of Leuven, Department of Rehabilitation Sciences and University Hospitals Leuven, Department of Physical Medicine and Rehabilitation, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Christiaens, Marie Rose" sort="Christiaens, Marie Rose" uniqKey="Christiaens M" first="Marie-Rose" last="Christiaens">Marie-Rose Christiaens</name><affiliation><nlm:affiliation>Multidisciplinary Breast Centre, University Hospitals Leuven, Leuven, Belgium; KU Leuven - University of Leuven, Oncology Department, Department of Surgical Oncology, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Neven, Patrick" sort="Neven, Patrick" uniqKey="Neven P" first="Patrick" last="Neven">Patrick Neven</name><affiliation><nlm:affiliation>Multidisciplinary Breast Centre, University Hospitals Leuven, Leuven, Belgium; Department of Obstetrics and Gynaecology, University Hospitals Leuven, Leuven, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Geraerts, Inge" sort="Geraerts, Inge" uniqKey="Geraerts I" first="Inge" last="Geraerts">Inge Geraerts</name><affiliation><nlm:affiliation>KU Leuven - University of Leuven, Department of Rehabilitation Sciences and University Hospitals Leuven, Department of Physical Medicine and Rehabilitation, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Gebruers, Nick" sort="Gebruers, Nick" uniqKey="Gebruers N" first="Nick" last="Gebruers">Nick Gebruers</name><affiliation><nlm:affiliation>Univeristy of Antwerp, Faculty of Medicine and Health Sciences, Department of Rehabilitation Sciences and Physiotherapy, Antwerp, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Devoogdt, Nele" sort="Devoogdt, Nele" uniqKey="Devoogdt N" first="Nele" last="Devoogdt">Nele Devoogdt</name><affiliation><nlm:affiliation>KU Leuven - University of Leuven, Department of Rehabilitation Sciences and University Hospitals Leuven, Department of Physical Medicine and Rehabilitation, Belgium.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2016">2016</date><idno type="RBID">pubmed:27479040</idno><idno type="pmid">27479040</idno><idno type="doi">10.1016/j.breast.2016.07.021</idno><idno type="wicri:Area/PubMed/Corpus">000682</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000682</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Arm lymphoedema and upper limb impairments in sentinel node-negative breast cancer patients: A one year follow-up study.</title><author><name sortKey="De Groef, An" sort="De Groef, An" uniqKey="De Groef A" first="An" last="De Groef">An De Groef</name><affiliation><nlm:affiliation>KU Leuven - University of Leuven, Department of Rehabilitation Sciences and University Hospitals Leuven, Department of Physical Medicine and Rehabilitation, Belgium. Electronic address: an.degroef@faber.kuleuven.be.</nlm:affiliation></affiliation></author><author><name sortKey="Van Kampen, Marijke" sort="Van Kampen, Marijke" uniqKey="Van Kampen M" first="Marijke" last="Van Kampen">Marijke Van Kampen</name><affiliation><nlm:affiliation>KU Leuven - University of Leuven, Department of Rehabilitation Sciences and University Hospitals Leuven, Department of Physical Medicine and Rehabilitation, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Tieto, Elena" sort="Tieto, Elena" uniqKey="Tieto E" first="Elena" last="Tieto">Elena Tieto</name><affiliation><nlm:affiliation>KU Leuven - University of Leuven, Department of Rehabilitation Sciences and University Hospitals Leuven, Department of Physical Medicine and Rehabilitation, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Schonweger, Petra" sort="Schonweger, Petra" uniqKey="Schonweger P" first="Petra" last="Schönweger">Petra Schönweger</name><affiliation><nlm:affiliation>KU Leuven - University of Leuven, Department of Rehabilitation Sciences and University Hospitals Leuven, Department of Physical Medicine and Rehabilitation, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Christiaens, Marie Rose" sort="Christiaens, Marie Rose" uniqKey="Christiaens M" first="Marie-Rose" last="Christiaens">Marie-Rose Christiaens</name><affiliation><nlm:affiliation>Multidisciplinary Breast Centre, University Hospitals Leuven, Leuven, Belgium; KU Leuven - University of Leuven, Oncology Department, Department of Surgical Oncology, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Neven, Patrick" sort="Neven, Patrick" uniqKey="Neven P" first="Patrick" last="Neven">Patrick Neven</name><affiliation><nlm:affiliation>Multidisciplinary Breast Centre, University Hospitals Leuven, Leuven, Belgium; Department of Obstetrics and Gynaecology, University Hospitals Leuven, Leuven, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Geraerts, Inge" sort="Geraerts, Inge" uniqKey="Geraerts I" first="Inge" last="Geraerts">Inge Geraerts</name><affiliation><nlm:affiliation>KU Leuven - University of Leuven, Department of Rehabilitation Sciences and University Hospitals Leuven, Department of Physical Medicine and Rehabilitation, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Gebruers, Nick" sort="Gebruers, Nick" uniqKey="Gebruers N" first="Nick" last="Gebruers">Nick Gebruers</name><affiliation><nlm:affiliation>Univeristy of Antwerp, Faculty of Medicine and Health Sciences, Department of Rehabilitation Sciences and Physiotherapy, Antwerp, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Devoogdt, Nele" sort="Devoogdt, Nele" uniqKey="Devoogdt N" first="Nele" last="Devoogdt">Nele Devoogdt</name><affiliation><nlm:affiliation>KU Leuven - University of Leuven, Department of Rehabilitation Sciences and University Hospitals Leuven, Department of Physical Medicine and Rehabilitation, Belgium.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Breast (Edinburgh, Scotland)</title><idno type="eISSN">1532-3080</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Arm (physiopathology)</term><term>Breast Cancer Lymphedema (epidemiology)</term><term>Breast Neoplasms (pathology)</term><term>Breast Neoplasms (surgery)</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Longitudinal Studies</term><term>Middle Aged</term><term>Musculoskeletal Diseases (epidemiology)</term><term>Musculoskeletal Diseases (etiology)</term><term>Musculoskeletal Pain (epidemiology)</term><term>Musculoskeletal Pain (etiology)</term><term>Prevalence</term><term>Range of Motion, Articular</term><term>Sentinel Lymph Node (pathology)</term><term>Sentinel Lymph Node (surgery)</term><term>Sentinel Lymph Node Biopsy (adverse effects)</term><term>Shoulder (physiopathology)</term><term>Surveys and Questionnaires</term><term>Upper Extremity (physiopathology)</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Sentinel Lymph Node Biopsy</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Breast Cancer Lymphedema</term><term>Musculoskeletal Diseases</term><term>Musculoskeletal Pain</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Musculoskeletal Diseases</term><term>Musculoskeletal Pain</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Breast Neoplasms</term><term>Sentinel Lymph Node</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Arm</term><term>Shoulder</term><term>Upper Extremity</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term><term>Sentinel Lymph Node</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Longitudinal Studies</term><term>Middle Aged</term><term>Prevalence</term><term>Range of Motion, Articular</term><term>Surveys and Questionnaires</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The aim of this study is (1) to investigate the prevalence rate of arm lymphedema, pain, impaired shoulder range of motion, strength and shoulder function one year after a sentinel lymph node biopsy (SLNB) for breast cancer and (2) to determine predictive factors for these complications.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27479040</PMID><DateCreated><Year>2016</Year><Month>09</Month><Day>07</Day></DateCreated><DateCompleted><Year>2017</Year><Month>03</Month><Day>14</Day></DateCompleted><DateRevised><Year>2017</Year><Month>03</Month><Day>14</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-3080</ISSN><JournalIssue CitedMedium="Internet"><Volume>29</Volume><PubDate><Year>2016</Year><Month>Oct</Month></PubDate></JournalIssue><Title>Breast (Edinburgh, Scotland)</Title><ISOAbbreviation>Breast</ISOAbbreviation></Journal><ArticleTitle>Arm lymphoedema and upper limb impairments in sentinel node-negative breast cancer patients: A one year follow-up study.</ArticleTitle><Pagination><MedlinePgn>102-8</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.breast.2016.07.021</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0960-9776(16)30131-X</ELocationID><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The aim of this study is (1) to investigate the prevalence rate of arm lymphedema, pain, impaired shoulder range of motion, strength and shoulder function one year after a sentinel lymph node biopsy (SLNB) for breast cancer and (2) to determine predictive factors for these complications.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A longitudinal study was performed. One hundred patients with a sentinel-lymph node negative breast cancer were included. All patients were measured before surgery and one year after. Arm lymphedema was measured with the perimeter, pain with the Visual Analogue Scale, shoulder range of motion with an inclinometer, strength with a handheld dynamometer and shoulder function with the Disability of Arm, Shoulder and Hand questionnaire. Patient-, breast cancer- and treatment-related variables were recorded.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">One year after surgery 8% of sentinel node-negative breast cancer patients had developed arm lymphedema. Fifty percent of patients had pain, 30% had an impaired shoulder range of motion, 8% had a decreased handgrip strength and 49% had an impaired shoulder function. Pain, shoulder range of motion, strength and shoulder dysfunctions changed significantly over one year (p < 0.001). Higher Body Mass Index is a predictive variable for shoulder dysfunctions one year post-SLNB.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Prevalence rate of lymphedema and other upper limb impairments may not be underestimated after SLNB. Pain, shoulder range of motion, handgrip strength and shoulder function change significantly up to one year compared to preoperative values in sentinel node-negative breast cancer patients.</AbstractText><CopyrightInformation>Copyright © 2016 Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>De Groef</LastName><ForeName>An</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>KU Leuven - University of Leuven, Department of Rehabilitation Sciences and University Hospitals Leuven, Department of Physical Medicine and Rehabilitation, Belgium. Electronic address: an.degroef@faber.kuleuven.be.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Van Kampen</LastName><ForeName>Marijke</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>KU Leuven - University of Leuven, Department of Rehabilitation Sciences and University Hospitals Leuven, Department of Physical Medicine and Rehabilitation, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tieto</LastName><ForeName>Elena</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>KU Leuven - University of Leuven, Department of Rehabilitation Sciences and University Hospitals Leuven, Department of Physical Medicine and Rehabilitation, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schönweger</LastName><ForeName>Petra</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>KU Leuven - University of Leuven, Department of Rehabilitation Sciences and University Hospitals Leuven, Department of Physical Medicine and Rehabilitation, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Christiaens</LastName><ForeName>Marie-Rose</ForeName><Initials>MR</Initials><AffiliationInfo><Affiliation>Multidisciplinary Breast Centre, University Hospitals Leuven, Leuven, Belgium; KU Leuven - University of Leuven, Oncology Department, Department of Surgical Oncology, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Neven</LastName><ForeName>Patrick</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Multidisciplinary Breast Centre, University Hospitals Leuven, Leuven, Belgium; Department of Obstetrics and Gynaecology, University Hospitals Leuven, Leuven, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Geraerts</LastName><ForeName>Inge</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>KU Leuven - University of Leuven, Department of Rehabilitation Sciences and University Hospitals Leuven, Department of Physical Medicine and Rehabilitation, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gebruers</LastName><ForeName>Nick</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Univeristy of Antwerp, Faculty of Medicine and Health Sciences, Department of Rehabilitation Sciences and Physiotherapy, Antwerp, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Devoogdt</LastName><ForeName>Nele</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>KU Leuven - University of Leuven, Department of Rehabilitation Sciences and University Hospitals Leuven, Department of Physical Medicine and Rehabilitation, Belgium.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>07</Month><Day>29</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Breast</MedlineTA><NlmUniqueID>9213011</NlmUniqueID><ISSNLinking>0960-9776</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001132" MajorTopicYN="N">Arm</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000072656" MajorTopicYN="N">Breast Cancer Lymphedema</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></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="D008137" MajorTopicYN="N">Longitudinal Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009140" MajorTopicYN="N">Musculoskeletal Diseases</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D059352" MajorTopicYN="N">Musculoskeletal Pain</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016059" MajorTopicYN="N">Range of Motion, Articular</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000071036" MajorTopicYN="N">Sentinel Lymph Node</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D021701" MajorTopicYN="N">Sentinel Lymph Node Biopsy</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012782" MajorTopicYN="N">Shoulder</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D034941" MajorTopicYN="N">Upper Extremity</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Breast neoplasms</Keyword><Keyword MajorTopicYN="N">Lymphedema</Keyword><Keyword MajorTopicYN="N">Sentinel lymph node biopsy</Keyword><Keyword MajorTopicYN="N">Shoulder morbidity</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>03</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2016</Year><Month>05</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>07</Month><Day>18</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>8</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>8</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>3</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27479040</ArticleId><ArticleId IdType="pii">S0960-9776(16)30131-X</ArticleId><ArticleId IdType="doi">10.1016/j.breast.2016.07.021</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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