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Surgical outcomes after breast cancer surgery: measuring acute lymphedema.

Identifieur interne : 004921 ( PubMed/Corpus ); précédent : 004920; suivant : 004922

Surgical outcomes after breast cancer surgery: measuring acute lymphedema.

Auteurs : M A Kosir ; C. Rymal ; P. Koppolu ; L. Hryniuk ; L. Darga ; W. Du ; V. Rice ; D. Mood ; S. Shakoor ; W. Wang ; J. Bedoyan ; A. Aref ; L. Biernat ; L. Northouse

Source :

RBID : pubmed:11162038

English descriptors

Abstract

Studies of lymphedema have used inconsistent measures and criteria. The purpose of this pilot study was to measure the onset and incidence of acute lymphedema in breast cancer survivors using strict criteria for limb evaluation.

DOI: 10.1006/jsre.2000.6021
PubMed: 11162038

Links to Exploration step

pubmed:11162038

Le document en format XML

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<title xml:lang="en">Surgical outcomes after breast cancer surgery: measuring acute lymphedema.</title>
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<nlm:affiliation>Surgical Section, John D. Dingell VA Medical Center, Detroit, Michigan, USA. Mary.kosir@med.va.gov</nlm:affiliation>
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<name sortKey="Rymal, C" sort="Rymal, C" uniqKey="Rymal C" first="C" last="Rymal">C. Rymal</name>
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<name sortKey="Koppolu, P" sort="Koppolu, P" uniqKey="Koppolu P" first="P" last="Koppolu">P. Koppolu</name>
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<name sortKey="Hryniuk, L" sort="Hryniuk, L" uniqKey="Hryniuk L" first="L" last="Hryniuk">L. Hryniuk</name>
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<name sortKey="Darga, L" sort="Darga, L" uniqKey="Darga L" first="L" last="Darga">L. Darga</name>
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<name sortKey="Du, W" sort="Du, W" uniqKey="Du W" first="W" last="Du">W. Du</name>
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<name sortKey="Rice, V" sort="Rice, V" uniqKey="Rice V" first="V" last="Rice">V. Rice</name>
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<name sortKey="Mood, D" sort="Mood, D" uniqKey="Mood D" first="D" last="Mood">D. Mood</name>
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<name sortKey="Shakoor, S" sort="Shakoor, S" uniqKey="Shakoor S" first="S" last="Shakoor">S. Shakoor</name>
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<name sortKey="Wang, W" sort="Wang, W" uniqKey="Wang W" first="W" last="Wang">W. Wang</name>
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<name sortKey="Bedoyan, J" sort="Bedoyan, J" uniqKey="Bedoyan J" first="J" last="Bedoyan">J. Bedoyan</name>
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<name sortKey="Aref, A" sort="Aref, A" uniqKey="Aref A" first="A" last="Aref">A. Aref</name>
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<name sortKey="Rymal, C" sort="Rymal, C" uniqKey="Rymal C" first="C" last="Rymal">C. Rymal</name>
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<name sortKey="Hryniuk, L" sort="Hryniuk, L" uniqKey="Hryniuk L" first="L" last="Hryniuk">L. Hryniuk</name>
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<name sortKey="Darga, L" sort="Darga, L" uniqKey="Darga L" first="L" last="Darga">L. Darga</name>
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<name sortKey="Du, W" sort="Du, W" uniqKey="Du W" first="W" last="Du">W. Du</name>
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<name sortKey="Rice, V" sort="Rice, V" uniqKey="Rice V" first="V" last="Rice">V. Rice</name>
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<name sortKey="Wang, W" sort="Wang, W" uniqKey="Wang W" first="W" last="Wang">W. Wang</name>
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<name sortKey="Bedoyan, J" sort="Bedoyan, J" uniqKey="Bedoyan J" first="J" last="Bedoyan">J. Bedoyan</name>
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<title level="j">The Journal of surgical research</title>
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<date when="2001" type="published">2001</date>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Breast Neoplasms (pathology)</term>
<term>Breast Neoplasms (radiotherapy)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Combined Modality Therapy</term>
<term>Continental Population Groups</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Lymphedema (diagnosis)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (physiopathology)</term>
<term>Mastectomy, Modified Radical (adverse effects)</term>
<term>Mastectomy, Segmental (adverse effects)</term>
<term>Michigan</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
<term>Socioeconomic Factors</term>
<term>Time Factors</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en">
<term>Michigan</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Mastectomy, Modified Radical</term>
<term>Mastectomy, Segmental</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" 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>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="radiotherapy" xml:lang="en">
<term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Breast Neoplasms</term>
</keywords>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Combined Modality Therapy</term>
<term>Continental Population Groups</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
<term>Socioeconomic Factors</term>
<term>Time Factors</term>
<term>Treatment Outcome</term>
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<front>
<div type="abstract" xml:lang="en">Studies of lymphedema have used inconsistent measures and criteria. The purpose of this pilot study was to measure the onset and incidence of acute lymphedema in breast cancer survivors using strict criteria for limb evaluation.</div>
</front>
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<PMID Version="1">11162038</PMID>
<DateCreated>
<Year>2001</Year>
<Month>02</Month>
<Day>22</Day>
</DateCreated>
<DateCompleted>
<Year>2001</Year>
<Month>03</Month>
<Day>22</Day>
</DateCompleted>
<DateRevised>
<Year>2006</Year>
<Month>11</Month>
<Day>15</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0022-4804</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>95</Volume>
<Issue>2</Issue>
<PubDate>
<Year>2001</Year>
<Month>Feb</Month>
</PubDate>
</JournalIssue>
<Title>The Journal of surgical research</Title>
<ISOAbbreviation>J. Surg. Res.</ISOAbbreviation>
</Journal>
<ArticleTitle>Surgical outcomes after breast cancer surgery: measuring acute lymphedema.</ArticleTitle>
<Pagination>
<MedlinePgn>147-51</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Studies of lymphedema have used inconsistent measures and criteria. The purpose of this pilot study was to measure the onset and incidence of acute lymphedema in breast cancer survivors using strict criteria for limb evaluation.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Eligible women were those undergoing breast cancer surgery that included axillary staging and/or radiation therapy of the breast. Arm volume, strength, and flexibility were measured preoperatively and quarterly. Lymphedema was defined as a greater than 10% increase in limb volume. Additional strength and flexibility assessments were done at these times.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In 30 evaluable patients, half underwent modified radical mastectomy and half lumpectomy, with half of the lumpectomy patients undergoing axillary node staging. Of the 30 patients 27% were Stage 0; the rest were Stage I (27%), IIA (13%), IIB (23%), and IIIA (7%). One subject was IIIB postoperatively. There were 2 women with a 10% or greater change in limb volume; the change was detected in one woman at 3 months (5% incidence) and in the second woman at 6 months (11% incidence). Both had undergone mastectomy and axillary dissection and one of these two women had symptoms of tingling and numbness in the affected arm that began at 3 months. Overall, 35% of the sample experienced symptoms by 3 months, which included numbness, aching, and tingling of the entire upper extremity, but without volume changes. The relationship between undergoing modified radical mastectomy and experiencing symptoms in the affected limb at 3 months was significant (P = 0.05).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In this interim report strict methods of measurement and limb volume comparisons detected acute lymphedema at 3 months in 5% of the sample, and at 6 months in 11% of the sample. Furthermore, symptoms were detected in 35% without volume changes at 3 months postoperatively, which may warn of lymphedema occurrence within the next 3 months. This may assist clinical evaluation of symptoms in the postoperative period and support early referral to lymphedema experts.</AbstractText>
<CopyrightInformation>Copyright 2000 Academic Press.</CopyrightInformation>
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<ForeName>M A</ForeName>
<Initials>MA</Initials>
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<RefSource>J Surg Res 2001 Apr;96(2):304</RefSource>
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<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
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