The importance of detection of subclinical lymphedema for the prevention of breast cancer-related clinical lymphedema after axillary lymph node dissection; a prospective observational study.
Identifieur interne : 001141 ( PubMed/Corpus ); précédent : 001140; suivant : 001142The importance of detection of subclinical lymphedema for the prevention of breast cancer-related clinical lymphedema after axillary lymph node dissection; a prospective observational study.
Auteurs : Atilla Soran ; Tolga Ozmen ; Kandace P. Mcguire ; Emilia J. Diego ; Priscilla F. Mcauliffe ; Marguerite Bonaventura ; Gretchen M. Ahrendt ; Lori Degore ; Ronald JohnsonSource :
- Lymphatic research and biology [ 1557-8585 ] ; 2014.
English descriptors
- KwdEn :
- Axilla, Breast Neoplasms (pathology), Breast Neoplasms (surgery), Case-Control Studies, Female, Follow-Up Studies, Humans, Lymph Node Excision (adverse effects), Lymphedema (diagnosis), Lymphedema (etiology), Lymphedema (prevention & control), Mastectomy (adverse effects), Middle Aged, Neoplasm Staging, Prognosis, Prospective Studies, Quality of Life, Sentinel Lymph Node Biopsy (adverse effects).
- MESH :
- adverse effects : Lymph Node Excision, Mastectomy, Sentinel Lymph Node Biopsy.
- diagnosis : Lymphedema.
- etiology : Lymphedema.
- pathology : Breast Neoplasms.
- prevention & control : Lymphedema.
- surgery : Breast Neoplasms.
- Axilla, Case-Control Studies, Female, Follow-Up Studies, Humans, Middle Aged, Neoplasm Staging, Prognosis, Prospective Studies, Quality of Life.
Abstract
Early detection and timely intervention have potential to reduce late-stage lymphedema (LE) in patients with breast cancer undergoing axillary lymph node dissection (ALND). This study aims to determine if detection and early treatment of subclinical LE by using prospective monitoring with bioimpedance spectroscopy (BIS) can lead to reduced development of clinical LE.
DOI: 10.1089/lrb.2014.0035
PubMed: 25495384
Links to Exploration step
pubmed:25495384Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The importance of detection of subclinical lymphedema for the prevention of breast cancer-related clinical lymphedema after axillary lymph node dissection; a prospective observational study.</title><author><name sortKey="Soran, Atilla" sort="Soran, Atilla" uniqKey="Soran A" first="Atilla" last="Soran">Atilla Soran</name><affiliation><nlm:affiliation>Breast Unit, Department of Surgical Oncology, Magee-Womens Hospital of UPMC , Pittsburgh, Pennsylvania.</nlm:affiliation></affiliation></author><author><name sortKey="Ozmen, Tolga" sort="Ozmen, Tolga" uniqKey="Ozmen T" first="Tolga" last="Ozmen">Tolga Ozmen</name></author><author><name sortKey="Mcguire, Kandace P" sort="Mcguire, Kandace P" uniqKey="Mcguire K" first="Kandace P" last="Mcguire">Kandace P. Mcguire</name></author><author><name sortKey="Diego, Emilia J" sort="Diego, Emilia J" uniqKey="Diego E" first="Emilia J" last="Diego">Emilia J. Diego</name></author><author><name sortKey="Mcauliffe, Priscilla F" sort="Mcauliffe, Priscilla F" uniqKey="Mcauliffe P" first="Priscilla F" last="Mcauliffe">Priscilla F. Mcauliffe</name></author><author><name sortKey="Bonaventura, Marguerite" sort="Bonaventura, Marguerite" uniqKey="Bonaventura M" first="Marguerite" last="Bonaventura">Marguerite Bonaventura</name></author><author><name sortKey="Ahrendt, Gretchen M" sort="Ahrendt, Gretchen M" uniqKey="Ahrendt G" first="Gretchen M" last="Ahrendt">Gretchen M. Ahrendt</name></author><author><name sortKey="Degore, Lori" sort="Degore, Lori" uniqKey="Degore L" first="Lori" last="Degore">Lori Degore</name></author><author><name sortKey="Johnson, Ronald" sort="Johnson, Ronald" uniqKey="Johnson R" first="Ronald" last="Johnson">Ronald Johnson</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:25495384</idno><idno type="pmid">25495384</idno><idno type="doi">10.1089/lrb.2014.0035</idno><idno type="wicri:Area/PubMed/Corpus">001141</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001141</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">The importance of detection of subclinical lymphedema for the prevention of breast cancer-related clinical lymphedema after axillary lymph node dissection; a prospective observational study.</title><author><name sortKey="Soran, Atilla" sort="Soran, Atilla" uniqKey="Soran A" first="Atilla" last="Soran">Atilla Soran</name><affiliation><nlm:affiliation>Breast Unit, Department of Surgical Oncology, Magee-Womens Hospital of UPMC , Pittsburgh, Pennsylvania.</nlm:affiliation></affiliation></author><author><name sortKey="Ozmen, Tolga" sort="Ozmen, Tolga" uniqKey="Ozmen T" first="Tolga" last="Ozmen">Tolga Ozmen</name></author><author><name sortKey="Mcguire, Kandace P" sort="Mcguire, Kandace P" uniqKey="Mcguire K" first="Kandace P" last="Mcguire">Kandace P. Mcguire</name></author><author><name sortKey="Diego, Emilia J" sort="Diego, Emilia J" uniqKey="Diego E" first="Emilia J" last="Diego">Emilia J. Diego</name></author><author><name sortKey="Mcauliffe, Priscilla F" sort="Mcauliffe, Priscilla F" uniqKey="Mcauliffe P" first="Priscilla F" last="Mcauliffe">Priscilla F. Mcauliffe</name></author><author><name sortKey="Bonaventura, Marguerite" sort="Bonaventura, Marguerite" uniqKey="Bonaventura M" first="Marguerite" last="Bonaventura">Marguerite Bonaventura</name></author><author><name sortKey="Ahrendt, Gretchen M" sort="Ahrendt, Gretchen M" uniqKey="Ahrendt G" first="Gretchen M" last="Ahrendt">Gretchen M. Ahrendt</name></author><author><name sortKey="Degore, Lori" sort="Degore, Lori" uniqKey="Degore L" first="Lori" last="Degore">Lori Degore</name></author><author><name sortKey="Johnson, Ronald" sort="Johnson, Ronald" uniqKey="Johnson R" first="Ronald" last="Johnson">Ronald Johnson</name></author></analytic><series><title level="j">Lymphatic research and biology</title><idno type="eISSN">1557-8585</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Axilla</term><term>Breast Neoplasms (pathology)</term><term>Breast Neoplasms (surgery)</term><term>Case-Control Studies</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Lymph Node Excision (adverse effects)</term><term>Lymphedema (diagnosis)</term><term>Lymphedema (etiology)</term><term>Lymphedema (prevention & control)</term><term>Mastectomy (adverse effects)</term><term>Middle Aged</term><term>Neoplasm Staging</term><term>Prognosis</term><term>Prospective Studies</term><term>Quality of Life</term><term>Sentinel Lymph Node Biopsy (adverse effects)</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term><term>Mastectomy</term><term>Sentinel Lymph Node Biopsy</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>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Axilla</term><term>Case-Control Studies</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Middle Aged</term><term>Neoplasm Staging</term><term>Prognosis</term><term>Prospective Studies</term><term>Quality of Life</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Early detection and timely intervention have potential to reduce late-stage lymphedema (LE) in patients with breast cancer undergoing axillary lymph node dissection (ALND). This study aims to determine if detection and early treatment of subclinical LE by using prospective monitoring with bioimpedance spectroscopy (BIS) can lead to reduced development of clinical LE.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25495384</PMID><DateCreated><Year>2014</Year><Month>12</Month><Day>16</Day></DateCreated><DateCompleted><Year>2015</Year><Month>08</Month><Day>18</Day></DateCompleted><DateRevised><Year>2014</Year><Month>12</Month><Day>16</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1557-8585</ISSN><JournalIssue CitedMedium="Internet"><Volume>12</Volume><Issue>4</Issue><PubDate><Year>2014</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Lymphatic research and biology</Title><ISOAbbreviation>Lymphat Res Biol</ISOAbbreviation></Journal><ArticleTitle>The importance of detection of subclinical lymphedema for the prevention of breast cancer-related clinical lymphedema after axillary lymph node dissection; a prospective observational study.</ArticleTitle><Pagination><MedlinePgn>289-94</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1089/lrb.2014.0035</ELocationID><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Early detection and timely intervention have potential to reduce late-stage lymphedema (LE) in patients with breast cancer undergoing axillary lymph node dissection (ALND). This study aims to determine if detection and early treatment of subclinical LE by using prospective monitoring with bioimpedance spectroscopy (BIS) can lead to reduced development of clinical LE.</AbstractText><AbstractText Label="METHODS AND RESULTS" NlmCategory="RESULTS">Subclinical LE was prospectively detected using an L-Dex(®) U400 analyzer to measure BIS in 186 patients who underwent ALND between 2010 and 2013 through our LE monitoring program. Baseline measurements were obtained and at 3-6 month intervals for 5 years. Patients diagnosed with subclinical LE received short-term physical therapy, compression garments, and education about exercise, elevation, infection precautions, BMI, and hand usage. The control group had a preoperative baseline L-Dex(®) measurement, but had only clinical follow-ups with circumferential arm measurements. Mean age and BMI were 56 years and 28.3 kg/m(2), respectively. The majority of the women underwent mastectomy (61%) and received chemotherapy (89%) and radiotherapy (77%). Thirty-three percent patients who had repeated L-Dex measurements were diagnosed with subclinical LE and received early intervention. Progression to clinical lymphedema occurred in 4.4% over an average of 20 months follow-up. In the control group, the incidence of clinical LE was 36.4%.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Periodic monitoring of women at high risk for LE with BIS allows early detection and timely intervention for LE, which reduces the incidence of clinical LE from 36.4% to 4.4%. This may have implications for quality of life and health care costs.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Soran</LastName><ForeName>Atilla</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Breast Unit, Department of Surgical Oncology, Magee-Womens Hospital of UPMC , Pittsburgh, Pennsylvania.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ozmen</LastName><ForeName>Tolga</ForeName><Initials>T</Initials></Author><Author ValidYN="Y"><LastName>McGuire</LastName><ForeName>Kandace P</ForeName><Initials>KP</Initials></Author><Author ValidYN="Y"><LastName>Diego</LastName><ForeName>Emilia J</ForeName><Initials>EJ</Initials></Author><Author ValidYN="Y"><LastName>McAuliffe</LastName><ForeName>Priscilla F</ForeName><Initials>PF</Initials></Author><Author ValidYN="Y"><LastName>Bonaventura</LastName><ForeName>Marguerite</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Ahrendt</LastName><ForeName>Gretchen M</ForeName><Initials>GM</Initials></Author><Author ValidYN="Y"><LastName>DeGore</LastName><ForeName>Lori</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Johnson</LastName><ForeName>Ronald</ForeName><Initials>R</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D064888">Observational Study</PublicationType></PublicationTypeList></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="D001365" MajorTopicYN="N">Axilla</DescriptorName></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="D016022" MajorTopicYN="N">Case-Control Studies</DescriptorName></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="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008408" MajorTopicYN="N">Mastectomy</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009367" MajorTopicYN="N">Neoplasm Staging</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011379" MajorTopicYN="N">Prognosis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011788" MajorTopicYN="N">Quality of Life</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D021701" MajorTopicYN="N">Sentinel Lymph Node Biopsy</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>12</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>12</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>8</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25495384</ArticleId><ArticleId IdType="doi">10.1089/lrb.2014.0035</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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