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Evaluation of lymphatic compensation by lymphoscintigraphy in the postoperative period of breast cancer surgery with axillary dissection.

Identifieur interne : 002516 ( PubMed/Corpus ); précédent : 002515; suivant : 002517

Evaluation of lymphatic compensation by lymphoscintigraphy in the postoperative period of breast cancer surgery with axillary dissection.

Auteurs : Laura Ferreira De Rezende ; Felipe Villela Pedras ; Celso Dario Ramos ; Maria Salete Costa Gurgel

Source :

RBID : pubmed:21789008

English descriptors

Abstract

To evaluate postoperative lymphatic compensation in the upper limb after mastectomy with axillary dissection.

DOI: 10.1700/912.10027
PubMed: 21789008

Links to Exploration step

pubmed:21789008

Le document en format XML

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<title xml:lang="en">Evaluation of lymphatic compensation by lymphoscintigraphy in the postoperative period of breast cancer surgery with axillary dissection.</title>
<author>
<name sortKey="De Rezende, Laura Ferreira" sort="De Rezende, Laura Ferreira" uniqKey="De Rezende L" first="Laura Ferreira" last="De Rezende">Laura Ferreira De Rezende</name>
<affiliation>
<nlm:affiliation>Department of Obstetrics and Gynecology, Universidade Estadual de Campinas UNICAMP Medical School, São Paulo, Brazil. rezendelaura@hotmail.com</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Pedras, Felipe Villela" sort="Pedras, Felipe Villela" uniqKey="Pedras F" first="Felipe Villela" last="Pedras">Felipe Villela Pedras</name>
</author>
<author>
<name sortKey="Ramos, Celso Dario" sort="Ramos, Celso Dario" uniqKey="Ramos C" first="Celso Dario" last="Ramos">Celso Dario Ramos</name>
</author>
<author>
<name sortKey="Gurgel, Maria Salete Costa" sort="Gurgel, Maria Salete Costa" uniqKey="Gurgel M" first="Maria Salete Costa" last="Gurgel">Maria Salete Costa Gurgel</name>
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<MedlineDate>2011 May-Jun</MedlineDate>
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<title xml:lang="en">Evaluation of lymphatic compensation by lymphoscintigraphy in the postoperative period of breast cancer surgery with axillary dissection.</title>
<author>
<name sortKey="De Rezende, Laura Ferreira" sort="De Rezende, Laura Ferreira" uniqKey="De Rezende L" first="Laura Ferreira" last="De Rezende">Laura Ferreira De Rezende</name>
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<nlm:affiliation>Department of Obstetrics and Gynecology, Universidade Estadual de Campinas UNICAMP Medical School, São Paulo, Brazil. rezendelaura@hotmail.com</nlm:affiliation>
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<name sortKey="Pedras, Felipe Villela" sort="Pedras, Felipe Villela" uniqKey="Pedras F" first="Felipe Villela" last="Pedras">Felipe Villela Pedras</name>
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<author>
<name sortKey="Ramos, Celso Dario" sort="Ramos, Celso Dario" uniqKey="Ramos C" first="Celso Dario" last="Ramos">Celso Dario Ramos</name>
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<author>
<name sortKey="Gurgel, Maria Salete Costa" sort="Gurgel, Maria Salete Costa" uniqKey="Gurgel M" first="Maria Salete Costa" last="Gurgel">Maria Salete Costa Gurgel</name>
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<title level="j">Tumori</title>
<idno type="ISSN">0300-8916</idno>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Axilla</term>
<term>Brazil</term>
<term>Breast Neoplasms (diagnostic imaging)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Carcinoma, Ductal, Breast (diagnostic imaging)</term>
<term>Carcinoma, Ductal, Breast (surgery)</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymphatic System (physiopathology)</term>
<term>Lymphatic System (surgery)</term>
<term>Lymphatic Vessels (physiopathology)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (physiopathology)</term>
<term>Lymphoscintigraphy</term>
<term>Mastectomy (adverse effects)</term>
<term>Mastectomy (methods)</term>
<term>Middle Aged</term>
<term>Postoperative Period</term>
<term>Recovery of Function</term>
<term>Risk Factors</term>
<term>Treatment Outcome</term>
<term>Upper Extremity (diagnostic imaging)</term>
<term>Upper Extremity (physiopathology)</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Lymph Node Excision</term>
<term>Mastectomy</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Breast Neoplasms</term>
<term>Carcinoma, Ductal, Breast</term>
<term>Upper Extremity</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Mastectomy</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Lymphatic System</term>
<term>Lymphatic Vessels</term>
<term>Lymphedema</term>
<term>Upper Extremity</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Breast Neoplasms</term>
<term>Carcinoma, Ductal, Breast</term>
<term>Lymphatic System</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Axilla</term>
<term>Brazil</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphoscintigraphy</term>
<term>Middle Aged</term>
<term>Postoperative Period</term>
<term>Recovery of Function</term>
<term>Risk Factors</term>
<term>Treatment Outcome</term>
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<front>
<div type="abstract" xml:lang="en">To evaluate postoperative lymphatic compensation in the upper limb after mastectomy with axillary dissection.</div>
</front>
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<PMID Version="1">21789008</PMID>
<DateCreated>
<Year>2011</Year>
<Month>07</Month>
<Day>26</Day>
</DateCreated>
<DateCompleted>
<Year>2011</Year>
<Month>08</Month>
<Day>25</Day>
</DateCompleted>
<DateRevised>
<Year>2016</Year>
<Month>11</Month>
<Day>25</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0300-8916</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>97</Volume>
<Issue>3</Issue>
<PubDate>
<MedlineDate>2011 May-Jun</MedlineDate>
</PubDate>
</JournalIssue>
<Title>Tumori</Title>
<ISOAbbreviation>Tumori</ISOAbbreviation>
</Journal>
<ArticleTitle>Evaluation of lymphatic compensation by lymphoscintigraphy in the postoperative period of breast cancer surgery with axillary dissection.</ArticleTitle>
<Pagination>
<MedlinePgn>309-15</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1700/912.10027</ELocationID>
<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To evaluate postoperative lymphatic compensation in the upper limb after mastectomy with axillary dissection.</AbstractText>
<AbstractText Label="SUBJECTS AND METHODS" NlmCategory="METHODS">Twenty-three patients who underwent lymphoscintigraphy before and 60 days after surgery were enrolled from September 2006 to June 2007, in Campinas, Brazil. Protocol examination consisted in static imaging of each upper limb in semi-flexion and thoracic imaging after 10 min and 1 and 2 hr after subcutaneous injection of 1 mCi (37 MBq) of 99mTc dextran into the dorsum of the hand. A comparative analysis was made of hepatic uptake of the radiopharmaceutical, velocity of axillary lymph node visualization (I, visible at 10 min; II, at 1 hr; III, at 2 hr; IV, not visible) and degree (intensity) of uptake (a, marked; b, moderate; c, mild; d, absent) before and 60 days after surgery.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In the preoperative period, 3 (13%) patients were considered to have an optimal pattern (Ia) and 2 (9%) showed total involvement (IVd). Compared to velocity in the postoperative period, 9 (39%) patients showed no difference, 5 (22%) improved, 9 (39%) became worse, and one was considerably worse. Regarding the degree, 10 (43%) patients showed no difference, 9 (39%) became worse, and 4 (17%) improved. Regarding classification, 2 (9%) patients had an optimal lymphatic pattern (Ia) and 3 (13%) had total involvement (IVd). No patient presented decreased hepatic uptake after surgical treatment.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The study found relevant changes in preoperative and postoperative lymphoscintigraphy, demonstrating the existence of functional differences in the lymphatic system of the upper limb. Alterations in lymphatic drainage pattern may already be perceived 60 days postoperatively, as can signs of lymphovenous anastomoses.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>de Rezende</LastName>
<ForeName>Laura Ferreira</ForeName>
<Initials>LF</Initials>
<AffiliationInfo>
<Affiliation>Department of Obstetrics and Gynecology, Universidade Estadual de Campinas UNICAMP Medical School, São Paulo, Brazil. rezendelaura@hotmail.com</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Pedras</LastName>
<ForeName>Felipe Villela</ForeName>
<Initials>FV</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Ramos</LastName>
<ForeName>Celso Dario</ForeName>
<Initials>CD</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Gurgel</LastName>
<ForeName>Maria Salete Costa</ForeName>
<Initials>MS</Initials>
</Author>
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<Language>eng</Language>
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<PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
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<Country>Italy</Country>
<MedlineTA>Tumori</MedlineTA>
<NlmUniqueID>0111356</NlmUniqueID>
<ISSNLinking>0300-8916</ISSNLinking>
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<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="D001365" MajorTopicYN="N">Axilla</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D001938" MajorTopicYN="N">Brazil</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName>
<QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
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<DescriptorName UI="D018270" MajorTopicYN="N">Carcinoma, Ductal, Breast</DescriptorName>
<QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
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<DescriptorName UI="D005260" MajorTopicYN="N">Female</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="D008208" MajorTopicYN="N">Lymphatic System</DescriptorName>
<QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D042601" MajorTopicYN="N">Lymphatic Vessels</DescriptorName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D061305" MajorTopicYN="N">Lymphoscintigraphy</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008408" MajorTopicYN="N">Mastectomy</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011184" MajorTopicYN="N">Postoperative Period</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D020127" MajorTopicYN="Y">Recovery of Function</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D034941" MajorTopicYN="Y">Upper Extremity</DescriptorName>
<QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
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<PubMedPubDate PubStatus="entrez">
<Year>2011</Year>
<Month>7</Month>
<Day>27</Day>
<Hour>6</Hour>
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