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Positive impact of delayed breast reconstruction on breast-cancer treatment-related arm lymphoedema.

Identifieur interne : 002189 ( PubMed/Corpus ); précédent : 002188; suivant : 002190

Positive impact of delayed breast reconstruction on breast-cancer treatment-related arm lymphoedema.

Auteurs : Marie Blanchard ; Maria Arrault ; Stéphane Vignes

Source :

RBID : pubmed:22472052

English descriptors

Abstract

The study aims to determine the impact of delayed breast reconstruction on women with breast-cancer treatment-related lymphoedema after mastectomy.

DOI: 10.1016/j.bjps.2012.03.019
PubMed: 22472052

Links to Exploration step

pubmed:22472052

Le document en format XML

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<title xml:lang="en">Positive impact of delayed breast reconstruction on breast-cancer treatment-related arm lymphoedema.</title>
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<name sortKey="Blanchard, Marie" sort="Blanchard, Marie" uniqKey="Blanchard M" first="Marie" last="Blanchard">Marie Blanchard</name>
<affiliation>
<nlm:affiliation>Department of Lymphology, Hôpital Cognacq-Jay, 15, rue Eugène Millon, 75015 Paris, France.</nlm:affiliation>
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<author>
<name sortKey="Arrault, Maria" sort="Arrault, Maria" uniqKey="Arrault M" first="Maria" last="Arrault">Maria Arrault</name>
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<author>
<name sortKey="Vignes, Stephane" sort="Vignes, Stephane" uniqKey="Vignes S" first="Stéphane" last="Vignes">Stéphane Vignes</name>
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<title xml:lang="en">Positive impact of delayed breast reconstruction on breast-cancer treatment-related arm lymphoedema.</title>
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<name sortKey="Vignes, Stephane" sort="Vignes, Stephane" uniqKey="Vignes S" first="Stéphane" last="Vignes">Stéphane Vignes</name>
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<title level="j">Journal of plastic, reconstructive & aesthetic surgery : JPRAS</title>
<idno type="eISSN">1878-0539</idno>
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<term>Adult</term>
<term>Aged</term>
<term>Breast Neoplasms (complications)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Disease Progression</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>France (epidemiology)</term>
<term>Hand</term>
<term>Humans</term>
<term>Incidence</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymphedema (diagnosis)</term>
<term>Lymphedema (epidemiology)</term>
<term>Lymphedema (etiology)</term>
<term>Mammaplasty (adverse effects)</term>
<term>Middle Aged</term>
<term>Postoperative Complications</term>
<term>Prognosis</term>
<term>Retrospective Studies</term>
<term>Severity of Illness Index</term>
<term>Surgical Flaps</term>
<term>Time Factors</term>
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<term>France</term>
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<term>Lymph Node Excision</term>
<term>Mammaplasty</term>
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<term>Breast Neoplasms</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Breast Neoplasms</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Disease Progression</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Hand</term>
<term>Humans</term>
<term>Incidence</term>
<term>Middle Aged</term>
<term>Postoperative Complications</term>
<term>Prognosis</term>
<term>Retrospective Studies</term>
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<div type="abstract" xml:lang="en">The study aims to determine the impact of delayed breast reconstruction on women with breast-cancer treatment-related lymphoedema after mastectomy.</div>
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<Volume>65</Volume>
<Issue>8</Issue>
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<Title>Journal of plastic, reconstructive & aesthetic surgery : JPRAS</Title>
<ISOAbbreviation>J Plast Reconstr Aesthet Surg</ISOAbbreviation>
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<ArticleTitle>Positive impact of delayed breast reconstruction on breast-cancer treatment-related arm lymphoedema.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The study aims to determine the impact of delayed breast reconstruction on women with breast-cancer treatment-related lymphoedema after mastectomy.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Twenty women with breast-cancer treatment-related arm lymphoedema prospectively requesting breast reconstruction were included between January 2002 and June 2009. Lymphoedema volume was calculated for each 5-cm segment using the formula for a truncated cone.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Three patients underwent transverse rectus abdominis myocutaneous flap reconstruction, five received pedicled latissimus dorsi myocutaneous flaps associated with a breast implant and 12 a breast implant (silicone) alone. Median lymphoedema duration at the time of breast reconstruction was 21 (interquartile range (IQR): 17-34) months. Breast reconstruction was done a median of 30 (IQR: 23-56) months after mastectomy. The median lymphoedema volume at medians of 5 (244 ml, IQR: 159-435) and 22 months (235 ml, IQR: 146-361) of follow-up after reconstruction compared to that measured 6 months before breast reconstruction of 378 ml (IQR: 261-459) were significantly lower (p<0.02 for both). Specific lymphoedema treatment, unchanged during the study, included manual lymph drainage for all women, elastic sleeves for 19 and low-stretch bandages for 14.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Delayed breast reconstruction is feasible for women who have developed lymphoedema after mastectomy for breast cancer. Further studies are needed to compare the different breast-reconstruction techniques and to determine their ideal timing (immediate or delayed).</AbstractText>
<CopyrightInformation>Copyright © 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation>
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