Preservation of muscle fascia to decrease lymphedema after complete axillary and ilioinguinofemoral lymphadenectomy for melanoma.
Identifieur interne : 004480 ( PubMed/Corpus ); précédent : 004479; suivant : 004481Preservation of muscle fascia to decrease lymphedema after complete axillary and ilioinguinofemoral lymphadenectomy for melanoma.
Auteurs : Gary Lawton ; Hope Rasque ; Stephan AriyanSource :
- Journal of the American College of Surgeons [ 1072-7515 ] ; 2002.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Axilla, Fascia, Female, Groin, Humans, Lymph Node Excision (methods), Lymph Nodes (surgery), Lymphatic Metastasis, Lymphedema (prevention & control), Male, Melanoma (surgery), Middle Aged, Neoplasm Recurrence, Local, Retrospective Studies, Skin Neoplasms (surgery), Treatment Outcome.
- MESH :
- methods : Lymph Node Excision.
- prevention & control : Lymphedema.
- surgery : Lymph Nodes, Melanoma, Skin Neoplasms.
- Adult, Aged, Aged, 80 and over, Axilla, Fascia, Female, Groin, Humans, Lymphatic Metastasis, Male, Middle Aged, Neoplasm Recurrence, Local, Retrospective Studies, Treatment Outcome.
Abstract
In patients with melanoma, there is considerable concern about the clearance of clinically negative nodes, partly because of the unacceptable morbidity reported after regional lymphadenectomy. The advent of sentinel lymph node biopsies has allowed us to select those patients with positive sentinel lymph nodes for completion node dissections. The purpose of this article is to demonstrate that when complete lymph node dissection is indicated, it can be performed with a low risk of lymphedema using the fascia-preserving technique.
PubMed: 12229941
Links to Exploration step
pubmed:12229941Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Preservation of muscle fascia to decrease lymphedema after complete axillary and ilioinguinofemoral lymphadenectomy for melanoma.</title><author><name sortKey="Lawton, Gary" sort="Lawton, Gary" uniqKey="Lawton G" first="Gary" last="Lawton">Gary Lawton</name><affiliation><nlm:affiliation>Melanoma Unit of the Yale Cancer Center, Yale University School of Medicine, New Haven, CT 06510, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Rasque, Hope" sort="Rasque, Hope" uniqKey="Rasque H" first="Hope" last="Rasque">Hope Rasque</name></author><author><name sortKey="Ariyan, Stephan" sort="Ariyan, Stephan" uniqKey="Ariyan S" first="Stephan" last="Ariyan">Stephan Ariyan</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2002">2002</date><idno type="RBID">pubmed:12229941</idno><idno type="pmid">12229941</idno><idno type="wicri:Area/PubMed/Corpus">004480</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">004480</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Preservation of muscle fascia to decrease lymphedema after complete axillary and ilioinguinofemoral lymphadenectomy for melanoma.</title><author><name sortKey="Lawton, Gary" sort="Lawton, Gary" uniqKey="Lawton G" first="Gary" last="Lawton">Gary Lawton</name><affiliation><nlm:affiliation>Melanoma Unit of the Yale Cancer Center, Yale University School of Medicine, New Haven, CT 06510, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Rasque, Hope" sort="Rasque, Hope" uniqKey="Rasque H" first="Hope" last="Rasque">Hope Rasque</name></author><author><name sortKey="Ariyan, Stephan" sort="Ariyan, Stephan" uniqKey="Ariyan S" first="Stephan" last="Ariyan">Stephan Ariyan</name></author></analytic><series><title level="j">Journal of the American College of Surgeons</title><idno type="ISSN">1072-7515</idno><imprint><date when="2002" type="published">2002</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>Axilla</term><term>Fascia</term><term>Female</term><term>Groin</term><term>Humans</term><term>Lymph Node Excision (methods)</term><term>Lymph Nodes (surgery)</term><term>Lymphatic Metastasis</term><term>Lymphedema (prevention & control)</term><term>Male</term><term>Melanoma (surgery)</term><term>Middle Aged</term><term>Neoplasm Recurrence, Local</term><term>Retrospective Studies</term><term>Skin Neoplasms (surgery)</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymph Nodes</term><term>Melanoma</term><term>Skin Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Axilla</term><term>Fascia</term><term>Female</term><term>Groin</term><term>Humans</term><term>Lymphatic Metastasis</term><term>Male</term><term>Middle Aged</term><term>Neoplasm Recurrence, Local</term><term>Retrospective Studies</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In patients with melanoma, there is considerable concern about the clearance of clinically negative nodes, partly because of the unacceptable morbidity reported after regional lymphadenectomy. The advent of sentinel lymph node biopsies has allowed us to select those patients with positive sentinel lymph nodes for completion node dissections. The purpose of this article is to demonstrate that when complete lymph node dissection is indicated, it can be performed with a low risk of lymphedema using the fascia-preserving technique.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">12229941</PMID><DateCreated><Year>2002</Year><Month>09</Month><Day>16</Day></DateCreated><DateCompleted><Year>2002</Year><Month>10</Month><Day>16</Day></DateCompleted><DateRevised><Year>2007</Year><Month>11</Month><Day>14</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1072-7515</ISSN><JournalIssue CitedMedium="Print"><Volume>195</Volume><Issue>3</Issue><PubDate><Year>2002</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Journal of the American College of Surgeons</Title><ISOAbbreviation>J. Am. Coll. Surg.</ISOAbbreviation></Journal><ArticleTitle>Preservation of muscle fascia to decrease lymphedema after complete axillary and ilioinguinofemoral lymphadenectomy for melanoma.</ArticleTitle><Pagination><MedlinePgn>339-51</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">In patients with melanoma, there is considerable concern about the clearance of clinically negative nodes, partly because of the unacceptable morbidity reported after regional lymphadenectomy. The advent of sentinel lymph node biopsies has allowed us to select those patients with positive sentinel lymph nodes for completion node dissections. The purpose of this article is to demonstrate that when complete lymph node dissection is indicated, it can be performed with a low risk of lymphedema using the fascia-preserving technique.</AbstractText><AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">The records of 209 consecutive patients with melanoma who underwent fascia-preserving axillary (n = 116) or ilioinguinofemoral (n = 93) lymphadenectomy by a single surgeon between January 1984 and April 1998 were reviewed. In each operation, care was taken not to disrupt the muscle fascia at the site of lymphadenectomy.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">In the fascia-preserving axillary group, there were 59 men and 47 women with mean age of 53 years (range 21 to 79 years). There were three recurrences (3%) outside the borders of dissection. Transient upper extremity edema (8%) resolved over a median of 5 months, and permanent upper extremity edema occurred in 5% of patients. In the ilioinguinofemoral group, there were 19 men and 37 women with a mean age of 52 years (range 21 to 88 years). There was one recurrence (2%) outside the borders of dissection. Transient lower extremity edema (48%) resolved over a median of 12 months, and permanent lower extremity edema occurred in 14% of patients.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Preservation of the muscle fascia during lymph node dissection results in a lower incidence of permanent edema, with no increased risk of recurrence.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Lawton</LastName><ForeName>Gary</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Melanoma Unit of the Yale Cancer Center, Yale University School of Medicine, New Haven, CT 06510, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rasque</LastName><ForeName>Hope</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Ariyan</LastName><ForeName>Stephan</ForeName><Initials>S</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>CA-16359</GrantID><Acronym>CA</Acronym><Agency>NCI NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013487">Research Support, U.S. Gov't, P.H.S.</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Am Coll Surg</MedlineTA><NlmUniqueID>9431305</NlmUniqueID><ISSNLinking>1072-7515</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><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="D001365" MajorTopicYN="N">Axilla</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005205" MajorTopicYN="Y">Fascia</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006119" MajorTopicYN="N">Groin</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008198" MajorTopicYN="N">Lymph Nodes</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008207" MajorTopicYN="N">Lymphatic Metastasis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008545" MajorTopicYN="N">Melanoma</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009364" MajorTopicYN="N">Neoplasm Recurrence, Local</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012878" MajorTopicYN="N">Skin Neoplasms</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2002</Year><Month>9</Month><Day>17</Day><Hour>10</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2002</Year><Month>10</Month><Day>17</Day><Hour>4</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2002</Year><Month>9</Month><Day>17</Day><Hour>10</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">12229941</ArticleId><ArticleId IdType="pii">S1072-7515(02)01230-9</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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