Lymph edema of the lower extremities after lymphadenectomy and radiotherapy for cervical cancer.
Identifieur interne : 003310 ( PubMed/Corpus ); précédent : 003309; suivant : 003311Lymph edema of the lower extremities after lymphadenectomy and radiotherapy for cervical cancer.
Auteurs : Jürgen Füller ; Dorothee Guderian ; Christhardt Köhler ; Achim Schneider ; Thomas G. WendtSource :
- Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] [ 0179-7158 ] ; 2008.
English descriptors
- KwdEn :
- Adult, Combined Modality Therapy (adverse effects), Female, Humans, Lymph Node Excision (adverse effects), Lymphatic Metastasis (pathology), Lymphedema (epidemiology), Middle Aged, Neoplasm Staging, Retrospective Studies, Survival Analysis, Uterine Cervical Neoplasms (classification), Uterine Cervical Neoplasms (mortality), Uterine Cervical Neoplasms (pathology), Uterine Cervical Neoplasms (radiotherapy), Uterine Cervical Neoplasms (surgery).
- MESH :
- adverse effects : Combined Modality Therapy, Lymph Node Excision.
- classification : Uterine Cervical Neoplasms.
- epidemiology : Lymphedema.
- mortality : Uterine Cervical Neoplasms.
- pathology : Lymphatic Metastasis, Uterine Cervical Neoplasms.
- radiotherapy : Uterine Cervical Neoplasms.
- surgery : Uterine Cervical Neoplasms.
- Adult, Female, Humans, Middle Aged, Neoplasm Staging, Retrospective Studies, Survival Analysis.
Abstract
To assess the incidence of clinical lymph edema after lymphadenectomy and postoperative radiotherapy (RT).
DOI: 10.1007/s00066-008-1728-3
PubMed: 18398585
Links to Exploration step
pubmed:18398585Le document en format XML
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<author><name sortKey="Fuller, Jurgen" sort="Fuller, Jurgen" uniqKey="Fuller J" first="Jürgen" last="Füller">Jürgen Füller</name>
<affiliation><nlm:affiliation>Department of Radiooncology, University Hospital, Friedrich Schiller University of Jena, Germany. Juergen.Fueller@med.uni-jena.de</nlm:affiliation>
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<author><name sortKey="Guderian, Dorothee" sort="Guderian, Dorothee" uniqKey="Guderian D" first="Dorothee" last="Guderian">Dorothee Guderian</name>
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<author><name sortKey="Kohler, Christhardt" sort="Kohler, Christhardt" uniqKey="Kohler C" first="Christhardt" last="Köhler">Christhardt Köhler</name>
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<author><name sortKey="Schneider, Achim" sort="Schneider, Achim" uniqKey="Schneider A" first="Achim" last="Schneider">Achim Schneider</name>
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<author><name sortKey="Wendt, Thomas G" sort="Wendt, Thomas G" uniqKey="Wendt T" first="Thomas G" last="Wendt">Thomas G. Wendt</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Lymph edema of the lower extremities after lymphadenectomy and radiotherapy for cervical cancer.</title>
<author><name sortKey="Fuller, Jurgen" sort="Fuller, Jurgen" uniqKey="Fuller J" first="Jürgen" last="Füller">Jürgen Füller</name>
<affiliation><nlm:affiliation>Department of Radiooncology, University Hospital, Friedrich Schiller University of Jena, Germany. Juergen.Fueller@med.uni-jena.de</nlm:affiliation>
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<author><name sortKey="Guderian, Dorothee" sort="Guderian, Dorothee" uniqKey="Guderian D" first="Dorothee" last="Guderian">Dorothee Guderian</name>
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<author><name sortKey="Kohler, Christhardt" sort="Kohler, Christhardt" uniqKey="Kohler C" first="Christhardt" last="Köhler">Christhardt Köhler</name>
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<author><name sortKey="Schneider, Achim" sort="Schneider, Achim" uniqKey="Schneider A" first="Achim" last="Schneider">Achim Schneider</name>
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<author><name sortKey="Wendt, Thomas G" sort="Wendt, Thomas G" uniqKey="Wendt T" first="Thomas G" last="Wendt">Thomas G. Wendt</name>
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<series><title level="j">Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Combined Modality Therapy (adverse effects)</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymphatic Metastasis (pathology)</term>
<term>Lymphedema (epidemiology)</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
<term>Retrospective Studies</term>
<term>Survival Analysis</term>
<term>Uterine Cervical Neoplasms (classification)</term>
<term>Uterine Cervical Neoplasms (mortality)</term>
<term>Uterine Cervical Neoplasms (pathology)</term>
<term>Uterine Cervical Neoplasms (radiotherapy)</term>
<term>Uterine Cervical Neoplasms (surgery)</term>
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<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Combined Modality Therapy</term>
<term>Lymph Node Excision</term>
</keywords>
<keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Uterine Cervical Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Uterine Cervical Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Lymphatic Metastasis</term>
<term>Uterine Cervical Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="radiotherapy" xml:lang="en"><term>Uterine Cervical Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Uterine Cervical Neoplasms</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Female</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
<term>Retrospective Studies</term>
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<front><div type="abstract" xml:lang="en">To assess the incidence of clinical lymph edema after lymphadenectomy and postoperative radiotherapy (RT).</div>
</front>
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<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">18398585</PMID>
<DateCreated><Year>2008</Year>
<Month>04</Month>
<Day>09</Day>
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<DateCompleted><Year>2008</Year>
<Month>07</Month>
<Day>29</Day>
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<DateRevised><Year>2008</Year>
<Month>04</Month>
<Day>09</Day>
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<Issue>4</Issue>
<PubDate><Year>2008</Year>
<Month>Apr</Month>
</PubDate>
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<Title>Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]</Title>
<ISOAbbreviation>Strahlenther Onkol</ISOAbbreviation>
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<ArticleTitle>Lymph edema of the lower extremities after lymphadenectomy and radiotherapy for cervical cancer.</ArticleTitle>
<Pagination><MedlinePgn>206-11</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1007/s00066-008-1728-3</ELocationID>
<Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To assess the incidence of clinical lymph edema after lymphadenectomy and postoperative radiotherapy (RT).</AbstractText>
<AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">From 1994-2002 192 patients with risk factors for recurrence received radiotherapy with FIGO I (58.8%), II (35.4%), III (4.2%) or IV (1.6%). RT consisted of teletherapy (10.4%), brachytherapy of the vaginal vault (20.8%) or a combination of both (68.8%). Additional chemotherapy was given in 69 patients (35.9%). Surgery comprised laparoscopically assisted radical vaginal hysterectomy (LARVH) (35.4%), radical abdominal hysterectomy (RAH) (48.4%), simple hysterectomy (HE) (11.5%) or exenteration (4.7%).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">73 patients had lymph node metastases, 119 had negative lymph nodes. In patients with LARVH 6-74 (median 30) lymph nodes were removed, with RAH 3-70 (median 21 lymph nodes), and after HE or exenteration 5-50 (median 13 lymph nodes). 90 patients had 25 or less lymph nodes removed, 83 patients more than 25 lymph nodes removed. Prognostic factors, such as age, FIGO stages, histologic grading and type of histology were well balanced in these cohorts. 45 (23.4%) of all patients developed clinically relevant lymph edema of the lower limb with a median latency of 11 (1-121) months. When 25 or less lymph nodes were removed 17.8% of patients developed leg edema, when more than 25 lymph nodes were removed 32.5% of patients were diagnosed with lymph edema (p = 0.025). Radiotherapy and chemotherapy had no influence on the incidence of leg edema. Overall survival at 5 (10) years was independent of number of lymph nodes removed.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The data suggest increasing rates of leg edema with increasing number of lymph nodes dissected independent of the type of radiotherapy and chemotherapy performed. The lymph node sampling policy should be planned carefully in respect to minimize the risk of leg lymph edema.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Füller</LastName>
<ForeName>Jürgen</ForeName>
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<AffiliationInfo><Affiliation>Department of Radiooncology, University Hospital, Friedrich Schiller University of Jena, Germany. Juergen.Fueller@med.uni-jena.de</Affiliation>
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<MeshHeading><DescriptorName UI="D016019" MajorTopicYN="N">Survival Analysis</DescriptorName>
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<MeshHeading><DescriptorName UI="D002583" MajorTopicYN="N">Uterine Cervical Neoplasms</DescriptorName>
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