Sympathetic Block as a New Treatment for Lymphedema.
Identifieur interne : 000D44 ( PubMed/Corpus ); précédent : 000D43; suivant : 000D45Sympathetic Block as a New Treatment for Lymphedema.
Auteurs : Eunjoo Choi ; Francis Sahngun Nahm ; Pyung-Bok LeeSource :
- Pain physician [ 2150-1149 ]
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Arm (pathology), Autonomic Nerve Block (methods), Breast Neoplasms (diagnosis), Breast Neoplasms (epidemiology), Breast Neoplasms (therapy), Female, Humans, Lymphedema (diagnosis), Lymphedema (epidemiology), Lymphedema (therapy), Middle Aged, Quality of Life (psychology), Retrospective Studies, Treatment Outcome.
- MESH :
- diagnosis : Breast Neoplasms, Lymphedema.
- epidemiology : Breast Neoplasms, Lymphedema.
- methods : Autonomic Nerve Block.
- pathology : Arm.
- psychology : Quality of Life.
- therapy : Breast Neoplasms, Lymphedema.
- Adult, Aged, Aged, 80 and over, Female, Humans, Middle Aged, Retrospective Studies, Treatment Outcome.
Abstract
Breast cancer-related lymphedema (BCRL) not only has physical implications, but also affects the quality of life in breast cancer survivors. Despite numerous studies of various therapies, the optimal treatment for BCRL is unknown.
PubMed: 26218940
Links to Exploration step
pubmed:26218940Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Sympathetic Block as a New Treatment for Lymphedema.</title>
<author><name sortKey="Choi, Eunjoo" sort="Choi, Eunjoo" uniqKey="Choi E" first="Eunjoo" last="Choi">Eunjoo Choi</name>
<affiliation><nlm:affiliation>Department of Anesthesiology and Pain Medicine., Seoul National University Bundang Hospital, Seongnam-si, Bundang-gu Korea.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Nahm, Francis Sahngun" sort="Nahm, Francis Sahngun" uniqKey="Nahm F" first="Francis Sahngun" last="Nahm">Francis Sahngun Nahm</name>
</author>
<author><name sortKey="Lee, Pyung Bok" sort="Lee, Pyung Bok" uniqKey="Lee P" first="Pyung-Bok" last="Lee">Pyung-Bok Lee</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PubMed</idno>
<date when="????"><PubDate><MedlineDate>2015 Jul-Aug</MedlineDate>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Sympathetic Block as a New Treatment for Lymphedema.</title>
<author><name sortKey="Choi, Eunjoo" sort="Choi, Eunjoo" uniqKey="Choi E" first="Eunjoo" last="Choi">Eunjoo Choi</name>
<affiliation><nlm:affiliation>Department of Anesthesiology and Pain Medicine., Seoul National University Bundang Hospital, Seongnam-si, Bundang-gu Korea.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Nahm, Francis Sahngun" sort="Nahm, Francis Sahngun" uniqKey="Nahm F" first="Francis Sahngun" last="Nahm">Francis Sahngun Nahm</name>
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<author><name sortKey="Lee, Pyung Bok" sort="Lee, Pyung Bok" uniqKey="Lee P" first="Pyung-Bok" last="Lee">Pyung-Bok Lee</name>
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<series><title level="j">Pain physician</title>
<idno type="eISSN">2150-1149</idno>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Arm (pathology)</term>
<term>Autonomic Nerve Block (methods)</term>
<term>Breast Neoplasms (diagnosis)</term>
<term>Breast Neoplasms (epidemiology)</term>
<term>Breast Neoplasms (therapy)</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphedema (diagnosis)</term>
<term>Lymphedema (epidemiology)</term>
<term>Lymphedema (therapy)</term>
<term>Middle Aged</term>
<term>Quality of Life (psychology)</term>
<term>Retrospective Studies</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Breast Neoplasms</term>
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Breast Neoplasms</term>
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Autonomic Nerve Block</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Arm</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Quality of Life</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Breast Neoplasms</term>
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Retrospective Studies</term>
<term>Treatment Outcome</term>
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<front><div type="abstract" xml:lang="en">Breast cancer-related lymphedema (BCRL) not only has physical implications, but also affects the quality of life in breast cancer survivors. Despite numerous studies of various therapies, the optimal treatment for BCRL is unknown.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26218940</PMID>
<DateCreated><Year>2015</Year>
<Month>07</Month>
<Day>29</Day>
</DateCreated>
<DateCompleted><Year>2016</Year>
<Month>02</Month>
<Day>17</Day>
</DateCompleted>
<DateRevised><Year>2015</Year>
<Month>07</Month>
<Day>29</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">2150-1149</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>18</Volume>
<Issue>4</Issue>
<PubDate><MedlineDate>2015 Jul-Aug</MedlineDate>
</PubDate>
</JournalIssue>
<Title>Pain physician</Title>
<ISOAbbreviation>Pain Physician</ISOAbbreviation>
</Journal>
<ArticleTitle>Sympathetic Block as a New Treatment for Lymphedema.</ArticleTitle>
<Pagination><MedlinePgn>365-72</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Breast cancer-related lymphedema (BCRL) not only has physical implications, but also affects the quality of life in breast cancer survivors. Despite numerous studies of various therapies, the optimal treatment for BCRL is unknown.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">In this study, we investigated the efficacy of sympathetic blockade (thoracic sympathetic ganglion block, [TSGB]) in treating BCRL.</AbstractText>
<AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">Retrospective study.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">Tertiary referral center/teaching hospital.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">TSGB was performed in 35 patients under fluoroscopic guidance. First, arm circumference and Lymphedema and Breast Cancer Questionnaire [LBCQ] score were assessed before TSGB and 2 weeks and 2 months after the procedure. Efficacy was defined as a ≥ 50% reduction in the LBCQ score and a ≥ 50% decrease in the circumference difference between the unaffected and affected arms 2 months after TSGB. Second, TSGB efficacy according to the lymphedema stage and the period between BCRL onset and TSGB (< 6 months vs. > 6 months) was evaluated.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The arm circumference and LBCQ score significantly decreased at 2 months (P < 0.001), and 65.7% of patients showed good efficacy. Patients with high stage lymphedema showed improved efficacy after TSGB compared to those with low stage disease (P = 0.045). The TSGB efficacy did not differ according to the period between BCRL onset and TSGB.</AbstractText>
<AbstractText Label="LIMITATIONS" NlmCategory="CONCLUSIONS">This study was not a randomized prospective controlled study and did not compare the therapeutic outcomes to those in a conservative treatment group.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">TSGB in BCRL patients appears to be effective in decreasing the affected arm circumference. TSGB may be an alternative option in BCRL patients who do not respond to conservative therapy.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Choi</LastName>
<ForeName>Eunjoo</ForeName>
<Initials>E</Initials>
<AffiliationInfo><Affiliation>Department of Anesthesiology and Pain Medicine., Seoul National University Bundang Hospital, Seongnam-si, Bundang-gu Korea.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Nahm</LastName>
<ForeName>Francis Sahngun</ForeName>
<Initials>FS</Initials>
</Author>
<Author ValidYN="Y"><LastName>Lee</LastName>
<ForeName>Pyung-Bok</ForeName>
<Initials>PB</Initials>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Pain Physician</MedlineTA>
<NlmUniqueID>100954394</NlmUniqueID>
<ISSNLinking>1533-3159</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001132" MajorTopicYN="N">Arm</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001340" MajorTopicYN="N">Autonomic Nerve Block</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</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="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011788" MajorTopicYN="N">Quality of Life</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2015</Year>
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<PubMedPubDate PubStatus="medline"><Year>2016</Year>
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