Dual-frequency ultrasound examination of skin and subcutis thickness in breast cancer-related lymphedema.
Identifieur interne : 003E45 ( PubMed/Corpus ); précédent : 003E44; suivant : 003E46Dual-frequency ultrasound examination of skin and subcutis thickness in breast cancer-related lymphedema.
Auteurs : Russell H. Mellor ; Nigel L. Bush ; Anthony W B. Stanton ; Jeff C. Bamber ; J Rodney Levick ; Peter S. MortimerSource :
- The breast journal [ 1075-122X ]
English descriptors
- KwdEn :
- Aged, Breast Neoplasms (complications), Case-Control Studies, Female, Humans, Lymphedema (diagnostic imaging), Lymphedema (etiology), Lymphedema (physiopathology), Middle Aged, Skin (diagnostic imaging), Skin (physiopathology), Subcutaneous Tissue (diagnostic imaging), Subcutaneous Tissue (physiopathology), Ultrasonography.
- MESH :
- complications : Breast Neoplasms.
- diagnostic imaging : Lymphedema, Skin, Subcutaneous Tissue.
- etiology : Lymphedema.
- physiopathology : Lymphedema, Skin, Subcutaneous Tissue.
- Aged, Case-Control Studies, Female, Humans, Middle Aged, Ultrasonography.
Abstract
Breast cancer-related lymphedema (BCRL) is a chronic swelling of the arm that sometimes follows breast cancer treatment. Clinically, both skin and subcutis are swollen. Edema is considered to be predominantly subcutaneous and of an even distribution. The purpose of this study was to quantify the degree and uniformity of skin and subcutis swelling around the forearms of women with BCRL. Ten women with BCRL were recruited. Both forearms were examined using 20 MHz ultrasound to visualize the skin and 7 MHz ultrasound to visualize the subcutis. Skin thickness was between the bottom of the entry-echo and the skin-subcutis boundary. Subcutis thickness was measured between the skin-subcutis boundary and the subcutis-muscle boundary. Both average skin thickness (1.97 +/- 1.00 mm) and average subcutis thickness (10.32 +/- 5.63 mm) were greater in the ipsilateral arm than in the contralateral arm (skin 1.12 +/- 0.14 mm, subcutis 5.58 +/- 2.04 mm, p < 0.01, t-test). The degree of increase in skin thickness did not vary around the arm (p > 0.05, ANOVA), while the degree of increase in subcutis thickness did vary (p < 0.05). Skin thickness correlated negatively with subcutis thickness in the contralateral arm, but correlated positively in the ipsilateral arm. The skin and subcutis are thickened in the ipsilateral arm of patients with BCRL. Skin thickness is increased uniformly around the arm and correlates strongly with the degree of swelling, while subcutis swelling varies. The measurement of skin thickness using ultrasound may form a useful clinical tool in the diagnosis of lymphedema and also aid further investigation of therapeutic techniques.
DOI: 10.1111/j.1075-122X.2004.21458.x
PubMed: 15569205
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pubmed:15569205Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Dual-frequency ultrasound examination of skin and subcutis thickness in breast cancer-related lymphedema.</title><author><name sortKey="Mellor, Russell H" sort="Mellor, Russell H" uniqKey="Mellor R" first="Russell H" last="Mellor">Russell H. Mellor</name><affiliation><nlm:affiliation>Department of Cardiac and Vascular Sciences (Dermatology Unit), St. George's Hospital Medical School, Cranmer Terrace, London, SW17 0RE, UK. rmellor@sghms.ac.uk</nlm:affiliation></affiliation></author><author><name sortKey="Bush, Nigel L" sort="Bush, Nigel L" uniqKey="Bush N" first="Nigel L" last="Bush">Nigel L. Bush</name></author><author><name sortKey="Stanton, Anthony W B" sort="Stanton, Anthony W B" uniqKey="Stanton A" first="Anthony W B" last="Stanton">Anthony W B. Stanton</name></author><author><name sortKey="Bamber, Jeff C" sort="Bamber, Jeff C" uniqKey="Bamber J" first="Jeff C" last="Bamber">Jeff C. Bamber</name></author><author><name sortKey="Levick, J Rodney" sort="Levick, J Rodney" uniqKey="Levick J" first="J Rodney" last="Levick">J Rodney Levick</name></author><author><name sortKey="Mortimer, Peter S" sort="Mortimer, Peter S" uniqKey="Mortimer P" first="Peter S" last="Mortimer">Peter S. Mortimer</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="????"><PubDate><MedlineDate>2004 Nov-Dec</MedlineDate></PubDate></date><idno type="RBID">pubmed:15569205</idno><idno type="pmid">15569205</idno><idno type="doi">10.1111/j.1075-122X.2004.21458.x</idno><idno type="wicri:Area/PubMed/Corpus">003E45</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">003E45</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Dual-frequency ultrasound examination of skin and subcutis thickness in breast cancer-related lymphedema.</title><author><name sortKey="Mellor, Russell H" sort="Mellor, Russell H" uniqKey="Mellor R" first="Russell H" last="Mellor">Russell H. Mellor</name><affiliation><nlm:affiliation>Department of Cardiac and Vascular Sciences (Dermatology Unit), St. George's Hospital Medical School, Cranmer Terrace, London, SW17 0RE, UK. rmellor@sghms.ac.uk</nlm:affiliation></affiliation></author><author><name sortKey="Bush, Nigel L" sort="Bush, Nigel L" uniqKey="Bush N" first="Nigel L" last="Bush">Nigel L. Bush</name></author><author><name sortKey="Stanton, Anthony W B" sort="Stanton, Anthony W B" uniqKey="Stanton A" first="Anthony W B" last="Stanton">Anthony W B. Stanton</name></author><author><name sortKey="Bamber, Jeff C" sort="Bamber, Jeff C" uniqKey="Bamber J" first="Jeff C" last="Bamber">Jeff C. Bamber</name></author><author><name sortKey="Levick, J Rodney" sort="Levick, J Rodney" uniqKey="Levick J" first="J Rodney" last="Levick">J Rodney Levick</name></author><author><name sortKey="Mortimer, Peter S" sort="Mortimer, Peter S" uniqKey="Mortimer P" first="Peter S" last="Mortimer">Peter S. Mortimer</name></author></analytic><series><title level="j">The breast journal</title><idno type="ISSN">1075-122X</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Breast Neoplasms (complications)</term><term>Case-Control Studies</term><term>Female</term><term>Humans</term><term>Lymphedema (diagnostic imaging)</term><term>Lymphedema (etiology)</term><term>Lymphedema (physiopathology)</term><term>Middle Aged</term><term>Skin (diagnostic imaging)</term><term>Skin (physiopathology)</term><term>Subcutaneous Tissue (diagnostic imaging)</term><term>Subcutaneous Tissue (physiopathology)</term><term>Ultrasonography</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><term>Skin</term><term>Subcutaneous Tissue</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Lymphedema</term><term>Skin</term><term>Subcutaneous Tissue</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Case-Control Studies</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Ultrasonography</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Breast cancer-related lymphedema (BCRL) is a chronic swelling of the arm that sometimes follows breast cancer treatment. Clinically, both skin and subcutis are swollen. Edema is considered to be predominantly subcutaneous and of an even distribution. The purpose of this study was to quantify the degree and uniformity of skin and subcutis swelling around the forearms of women with BCRL. Ten women with BCRL were recruited. Both forearms were examined using 20 MHz ultrasound to visualize the skin and 7 MHz ultrasound to visualize the subcutis. Skin thickness was between the bottom of the entry-echo and the skin-subcutis boundary. Subcutis thickness was measured between the skin-subcutis boundary and the subcutis-muscle boundary. Both average skin thickness (1.97 +/- 1.00 mm) and average subcutis thickness (10.32 +/- 5.63 mm) were greater in the ipsilateral arm than in the contralateral arm (skin 1.12 +/- 0.14 mm, subcutis 5.58 +/- 2.04 mm, p < 0.01, t-test). The degree of increase in skin thickness did not vary around the arm (p > 0.05, ANOVA), while the degree of increase in subcutis thickness did vary (p < 0.05). Skin thickness correlated negatively with subcutis thickness in the contralateral arm, but correlated positively in the ipsilateral arm. The skin and subcutis are thickened in the ipsilateral arm of patients with BCRL. Skin thickness is increased uniformly around the arm and correlates strongly with the degree of swelling, while subcutis swelling varies. The measurement of skin thickness using ultrasound may form a useful clinical tool in the diagnosis of lymphedema and also aid further investigation of therapeutic techniques.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">15569205</PMID><DateCreated><Year>2004</Year><Month>11</Month><Day>30</Day></DateCreated><DateCompleted><Year>2005</Year><Month>02</Month><Day>14</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>24</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1075-122X</ISSN><JournalIssue CitedMedium="Print"><Volume>10</Volume><Issue>6</Issue><PubDate><MedlineDate>2004 Nov-Dec</MedlineDate></PubDate></JournalIssue><Title>The breast journal</Title><ISOAbbreviation>Breast J</ISOAbbreviation></Journal><ArticleTitle>Dual-frequency ultrasound examination of skin and subcutis thickness in breast cancer-related lymphedema.</ArticleTitle><Pagination><MedlinePgn>496-503</MedlinePgn></Pagination><Abstract><AbstractText>Breast cancer-related lymphedema (BCRL) is a chronic swelling of the arm that sometimes follows breast cancer treatment. Clinically, both skin and subcutis are swollen. Edema is considered to be predominantly subcutaneous and of an even distribution. The purpose of this study was to quantify the degree and uniformity of skin and subcutis swelling around the forearms of women with BCRL. Ten women with BCRL were recruited. Both forearms were examined using 20 MHz ultrasound to visualize the skin and 7 MHz ultrasound to visualize the subcutis. Skin thickness was between the bottom of the entry-echo and the skin-subcutis boundary. Subcutis thickness was measured between the skin-subcutis boundary and the subcutis-muscle boundary. Both average skin thickness (1.97 +/- 1.00 mm) and average subcutis thickness (10.32 +/- 5.63 mm) were greater in the ipsilateral arm than in the contralateral arm (skin 1.12 +/- 0.14 mm, subcutis 5.58 +/- 2.04 mm, p < 0.01, t-test). The degree of increase in skin thickness did not vary around the arm (p > 0.05, ANOVA), while the degree of increase in subcutis thickness did vary (p < 0.05). Skin thickness correlated negatively with subcutis thickness in the contralateral arm, but correlated positively in the ipsilateral arm. The skin and subcutis are thickened in the ipsilateral arm of patients with BCRL. Skin thickness is increased uniformly around the arm and correlates strongly with the degree of swelling, while subcutis swelling varies. The measurement of skin thickness using ultrasound may form a useful clinical tool in the diagnosis of lymphedema and also aid further investigation of therapeutic techniques.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Mellor</LastName><ForeName>Russell H</ForeName><Initials>RH</Initials><AffiliationInfo><Affiliation>Department of Cardiac and Vascular Sciences (Dermatology Unit), St. George's Hospital Medical School, Cranmer Terrace, London, SW17 0RE, UK. rmellor@sghms.ac.uk</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bush</LastName><ForeName>Nigel L</ForeName><Initials>NL</Initials></Author><Author ValidYN="Y"><LastName>Stanton</LastName><ForeName>Anthony W B</ForeName><Initials>AW</Initials></Author><Author ValidYN="Y"><LastName>Bamber</LastName><ForeName>Jeff C</ForeName><Initials>JC</Initials></Author><Author ValidYN="Y"><LastName>Levick</LastName><ForeName>J Rodney</ForeName><Initials>JR</Initials></Author><Author ValidYN="Y"><LastName>Mortimer</LastName><ForeName>Peter S</ForeName><Initials>PS</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Breast J</MedlineTA><NlmUniqueID>9505539</NlmUniqueID><ISSNLinking>1075-122X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016022" MajorTopicYN="N">Case-Control Studies</DescriptorName></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="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012867" MajorTopicYN="N">Skin</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D040521" MajorTopicYN="N">Subcutaneous Tissue</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014463" MajorTopicYN="N">Ultrasonography</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2004</Year><Month>12</Month><Day>1</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2005</Year><Month>2</Month><Day>16</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2004</Year><Month>12</Month><Day>1</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">15569205</ArticleId><ArticleId IdType="pii">TBJ21458</ArticleId><ArticleId IdType="doi">10.1111/j.1075-122X.2004.21458.x</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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