Lymph node status and breast cancer-related lymphedema.
Identifieur interne : 003604 ( PubMed/Corpus ); précédent : 003603; suivant : 003605Lymph node status and breast cancer-related lymphedema.
Auteurs : Anand D. Purushotham ; Thomas M. Bennett Britton ; Manfred B. Klevesath ; Patrick Chou ; Olorunsola F. Agbaje ; Stephen W. DuffySource :
- Annals of surgery [ 0003-4932 ] ; 2007.
English descriptors
- KwdEn :
- Arm, Axilla, Breast Neoplasms (complications), Breast Neoplasms (surgery), Disease Progression, Female, Follow-Up Studies, Humans, Lymph Nodes (pathology), Lymphedema (diagnostic imaging), Lymphedema (etiology), Lymphedema (pathology), Mastectomy, Middle Aged, Prognosis, Prospective Studies, Severity of Illness Index, Ultrasonography, Doppler.
- MESH :
- complications : Breast Neoplasms.
- diagnostic imaging : Lymphedema.
- etiology : Lymphedema.
- pathology : Lymph Nodes, Lymphedema.
- surgery : Breast Neoplasms.
- Arm, Axilla, Disease Progression, Female, Follow-Up Studies, Humans, Mastectomy, Middle Aged, Prognosis, Prospective Studies, Severity of Illness Index, Ultrasonography, Doppler.
Abstract
This study examines the association between nodal positivity and risk of developing breast cancer-related lymphedema (BCRL) in patients who underwent axillary lymph node dissection (ALND).
DOI: 10.1097/01.sla.0000259390.51203.7b
PubMed: 17592289
Links to Exploration step
pubmed:17592289Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Lymph node status and breast cancer-related lymphedema.</title><author><name sortKey="Purushotham, Anand D" sort="Purushotham, Anand D" uniqKey="Purushotham A" first="Anand D" last="Purushotham">Anand D. Purushotham</name><affiliation><nlm:affiliation>King's College London, London, United Kingdom. amy.byrtus@kcl.ac.uk</nlm:affiliation></affiliation></author><author><name sortKey="Bennett Britton, Thomas M" sort="Bennett Britton, Thomas M" uniqKey="Bennett Britton T" first="Thomas M" last="Bennett Britton">Thomas M. Bennett Britton</name></author><author><name sortKey="Klevesath, Manfred B" sort="Klevesath, Manfred B" uniqKey="Klevesath M" first="Manfred B" last="Klevesath">Manfred B. Klevesath</name></author><author><name sortKey="Chou, Patrick" sort="Chou, Patrick" uniqKey="Chou P" first="Patrick" last="Chou">Patrick Chou</name></author><author><name sortKey="Agbaje, Olorunsola F" sort="Agbaje, Olorunsola F" uniqKey="Agbaje O" first="Olorunsola F" last="Agbaje">Olorunsola F. Agbaje</name></author><author><name sortKey="Duffy, Stephen W" sort="Duffy, Stephen W" uniqKey="Duffy S" first="Stephen W" last="Duffy">Stephen W. Duffy</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2007">2007</date><idno type="RBID">pubmed:17592289</idno><idno type="pmid">17592289</idno><idno type="doi">10.1097/01.sla.0000259390.51203.7b</idno><idno type="wicri:Area/PubMed/Corpus">003604</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">003604</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Lymph node status and breast cancer-related lymphedema.</title><author><name sortKey="Purushotham, Anand D" sort="Purushotham, Anand D" uniqKey="Purushotham A" first="Anand D" last="Purushotham">Anand D. Purushotham</name><affiliation><nlm:affiliation>King's College London, London, United Kingdom. amy.byrtus@kcl.ac.uk</nlm:affiliation></affiliation></author><author><name sortKey="Bennett Britton, Thomas M" sort="Bennett Britton, Thomas M" uniqKey="Bennett Britton T" first="Thomas M" last="Bennett Britton">Thomas M. Bennett Britton</name></author><author><name sortKey="Klevesath, Manfred B" sort="Klevesath, Manfred B" uniqKey="Klevesath M" first="Manfred B" last="Klevesath">Manfred B. Klevesath</name></author><author><name sortKey="Chou, Patrick" sort="Chou, Patrick" uniqKey="Chou P" first="Patrick" last="Chou">Patrick Chou</name></author><author><name sortKey="Agbaje, Olorunsola F" sort="Agbaje, Olorunsola F" uniqKey="Agbaje O" first="Olorunsola F" last="Agbaje">Olorunsola F. Agbaje</name></author><author><name sortKey="Duffy, Stephen W" sort="Duffy, Stephen W" uniqKey="Duffy S" first="Stephen W" last="Duffy">Stephen W. Duffy</name></author></analytic><series><title level="j">Annals of surgery</title><idno type="ISSN">0003-4932</idno><imprint><date when="2007" type="published">2007</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Arm</term><term>Axilla</term><term>Breast Neoplasms (complications)</term><term>Breast Neoplasms (surgery)</term><term>Disease Progression</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Lymph Nodes (pathology)</term><term>Lymphedema (diagnostic imaging)</term><term>Lymphedema (etiology)</term><term>Lymphedema (pathology)</term><term>Mastectomy</term><term>Middle Aged</term><term>Prognosis</term><term>Prospective Studies</term><term>Severity of Illness Index</term><term>Ultrasonography, Doppler</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Lymph Nodes</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Arm</term><term>Axilla</term><term>Disease Progression</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Mastectomy</term><term>Middle Aged</term><term>Prognosis</term><term>Prospective Studies</term><term>Severity of Illness Index</term><term>Ultrasonography, Doppler</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This study examines the association between nodal positivity and risk of developing breast cancer-related lymphedema (BCRL) in patients who underwent axillary lymph node dissection (ALND).</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">17592289</PMID><DateCreated><Year>2007</Year><Month>06</Month><Day>26</Day></DateCreated><DateCompleted><Year>2007</Year><Month>07</Month><Day>31</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>24</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0003-4932</ISSN><JournalIssue CitedMedium="Print"><Volume>246</Volume><Issue>1</Issue><PubDate><Year>2007</Year><Month>Jul</Month></PubDate></JournalIssue><Title>Annals of surgery</Title><ISOAbbreviation>Ann. Surg.</ISOAbbreviation></Journal><ArticleTitle>Lymph node status and breast cancer-related lymphedema.</ArticleTitle><Pagination><MedlinePgn>42-5</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">This study examines the association between nodal positivity and risk of developing breast cancer-related lymphedema (BCRL) in patients who underwent axillary lymph node dissection (ALND).</AbstractText><AbstractText Label="SUMMARY BACKGROUND DATA" NlmCategory="BACKGROUND">The pathophysiology of BCRL is poorly understood. It has been assumed that one of the factors predisposing to the development of BCRL is nodal positivity, although retrospective series have produced contradictory findings. As these studies have included treatment regimens known to cause BCRL, such as axillary radiotherapy, any relationship between nodal positivity and the development of BCRL remains speculative.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A total of 212 patients who had undergone ALND for invasive breast cancer had arm volume measurements preoperatively, and at intervals postoperatively. No patient received axillary radiotherapy. Arm volumes were obtained by measuring serial arm circumferences every 4 cm up the arm and then calculated by using the formula for the volume of a truncated cone. Robust regression techniques were used to analyze the effects of node positivity, age, preoperative body mass index, and wound infection on arm volume excess.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">In all, 64 of 212 (30%) patients were node positive. Contrary to previous assumptions, positive node status was significantly inversely associated with arm volume after adjusting for tumor size, time since operation, and allowing for correlated observations within subjects. Furthermore, the number of positive nodes also correlated inversely with arm volume.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">These results are counterintuitive to the conventional understanding of the pathophysiology of BCRL. A possible explanation is that patients who develop disease in axillary lymph nodes and subsequently undergo ALND have more time and ability to develop lymphatic collaterals, which may provide adequate lymphatic drainage following surgery, thereby reducing the risk of developing BCRL.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Purushotham</LastName><ForeName>Anand D</ForeName><Initials>AD</Initials><AffiliationInfo><Affiliation>King's College London, London, United Kingdom. amy.byrtus@kcl.ac.uk</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bennett Britton</LastName><ForeName>Thomas M</ForeName><Initials>TM</Initials></Author><Author ValidYN="Y"><LastName>Klevesath</LastName><ForeName>Manfred B</ForeName><Initials>MB</Initials></Author><Author ValidYN="Y"><LastName>Chou</LastName><ForeName>Patrick</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Agbaje</LastName><ForeName>Olorunsola F</ForeName><Initials>OF</Initials></Author><Author ValidYN="Y"><LastName>Duffy</LastName><ForeName>Stephen W</ForeName><Initials>SW</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Ann Surg</MedlineTA><NlmUniqueID>0372354</NlmUniqueID><ISSNLinking>0003-4932</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Acta Oncol. 2000;39(3):337-47</RefSource><PMID Version="1">10987231</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Eur J Cancer Care (Engl). 1996 Mar;5(1):7-12</RefSource><PMID Version="1">8715464</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Semin Reprod Med. 2003 Feb;21(1):95-105</RefSource><PMID 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Version="1">11745250</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D001132" MajorTopicYN="N">Arm</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001365" MajorTopicYN="N">Axilla</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018450" MajorTopicYN="N">Disease Progression</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008198" MajorTopicYN="N">Lymph Nodes</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008408" MajorTopicYN="N">Mastectomy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011379" MajorTopicYN="N">Prognosis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012720" MajorTopicYN="N">Severity of Illness Index</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018608" MajorTopicYN="N">Ultrasonography, Doppler</DescriptorName></MeshHeading></MeshHeadingList><OtherID Source="NLM">PMC1899199</OtherID></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2007</Year><Month>6</Month><Day>27</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2007</Year><Month>8</Month><Day>1</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2007</Year><Month>6</Month><Day>27</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">17592289</ArticleId><ArticleId IdType="doi">10.1097/01.sla.0000259390.51203.7b</ArticleId><ArticleId IdType="pii">00000658-200707000-00008</ArticleId><ArticleId IdType="pmc">PMC1899199</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce 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