Biomechanical Properties of the Skin in Patients with Breast Cancer-Related Lymphedema Compared to Healthy Individuals.
Identifieur interne : 000C99 ( PubMed/Corpus ); précédent : 000C98; suivant : 000D00Biomechanical Properties of the Skin in Patients with Breast Cancer-Related Lymphedema Compared to Healthy Individuals.
Auteurs : R C Killaars ; T R Lopez Penha ; E M Heuts ; R R J W. Van Der Hulst ; A A PiatkowskiSource :
- Lymphatic research and biology [ 1557-8585 ] ; 2015.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Arm (pathology), Biomechanical Phenomena, Breast Neoplasms (complications), Case-Control Studies, Child, Elasticity, Female, Humans, Lymphedema (diagnosis), Lymphedema (etiology), Middle Aged, Organ Size, Reproducibility of Results, Severity of Illness Index, Skin (pathology), Young Adult.
- MESH :
- complications : Breast Neoplasms.
- diagnosis : Lymphedema.
- etiology : Lymphedema.
- pathology : Arm, Skin.
- Adolescent, Adult, Aged, Biomechanical Phenomena, Case-Control Studies, Child, Elasticity, Female, Humans, Middle Aged, Organ Size, Reproducibility of Results, Severity of Illness Index, Young Adult.
Abstract
Biomechanical skin changes in breast cancer-related lymphedema (BRCL) have barely been described and objectively tested. This study aims to compare the skin of upper limb lymphedema with skin of the healthy contralateral arm, in order to demonstrate changes of elasticity, viscoelasticity, and level of hydration of the skin in BCRL. The secondary aim is to investigate the correlation between biomechanical skin changes and measurements that are currently used in clinical practice, such as volume measurement and lymph-ICF score.
DOI: 10.1089/lrb.2014.0049
PubMed: 26305284
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Biomechanical Properties of the Skin in Patients with Breast Cancer-Related Lymphedema Compared to Healthy Individuals.</title><author><name sortKey="Killaars, R C" sort="Killaars, R C" uniqKey="Killaars R" first="R C" last="Killaars">R C Killaars</name><affiliation><nlm:affiliation>1 Department of Plastic and Reconstructive Surgery, Maastricht University Medical Centre+ (MUMC+) , Maastricht, The Netherlands .</nlm:affiliation></affiliation></author><author><name sortKey="Penha, T R Lopez" sort="Penha, T R Lopez" uniqKey="Penha T" first="T R Lopez" last="Penha">T R Lopez Penha</name><affiliation><nlm:affiliation>1 Department of Plastic and Reconstructive Surgery, Maastricht University Medical Centre+ (MUMC+) , Maastricht, The Netherlands .</nlm:affiliation></affiliation></author><author><name sortKey="Heuts, E M" sort="Heuts, E M" uniqKey="Heuts E" first="E M" last="Heuts">E M Heuts</name><affiliation><nlm:affiliation>2 Department of General Surgery, Maastricht University Medical Centre+ (MUMC+) , Maastricht, The Netherlands .</nlm:affiliation></affiliation></author><author><name sortKey="Van Der Hulst, R R J W" sort="Van Der Hulst, R R J W" uniqKey="Van Der Hulst R" first="R R J W" last="Van Der Hulst">R R J W. Van Der Hulst</name><affiliation><nlm:affiliation>1 Department of Plastic and Reconstructive Surgery, Maastricht University Medical Centre+ (MUMC+) , Maastricht, The Netherlands .</nlm:affiliation></affiliation></author><author><name sortKey="Piatkowski, A A" sort="Piatkowski, A A" uniqKey="Piatkowski A" first="A A" last="Piatkowski">A A Piatkowski</name><affiliation><nlm:affiliation>1 Department of Plastic and Reconstructive Surgery, Maastricht University Medical Centre+ (MUMC+) , Maastricht, The Netherlands .</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:26305284</idno><idno type="pmid">26305284</idno><idno type="doi">10.1089/lrb.2014.0049</idno><idno type="wicri:Area/PubMed/Corpus">000C99</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000C99</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Biomechanical Properties of the Skin in Patients with Breast Cancer-Related Lymphedema Compared to Healthy Individuals.</title><author><name sortKey="Killaars, R C" sort="Killaars, R C" uniqKey="Killaars R" first="R C" last="Killaars">R C Killaars</name><affiliation><nlm:affiliation>1 Department of Plastic and Reconstructive Surgery, Maastricht University Medical Centre+ (MUMC+) , Maastricht, The Netherlands .</nlm:affiliation></affiliation></author><author><name sortKey="Penha, T R Lopez" sort="Penha, T R Lopez" uniqKey="Penha T" first="T R Lopez" last="Penha">T R Lopez Penha</name><affiliation><nlm:affiliation>1 Department of Plastic and Reconstructive Surgery, Maastricht University Medical Centre+ (MUMC+) , Maastricht, The Netherlands .</nlm:affiliation></affiliation></author><author><name sortKey="Heuts, E M" sort="Heuts, E M" uniqKey="Heuts E" first="E M" last="Heuts">E M Heuts</name><affiliation><nlm:affiliation>2 Department of General Surgery, Maastricht University Medical Centre+ (MUMC+) , Maastricht, The Netherlands .</nlm:affiliation></affiliation></author><author><name sortKey="Van Der Hulst, R R J W" sort="Van Der Hulst, R R J W" uniqKey="Van Der Hulst R" first="R R J W" last="Van Der Hulst">R R J W. Van Der Hulst</name><affiliation><nlm:affiliation>1 Department of Plastic and Reconstructive Surgery, Maastricht University Medical Centre+ (MUMC+) , Maastricht, The Netherlands .</nlm:affiliation></affiliation></author><author><name sortKey="Piatkowski, A A" sort="Piatkowski, A A" uniqKey="Piatkowski A" first="A A" last="Piatkowski">A A Piatkowski</name><affiliation><nlm:affiliation>1 Department of Plastic and Reconstructive Surgery, Maastricht University Medical Centre+ (MUMC+) , Maastricht, The Netherlands .</nlm:affiliation></affiliation></author></analytic><series><title level="j">Lymphatic research and biology</title><idno type="eISSN">1557-8585</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Arm (pathology)</term><term>Biomechanical Phenomena</term><term>Breast Neoplasms (complications)</term><term>Case-Control Studies</term><term>Child</term><term>Elasticity</term><term>Female</term><term>Humans</term><term>Lymphedema (diagnosis)</term><term>Lymphedema (etiology)</term><term>Middle Aged</term><term>Organ Size</term><term>Reproducibility of Results</term><term>Severity of Illness Index</term><term>Skin (pathology)</term><term>Young Adult</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Arm</term><term>Skin</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Biomechanical Phenomena</term><term>Case-Control Studies</term><term>Child</term><term>Elasticity</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Organ Size</term><term>Reproducibility of Results</term><term>Severity of Illness Index</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Biomechanical skin changes in breast cancer-related lymphedema (BRCL) have barely been described and objectively tested. This study aims to compare the skin of upper limb lymphedema with skin of the healthy contralateral arm, in order to demonstrate changes of elasticity, viscoelasticity, and level of hydration of the skin in BCRL. The secondary aim is to investigate the correlation between biomechanical skin changes and measurements that are currently used in clinical practice, such as volume measurement and lymph-ICF score.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26305284</PMID><DateCreated><Year>2015</Year><Month>09</Month><Day>12</Day></DateCreated><DateCompleted><Year>2016</Year><Month>06</Month><Day>17</Day></DateCompleted><DateRevised><Year>2015</Year><Month>09</Month><Day>12</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1557-8585</ISSN><JournalIssue CitedMedium="Internet"><Volume>13</Volume><Issue>3</Issue><PubDate><Year>2015</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Lymphatic research and biology</Title><ISOAbbreviation>Lymphat Res Biol</ISOAbbreviation></Journal><ArticleTitle>Biomechanical Properties of the Skin in Patients with Breast Cancer-Related Lymphedema Compared to Healthy Individuals.</ArticleTitle><Pagination><MedlinePgn>215-21</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1089/lrb.2014.0049</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Biomechanical skin changes in breast cancer-related lymphedema (BRCL) have barely been described and objectively tested. This study aims to compare the skin of upper limb lymphedema with skin of the healthy contralateral arm, in order to demonstrate changes of elasticity, viscoelasticity, and level of hydration of the skin in BCRL. The secondary aim is to investigate the correlation between biomechanical skin changes and measurements that are currently used in clinical practice, such as volume measurement and lymph-ICF score.</AbstractText><AbstractText Label="METHODS AND RESULTS" NlmCategory="RESULTS">Eighteen patients with BCRL and 18 healthy individuals were included in the study. A Cutometer® was used for measurements for skin elasticity and viscoelasticity on both arms of each subject. A Corneometer® was used for measurements of skin hydration. Measurements of both test groups were compared. In BCRL patients, there was a significant difference (p = < 0.028) between the elasticity of the skin of the lymphedema arm compared to the healthy contralateral arm. There were no significant differences for level of skin hydration or viscoelasticity in lymphedema patients between the measurements on the skin of the lymphedematous and healthy arm. In healthy individuals, there were no significant differences for all measurements between skin of both arms. Spearman's correlation was significant (p = < 0.01) for difference in volume and difference in elasticity in BCRL patients.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">This study shows an impaired elasticity for the skin of the lower arm in patients with lymphedema compared to the contralateral healthy arm. Promising evidence is suggested for the use of the Cutometer device in the diagnostic evaluation of BCRL.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Killaars</LastName><ForeName>R C</ForeName><Initials>RC</Initials><AffiliationInfo><Affiliation>1 Department of Plastic and Reconstructive Surgery, Maastricht University Medical Centre+ (MUMC+) , Maastricht, The Netherlands .</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Penha</LastName><ForeName>T R Lopez</ForeName><Initials>TR</Initials><AffiliationInfo><Affiliation>1 Department of Plastic and Reconstructive Surgery, Maastricht University Medical Centre+ (MUMC+) , Maastricht, The Netherlands .</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>2 Department of General Surgery, Maastricht University Medical Centre+ (MUMC+) , Maastricht, The Netherlands .</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Heuts</LastName><ForeName>E M</ForeName><Initials>EM</Initials><AffiliationInfo><Affiliation>2 Department of General Surgery, Maastricht University Medical Centre+ (MUMC+) , Maastricht, The Netherlands .</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>van der Hulst</LastName><ForeName>R R J W</ForeName><Initials>RR</Initials><AffiliationInfo><Affiliation>1 Department of Plastic and Reconstructive Surgery, Maastricht University Medical Centre+ (MUMC+) , Maastricht, The Netherlands .</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Piatkowski</LastName><ForeName>A A</ForeName><Initials>AA</Initials><AffiliationInfo><Affiliation>1 Department of Plastic and Reconstructive Surgery, Maastricht University Medical Centre+ (MUMC+) , Maastricht, The Netherlands .</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>08</Month><Day>25</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Lymphat Res Biol</MedlineTA><NlmUniqueID>101163587</NlmUniqueID><ISSNLinking>1539-6851</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001132" MajorTopicYN="N">Arm</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001696" MajorTopicYN="Y">Biomechanical Phenomena</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016022" MajorTopicYN="N">Case-Control Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004548" MajorTopicYN="N">Elasticity</DescriptorName></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="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009929" MajorTopicYN="N">Organ Size</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015203" MajorTopicYN="N">Reproducibility of Results</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012720" MajorTopicYN="N">Severity of Illness Index</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012867" MajorTopicYN="N">Skin</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>8</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>8</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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