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Systematic review of breast cancer related lymphoedema: making a balanced decision to perform an axillary clearance.

Identifieur interne : 001D84 ( PubMed/Corpus ); précédent : 001D83; suivant : 001D85

Systematic review of breast cancer related lymphoedema: making a balanced decision to perform an axillary clearance.

Auteurs : M. Göker ; N. Devoogdt ; G. Van De Putte ; J C Schobbens ; J. Vlasselaer ; R. Van Den Broecke ; E T M. De Jonge

Source :

RBID : pubmed:24753936

Abstract

Breast cancer-related lymphoedema (BCRL) is a disabling complication developing after breast cancer treatment in a proportion of patients. Its impact on quality of life becomes more substantial as survival after breast cancer diagnosis increases. The incidence of BCRL following breast cancer treatment varies due to a lack of -uniform definition and measurement criteria. This review aims to determine the prevalence of BCRL following axillary lymph node dissection (ALND) as a benchmark to be used in a risk-benefit medical decision whether to proceed with ALND or not. The risk of leaving unresected non-sentinel metastatic lymph nodes with a presumed inherent risk of local recurrence will be balanced against the risk of BCRL following a potentially unnecessary ALND.

PubMed: 24753936

Links to Exploration step

pubmed:24753936

Le document en format XML

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<title xml:lang="en">Systematic review of breast cancer related lymphoedema: making a balanced decision to perform an axillary clearance.</title>
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<name sortKey="Goker, M" sort="Goker, M" uniqKey="Goker M" first="M" last="Göker">M. Göker</name>
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<nlm:affiliation>Department of Obstetrics & Gynaecology, Ziekenhuis Oost-Limburg Campus St Jan, Schiepse Bos 6, 3600 Genk, -Belgium.</nlm:affiliation>
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<name sortKey="Devoogdt, N" sort="Devoogdt, N" uniqKey="Devoogdt N" first="N" last="Devoogdt">N. Devoogdt</name>
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<name sortKey="Van De Putte, G" sort="Van De Putte, G" uniqKey="Van De Putte G" first="G" last="Van De Putte">G. Van De Putte</name>
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<name sortKey="Schobbens, J C" sort="Schobbens, J C" uniqKey="Schobbens J" first="J C" last="Schobbens">J C Schobbens</name>
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<nlm:affiliation>Department of Obstetrics & Gynaecology, Ziekenhuis Oost-Limburg Campus St Jan, Schiepse Bos 6, 3600 Genk, -Belgium.</nlm:affiliation>
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<name sortKey="Vlasselaer, J" sort="Vlasselaer, J" uniqKey="Vlasselaer J" first="J" last="Vlasselaer">J. Vlasselaer</name>
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<nlm:affiliation>Department of Obstetrics & Gynaecology, Ziekenhuis Oost-Limburg Campus St Jan, Schiepse Bos 6, 3600 Genk, -Belgium.</nlm:affiliation>
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<name sortKey="Van Den Broecke, R" sort="Van Den Broecke, R" uniqKey="Van Den Broecke R" first="R" last="Van Den Broecke">R. Van Den Broecke</name>
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<title xml:lang="en">Systematic review of breast cancer related lymphoedema: making a balanced decision to perform an axillary clearance.</title>
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<name sortKey="Goker, M" sort="Goker, M" uniqKey="Goker M" first="M" last="Göker">M. Göker</name>
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<name sortKey="Devoogdt, N" sort="Devoogdt, N" uniqKey="Devoogdt N" first="N" last="Devoogdt">N. Devoogdt</name>
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<nlm:affiliation>Department of Revalidation Sciences, University Hospitals Leuven, Herestraat 49 bus 7003, 3000 Leuven, Belgium.</nlm:affiliation>
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<name sortKey="Van De Putte, G" sort="Van De Putte, G" uniqKey="Van De Putte G" first="G" last="Van De Putte">G. Van De Putte</name>
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<nlm:affiliation>Department of Obstetrics & Gynaecology, Ziekenhuis Oost-Limburg Campus St Jan, Schiepse Bos 6, 3600 Genk, -Belgium.</nlm:affiliation>
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<name sortKey="Schobbens, J C" sort="Schobbens, J C" uniqKey="Schobbens J" first="J C" last="Schobbens">J C Schobbens</name>
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<nlm:affiliation>Department of Obstetrics & Gynaecology, Ziekenhuis Oost-Limburg Campus St Jan, Schiepse Bos 6, 3600 Genk, -Belgium.</nlm:affiliation>
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<nlm:affiliation>Department of Obstetrics & Gynaecology, Ziekenhuis Oost-Limburg Campus St Jan, Schiepse Bos 6, 3600 Genk, -Belgium.</nlm:affiliation>
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<name sortKey="Van Den Broecke, R" sort="Van Den Broecke, R" uniqKey="Van Den Broecke R" first="R" last="Van Den Broecke">R. Van Den Broecke</name>
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<nlm:affiliation>Department of Obstetrics & Gynaecology, University Hospital Ghent, De Pintelaan 185, 9000 Ghent, Belgium.</nlm:affiliation>
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<name sortKey="De Jonge, E T M" sort="De Jonge, E T M" uniqKey="De Jonge E" first="E T M" last="De Jonge">E T M. De Jonge</name>
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<nlm:affiliation>Department of Obstetrics & Gynaecology, Ziekenhuis Oost-Limburg Campus St Jan, Schiepse Bos 6, 3600 Genk, -Belgium.</nlm:affiliation>
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<title level="j">Facts, views & vision in ObGyn</title>
<idno type="ISSN">2032-0418</idno>
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<date when="2013" type="published">2013</date>
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<front>
<div type="abstract" xml:lang="en">Breast cancer-related lymphoedema (BCRL) is a disabling complication developing after breast cancer treatment in a proportion of patients. Its impact on quality of life becomes more substantial as survival after breast cancer diagnosis increases. The incidence of BCRL following breast cancer treatment varies due to a lack of -uniform definition and measurement criteria. This review aims to determine the prevalence of BCRL following axillary lymph node dissection (ALND) as a benchmark to be used in a risk-benefit medical decision whether to proceed with ALND or not. The risk of leaving unresected non-sentinel metastatic lymph nodes with a presumed inherent risk of local recurrence will be balanced against the risk of BCRL following a potentially unnecessary ALND.</div>
</front>
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<pubmed>
<MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM">
<PMID Version="1">24753936</PMID>
<DateCreated>
<Year>2014</Year>
<Month>04</Month>
<Day>22</Day>
</DateCreated>
<DateCompleted>
<Year>2014</Year>
<Month>06</Month>
<Day>24</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>02</Month>
<Day>20</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">2032-0418</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>5</Volume>
<Issue>2</Issue>
<PubDate>
<Year>2013</Year>
</PubDate>
</JournalIssue>
<Title>Facts, views & vision in ObGyn</Title>
<ISOAbbreviation>Facts Views Vis Obgyn</ISOAbbreviation>
</Journal>
<ArticleTitle>Systematic review of breast cancer related lymphoedema: making a balanced decision to perform an axillary clearance.</ArticleTitle>
<Pagination>
<MedlinePgn>106-15</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="AIM" NlmCategory="OBJECTIVE">Breast cancer-related lymphoedema (BCRL) is a disabling complication developing after breast cancer treatment in a proportion of patients. Its impact on quality of life becomes more substantial as survival after breast cancer diagnosis increases. The incidence of BCRL following breast cancer treatment varies due to a lack of -uniform definition and measurement criteria. This review aims to determine the prevalence of BCRL following axillary lymph node dissection (ALND) as a benchmark to be used in a risk-benefit medical decision whether to proceed with ALND or not. The risk of leaving unresected non-sentinel metastatic lymph nodes with a presumed inherent risk of local recurrence will be balanced against the risk of BCRL following a potentially unnecessary ALND.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Pubmed and Embase databases were searched for all publications on BCRL in order to estimate its -incidence and to decide on the most appropriate measurement method to use in clinical practice.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">51 articles were identified on BCRL incidence and measurement technique. Most studies measured BCRL based on differences in arm circumference (n = 18) or by self-reported symptoms (n = 18). The weighted average of BCRL incidence following ALND measured by self-report and circumference method was 28% and 16%, respectively.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The importance of ALND and irradiation as part of the treatment of operable breast carcinoma is well established, but its morbidity is less well documented. We argue self-report as the most appropriate method to -establish a diagnosis of BCRL. Therefore a 28% risk of finding non-sentinel lymph node metastases in a completion ALND will be regarded as the cut-off in a medical decision to proceed with ALND.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Göker</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>Department of Obstetrics & Gynaecology, Ziekenhuis Oost-Limburg Campus St Jan, Schiepse Bos 6, 3600 Genk, -Belgium.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Devoogdt</LastName>
<ForeName>N</ForeName>
<Initials>N</Initials>
<AffiliationInfo>
<Affiliation>Department of Revalidation Sciences, University Hospitals Leuven, Herestraat 49 bus 7003, 3000 Leuven, Belgium.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Van de Putte</LastName>
<ForeName>G</ForeName>
<Initials>G</Initials>
<AffiliationInfo>
<Affiliation>Department of Obstetrics & Gynaecology, Ziekenhuis Oost-Limburg Campus St Jan, Schiepse Bos 6, 3600 Genk, -Belgium.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Schobbens</LastName>
<ForeName>J C</ForeName>
<Initials>JC</Initials>
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<Affiliation>Department of Obstetrics & Gynaecology, Ziekenhuis Oost-Limburg Campus St Jan, Schiepse Bos 6, 3600 Genk, -Belgium.</Affiliation>
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<LastName>Vlasselaer</LastName>
<ForeName>J</ForeName>
<Initials>J</Initials>
<AffiliationInfo>
<Affiliation>Department of Obstetrics & Gynaecology, Ziekenhuis Oost-Limburg Campus St Jan, Schiepse Bos 6, 3600 Genk, -Belgium.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Van den Broecke</LastName>
<ForeName>R</ForeName>
<Initials>R</Initials>
<AffiliationInfo>
<Affiliation>Department of Obstetrics & Gynaecology, University Hospital Ghent, De Pintelaan 185, 9000 Ghent, Belgium.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>de Jonge</LastName>
<ForeName>E T M</ForeName>
<Initials>ET</Initials>
<AffiliationInfo>
<Affiliation>Department of Obstetrics & Gynaecology, Ziekenhuis Oost-Limburg Campus St Jan, Schiepse Bos 6, 3600 Genk, -Belgium.</Affiliation>
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<Language>eng</Language>
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<PMID Version="1">19365624</PMID>
</CommentsCorrections>
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<Keyword MajorTopicYN="N">Breast cancer</Keyword>
<Keyword MajorTopicYN="N">axillary lymph node dissection</Keyword>
<Keyword MajorTopicYN="N">definition</Keyword>
<Keyword MajorTopicYN="N">incidence</Keyword>
<Keyword MajorTopicYN="N">lymphoedema</Keyword>
<Keyword MajorTopicYN="N">prevalence</Keyword>
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<ArticleId IdType="pubmed">24753936</ArticleId>
<ArticleId IdType="pmc">PMC3987359</ArticleId>
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