Risk factors for short- and long-term complications after groin surgery in vulvar cancer.
Identifieur interne : 002442 ( PubMed/Corpus ); précédent : 002441; suivant : 002443Risk factors for short- and long-term complications after groin surgery in vulvar cancer.
Auteurs : F. Hinten ; L C G. Van Den Einden ; J C M. Hendriks ; A G J. Van Der Zee ; J. Bulten ; L F A G. Massuger ; H P Van De Nieuwenhof ; J A De HulluSource :
- British journal of cancer [ 1532-1827 ] ; 2011.
English descriptors
- KwdEn :
- Adult, Age Factors, Aged, Aged, 80 and over, Carcinoma, Squamous Cell (surgery), Diabetes Mellitus (epidemiology), Drainage, Female, Groin (surgery), Gynecologic Surgical Procedures (methods), Humans, Lymph Node Excision (methods), Middle Aged, Postoperative Care, Postoperative Complications (epidemiology), Risk Factors, Sentinel Lymph Node Biopsy (methods), Vulvar Neoplasms (complications), Vulvar Neoplasms (surgery).
- MESH :
- complications : Vulvar Neoplasms.
- epidemiology : Diabetes Mellitus, Postoperative Complications.
- methods : Gynecologic Surgical Procedures, Lymph Node Excision, Sentinel Lymph Node Biopsy.
- surgery : Carcinoma, Squamous Cell, Groin, Vulvar Neoplasms.
- Adult, Age Factors, Aged, Aged, 80 and over, Drainage, Female, Humans, Middle Aged, Postoperative Care, Risk Factors.
Abstract
The cornerstone of treatment in early-stage squamous cell carcinoma (SCC) of the vulva is surgery, predominantly consisting of wide local excision with elective uni- or bi-lateral inguinofemoral lymphadenectomy. This strategy is associated with a good prognosis, but also with impressive treatment-related morbidity. The aim of this study was to determine risk factors for the short-term (wound breakdown, infection and lymphocele) and long-term (lymphoedema and cellulitis/erysipelas) complications after groin surgery as part of the treatment of vulvar SCC.
DOI: 10.1038/bjc.2011.407
PubMed: 21970884
Links to Exploration step
pubmed:21970884Le document en format XML
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Van Der Zee</name></author><author><name sortKey="Bulten, J" sort="Bulten, J" uniqKey="Bulten J" first="J" last="Bulten">J. Bulten</name></author><author><name sortKey="Massuger, L F A G" sort="Massuger, L F A G" uniqKey="Massuger L" first="L F A G" last="Massuger">L F A G. Massuger</name></author><author><name sortKey="Van De Nieuwenhof, H P" sort="Van De Nieuwenhof, H P" uniqKey="Van De Nieuwenhof H" first="H P" last="Van De Nieuwenhof">H P Van De Nieuwenhof</name></author><author><name sortKey="De Hullu, J A" sort="De Hullu, J A" uniqKey="De Hullu J" first="J A" last="De Hullu">J A De Hullu</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2011">2011</date><idno type="RBID">pubmed:21970884</idno><idno type="pmid">21970884</idno><idno type="doi">10.1038/bjc.2011.407</idno><idno type="wicri:Area/PubMed/Corpus">002442</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002442</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Risk factors for short- and long-term complications after groin surgery in vulvar cancer.</title><author><name sortKey="Hinten, F" sort="Hinten, F" uniqKey="Hinten F" first="F" last="Hinten">F. Hinten</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynaecology, Radboud University Nijmegen Medical Centre, HB Nijmegen, The Netherlands. F.Hinten@obgyn.umcn.nl</nlm:affiliation></affiliation></author><author><name sortKey="Van Den Einden, L C G" sort="Van Den Einden, L C G" uniqKey="Van Den Einden L" first="L C G" last="Van Den Einden">L C G. Van Den Einden</name></author><author><name sortKey="Hendriks, J C M" sort="Hendriks, J C M" uniqKey="Hendriks J" first="J C M" last="Hendriks">J C M. Hendriks</name></author><author><name sortKey="Van Der Zee, A G J" sort="Van Der Zee, A G J" uniqKey="Van Der Zee A" first="A G J" last="Van Der Zee">A G J. Van Der Zee</name></author><author><name sortKey="Bulten, J" sort="Bulten, J" uniqKey="Bulten J" first="J" last="Bulten">J. Bulten</name></author><author><name sortKey="Massuger, L F A G" sort="Massuger, L F A G" uniqKey="Massuger L" first="L F A G" last="Massuger">L F A G. Massuger</name></author><author><name sortKey="Van De Nieuwenhof, H P" sort="Van De Nieuwenhof, H P" uniqKey="Van De Nieuwenhof H" first="H P" last="Van De Nieuwenhof">H P Van De Nieuwenhof</name></author><author><name sortKey="De Hullu, J A" sort="De Hullu, J A" uniqKey="De Hullu J" first="J A" last="De Hullu">J A De Hullu</name></author></analytic><series><title level="j">British journal of cancer</title><idno type="eISSN">1532-1827</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Age Factors</term><term>Aged</term><term>Aged, 80 and over</term><term>Carcinoma, Squamous Cell (surgery)</term><term>Diabetes Mellitus (epidemiology)</term><term>Drainage</term><term>Female</term><term>Groin (surgery)</term><term>Gynecologic Surgical Procedures (methods)</term><term>Humans</term><term>Lymph Node Excision (methods)</term><term>Middle Aged</term><term>Postoperative Care</term><term>Postoperative Complications (epidemiology)</term><term>Risk Factors</term><term>Sentinel Lymph Node Biopsy (methods)</term><term>Vulvar Neoplasms (complications)</term><term>Vulvar Neoplasms (surgery)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Vulvar Neoplasms</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Diabetes Mellitus</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Gynecologic Surgical Procedures</term><term>Lymph Node Excision</term><term>Sentinel Lymph Node Biopsy</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Carcinoma, Squamous Cell</term><term>Groin</term><term>Vulvar Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Age Factors</term><term>Aged</term><term>Aged, 80 and over</term><term>Drainage</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Postoperative Care</term><term>Risk Factors</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The cornerstone of treatment in early-stage squamous cell carcinoma (SCC) of the vulva is surgery, predominantly consisting of wide local excision with elective uni- or bi-lateral inguinofemoral lymphadenectomy. This strategy is associated with a good prognosis, but also with impressive treatment-related morbidity. The aim of this study was to determine risk factors for the short-term (wound breakdown, infection and lymphocele) and long-term (lymphoedema and cellulitis/erysipelas) complications after groin surgery as part of the treatment of vulvar SCC.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21970884</PMID><DateCreated><Year>2011</Year><Month>10</Month><Day>26</Day></DateCreated><DateCompleted><Year>2011</Year><Month>12</Month><Day>14</Day></DateCompleted><DateRevised><Year>2015</Year><Month>01</Month><Day>29</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-1827</ISSN><JournalIssue CitedMedium="Internet"><Volume>105</Volume><Issue>9</Issue><PubDate><Year>2011</Year><Month>Oct</Month><Day>25</Day></PubDate></JournalIssue><Title>British journal of cancer</Title><ISOAbbreviation>Br. J. Cancer</ISOAbbreviation></Journal><ArticleTitle>Risk factors for short- and long-term complications after groin surgery in vulvar cancer.</ArticleTitle><Pagination><MedlinePgn>1279-87</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1038/bjc.2011.407</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The cornerstone of treatment in early-stage squamous cell carcinoma (SCC) of the vulva is surgery, predominantly consisting of wide local excision with elective uni- or bi-lateral inguinofemoral lymphadenectomy. This strategy is associated with a good prognosis, but also with impressive treatment-related morbidity. The aim of this study was to determine risk factors for the short-term (wound breakdown, infection and lymphocele) and long-term (lymphoedema and cellulitis/erysipelas) complications after groin surgery as part of the treatment of vulvar SCC.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Between January 1988 and June 2009, 164 consecutive patients underwent an inguinofemoral lymphadenectomy as part of their surgical treatment for vulvar SCC at the Department of Gynaecologic Oncology at the Radboud University Nijmegen Medical Centre. The clinical and histopathological data were retrospectively analysed.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Multivariate analysis showed that older age, diabetes, 'en bloc' surgery and higher drain production on the last day of drain in situ gave a higher risk of developing short-term complications. Younger age and lymphocele gave higher risk of developing long-term complications. Higher number of lymph nodes dissected seems to protect against developing any long-term complications.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Our analysis shows that patient characteristics, extension of surgery and postoperative management influence short- and/or long-term complications after inguinofemoral lymphadenectomy in vulvar SCC patients. Further research of postoperative management is necessary to analyse possibilities to decrease the complication rate of inguinofemoral lymphadenectomy; although the sentinel lymph node procedure appears to be a promising technique, in 50% of the patients an inguinofemoral lymphadenectomy is still indicated.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hinten</LastName><ForeName>F</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Obstetrics and Gynaecology, Radboud University Nijmegen Medical Centre, HB Nijmegen, The Netherlands. F.Hinten@obgyn.umcn.nl</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>van den Einden</LastName><ForeName>L C G</ForeName><Initials>LC</Initials></Author><Author ValidYN="Y"><LastName>Hendriks</LastName><ForeName>J C M</ForeName><Initials>JC</Initials></Author><Author ValidYN="Y"><LastName>van der Zee</LastName><ForeName>A G J</ForeName><Initials>AG</Initials></Author><Author ValidYN="Y"><LastName>Bulten</LastName><ForeName>J</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Massuger</LastName><ForeName>L F A G</ForeName><Initials>LF</Initials></Author><Author ValidYN="Y"><LastName>van de Nieuwenhof</LastName><ForeName>H P</ForeName><Initials>HP</Initials></Author><Author ValidYN="Y"><LastName>de Hullu</LastName><ForeName>J A</ForeName><Initials>JA</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2011</Year><Month>10</Month><Day>04</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Br J Cancer</MedlineTA><NlmUniqueID>0370635</NlmUniqueID><ISSNLinking>0007-0920</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Cancer. 2000 Oct 1;89(7):1520-5</RefSource><PMID Version="1">11013366</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Eur J Cancer. 2011 Oct;47(15):2315-21</RefSource><PMID Version="1">21733674</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Gynecol Oncol. 2001 Jun;81(3):348-54</RefSource><PMID Version="1">11371121</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Gynecol Oncol. 2001 Aug;82(2):329-32</RefSource><PMID Version="1">11531288</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Gynecol Oncol. 2001 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Mellitus</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004322" MajorTopicYN="N">Drainage</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006119" MajorTopicYN="N">Groin</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013509" MajorTopicYN="N">Gynecologic Surgical Procedures</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011182" MajorTopicYN="N">Postoperative Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D021701" MajorTopicYN="N">Sentinel Lymph Node Biopsy</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014846" MajorTopicYN="N">Vulvar Neoplasms</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading></MeshHeadingList><OtherID Source="NLM">PMC3241565</OtherID></MedlineCitation><PubmedData><History><PubMedPubDate 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|texte= Risk factors for short- and long-term complications after groin surgery in vulvar cancer.
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