Delayed breast cellulitis: an evolving complication of breast conservation.
Identifieur interne : 003816 ( PubMed/Corpus ); précédent : 003815; suivant : 003817Delayed breast cellulitis: an evolving complication of breast conservation.
Auteurs : Daniel J. Indelicato ; Stephen R. Grobmyer ; Heather Newlin ; Christopher G. Morris ; Linda S. Haigh ; Edward M. Copeland ; Nancy Price MendenhallSource :
- International journal of radiation oncology, biology, physics [ 0360-3016 ] ; 2006.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Analysis of Variance, Breast Diseases (etiology), Breast Neoplasms (surgery), Carcinoma, Intraductal, Noninfiltrating (surgery), Cellulitis (etiology), Female, Humans, Lymphedema (etiology), Mastectomy, Segmental (adverse effects), Middle Aged, Retrospective Studies, Risk Factors.
- MESH :
- adverse effects : Mastectomy, Segmental.
- etiology : Breast Diseases, Cellulitis, Lymphedema.
- surgery : Breast Neoplasms, Carcinoma, Intraductal, Noninfiltrating.
- Adult, Aged, Aged, 80 and over, Analysis of Variance, Female, Humans, Middle Aged, Retrospective Studies, Risk Factors.
Abstract
Delayed breast cellulitis (DBC) is characterized by the late onset of breast erythema, edema, tenderness, and warmth. This retrospective study analyzes the risk factors and clinical course of DBC.
DOI: 10.1016/j.ijrobp.2006.07.1388
PubMed: 17126205
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pubmed:17126205Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Delayed breast cellulitis: an evolving complication of breast conservation.</title><author><name sortKey="Indelicato, Daniel J" sort="Indelicato, Daniel J" uniqKey="Indelicato D" first="Daniel J" last="Indelicato">Daniel J. Indelicato</name><affiliation><nlm:affiliation>Department of Radiation Oncology, University of Florida College of Medicine, Jacksonville, FL, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Grobmyer, Stephen R" sort="Grobmyer, Stephen R" uniqKey="Grobmyer S" first="Stephen R" last="Grobmyer">Stephen R. Grobmyer</name></author><author><name sortKey="Newlin, Heather" sort="Newlin, Heather" uniqKey="Newlin H" first="Heather" last="Newlin">Heather Newlin</name></author><author><name sortKey="Morris, Christopher G" sort="Morris, Christopher G" uniqKey="Morris C" first="Christopher G" last="Morris">Christopher G. Morris</name></author><author><name sortKey="Haigh, Linda S" sort="Haigh, Linda S" uniqKey="Haigh L" first="Linda S" last="Haigh">Linda S. Haigh</name></author><author><name sortKey="Copeland, Edward M" sort="Copeland, Edward M" uniqKey="Copeland E" first="Edward M" last="Copeland">Edward M. Copeland</name></author><author><name sortKey="Mendenhall, Nancy Price" sort="Mendenhall, Nancy Price" uniqKey="Mendenhall N" first="Nancy Price" last="Mendenhall">Nancy Price Mendenhall</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2006">2006</date><idno type="RBID">pubmed:17126205</idno><idno type="pmid">17126205</idno><idno type="doi">10.1016/j.ijrobp.2006.07.1388</idno><idno type="wicri:Area/PubMed/Corpus">003816</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">003816</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Delayed breast cellulitis: an evolving complication of breast conservation.</title><author><name sortKey="Indelicato, Daniel J" sort="Indelicato, Daniel J" uniqKey="Indelicato D" first="Daniel J" last="Indelicato">Daniel J. Indelicato</name><affiliation><nlm:affiliation>Department of Radiation Oncology, University of Florida College of Medicine, Jacksonville, FL, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Grobmyer, Stephen R" sort="Grobmyer, Stephen R" uniqKey="Grobmyer S" first="Stephen R" last="Grobmyer">Stephen R. Grobmyer</name></author><author><name sortKey="Newlin, Heather" sort="Newlin, Heather" uniqKey="Newlin H" first="Heather" last="Newlin">Heather Newlin</name></author><author><name sortKey="Morris, Christopher G" sort="Morris, Christopher G" uniqKey="Morris C" first="Christopher G" last="Morris">Christopher G. Morris</name></author><author><name sortKey="Haigh, Linda S" sort="Haigh, Linda S" uniqKey="Haigh L" first="Linda S" last="Haigh">Linda S. Haigh</name></author><author><name sortKey="Copeland, Edward M" sort="Copeland, Edward M" uniqKey="Copeland E" first="Edward M" last="Copeland">Edward M. Copeland</name></author><author><name sortKey="Mendenhall, Nancy Price" sort="Mendenhall, Nancy Price" uniqKey="Mendenhall N" first="Nancy Price" last="Mendenhall">Nancy Price Mendenhall</name></author></analytic><series><title level="j">International journal of radiation oncology, biology, physics</title><idno type="ISSN">0360-3016</idno><imprint><date when="2006" type="published">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Analysis of Variance</term><term>Breast Diseases (etiology)</term><term>Breast Neoplasms (surgery)</term><term>Carcinoma, Intraductal, Noninfiltrating (surgery)</term><term>Cellulitis (etiology)</term><term>Female</term><term>Humans</term><term>Lymphedema (etiology)</term><term>Mastectomy, Segmental (adverse effects)</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Risk Factors</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Mastectomy, Segmental</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Breast Diseases</term><term>Cellulitis</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term><term>Carcinoma, Intraductal, Noninfiltrating</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Analysis of Variance</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Risk Factors</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Delayed breast cellulitis (DBC) is characterized by the late onset of breast erythema, edema, tenderness, and warmth. This retrospective study analyzes the risk factors and clinical course of DBC.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">17126205</PMID><DateCreated><Year>2006</Year><Month>11</Month><Day>27</Day></DateCreated><DateCompleted><Year>2007</Year><Month>01</Month><Day>11</Day></DateCompleted><DateRevised><Year>2006</Year><Month>11</Month><Day>27</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0360-3016</ISSN><JournalIssue CitedMedium="Print"><Volume>66</Volume><Issue>5</Issue><PubDate><Year>2006</Year><Month>Dec</Month><Day>01</Day></PubDate></JournalIssue><Title>International journal of radiation oncology, biology, physics</Title><ISOAbbreviation>Int. J. Radiat. Oncol. Biol. Phys.</ISOAbbreviation></Journal><ArticleTitle>Delayed breast cellulitis: an evolving complication of breast conservation.</ArticleTitle><Pagination><MedlinePgn>1339-46</MedlinePgn></Pagination><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Delayed breast cellulitis (DBC) is characterized by the late onset of breast erythema, edema, tenderness, and warmth. This retrospective study analyzes the risk factors and clinical course of DBC.</AbstractText><AbstractText Label="METHODS AND MATERIALS" NlmCategory="METHODS">From 1985 through 2004, 580 sequential women with 601 stage T0-2N0-1 breast cancers underwent breast conserving therapy. Cases of DBC were identified according to accepted clinical criteria: diffuse breast erythema, edema, tenderness, and warmth occurring >3 months after definitive surgery and >3 weeks after radiotherapy. Potential risk factors analyzed included patient comorbidity, operative technique, acute complications, and details of adjunctive therapy. Response to treatment and long-term outcome were analyzed to characterize the natural course of this syndrome.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Of the 601 cases, 16%, 52%, and 32% were Stage 0, I, and II, respectively. The overall incidence of DBC was 8% (50/601). Obesity, ecchymoses, T stage, the presence and aspiration of a breast hematoma/seroma, removal of >5 axillary lymph nodes, and arm lymphedema were significantly associated with DBC. The median time to onset of DBC from the date of definitive surgery was 226 days. Ninety-two percent of DBC patients were empirically treated with antibiotics. Fourteen percent required more invasive intervention. Twenty-two percent had recurrent episodes of DBC. Ultimately, 2 patients (4%) underwent mastectomy for intractable breast pain related to DBC.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Although multifactorial, we believe DBC is primarily related to a bacterial infection in the setting of impaired lymphatic drainage and may appear months after completion of radiotherapy. Invasive testing before a trial of antibiotics is generally not recommended.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Indelicato</LastName><ForeName>Daniel J</ForeName><Initials>DJ</Initials><AffiliationInfo><Affiliation>Department of Radiation Oncology, University of Florida College of Medicine, Jacksonville, FL, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Grobmyer</LastName><ForeName>Stephen R</ForeName><Initials>SR</Initials></Author><Author ValidYN="Y"><LastName>Newlin</LastName><ForeName>Heather</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Morris</LastName><ForeName>Christopher G</ForeName><Initials>CG</Initials></Author><Author ValidYN="Y"><LastName>Haigh</LastName><ForeName>Linda S</ForeName><Initials>LS</Initials></Author><Author ValidYN="Y"><LastName>Copeland</LastName><ForeName>Edward M</ForeName><Initials>EM</Initials><Suffix>3rd</Suffix></Author><Author ValidYN="Y"><LastName>Mendenhall</LastName><ForeName>Nancy Price</ForeName><Initials>NP</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Int J Radiat Oncol Biol Phys</MedlineTA><NlmUniqueID>7603616</NlmUniqueID><ISSNLinking>0360-3016</ISSNLinking></MedlineJournalInfo><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="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000704" MajorTopicYN="N">Analysis of Variance</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001941" MajorTopicYN="N">Breast Diseases</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002285" MajorTopicYN="N">Carcinoma, Intraductal, Noninfiltrating</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002481" MajorTopicYN="N">Cellulitis</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015412" MajorTopicYN="N">Mastectomy, Segmental</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2006</Year><Month>05</Month><Day>03</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2006</Year><Month>06</Month><Day>27</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2006</Year><Month>07</Month><Day>27</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2006</Year><Month>11</Month><Day>28</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2007</Year><Month>1</Month><Day>12</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2006</Year><Month>11</Month><Day>28</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">17126205</ArticleId><ArticleId IdType="pii">S0360-3016(06)02790-8</ArticleId><ArticleId IdType="doi">10.1016/j.ijrobp.2006.07.1388</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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