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[Lymphedema after breast carcinoma. A study of 5868 cases].

Identifieur interne : 005015 ( PubMed/Corpus ); précédent : 005014; suivant : 005016

[Lymphedema after breast carcinoma. A study of 5868 cases].

Auteurs : H. Schünemann ; N. Willich

Source :

RBID : pubmed:9190300

English descriptors

Abstract

According to published reports, the incidence of lymphoedema of the arm in patients with cancer of the breast, treated by either surgery or radiotherapy, varies widely. We obtained basic data on the treatment of breast cancer in a large number of patients in order to determine the relationship between the incidence of lymphoedema and the radical nature of the primary treatment.

DOI: 10.1055/s-2008-1047650
PubMed: 9190300

Links to Exploration step

pubmed:9190300

Le document en format XML

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<title xml:lang="en">[Lymphedema after breast carcinoma. A study of 5868 cases].</title>
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<name sortKey="Schunemann, H" sort="Schunemann, H" uniqKey="Schunemann H" first="H" last="Schünemann">H. Schünemann</name>
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<nlm:affiliation>Abteilung Gynäkologie I, Onkologische Klinik Bad Trissl, Oberaudorf.</nlm:affiliation>
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<author>
<name sortKey="Willich, N" sort="Willich, N" uniqKey="Willich N" first="N" last="Willich">N. Willich</name>
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<title xml:lang="en">[Lymphedema after breast carcinoma. A study of 5868 cases].</title>
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<name sortKey="Schunemann, H" sort="Schunemann, H" uniqKey="Schunemann H" first="H" last="Schünemann">H. Schünemann</name>
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<nlm:affiliation>Abteilung Gynäkologie I, Onkologische Klinik Bad Trissl, Oberaudorf.</nlm:affiliation>
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<name sortKey="Willich, N" sort="Willich, N" uniqKey="Willich N" first="N" last="Willich">N. Willich</name>
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<title level="j">Deutsche medizinische Wochenschrift (1946)</title>
<idno type="ISSN">0012-0472</idno>
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<date when="1997" type="published">1997</date>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Arm</term>
<term>Breast Neoplasms (complications)</term>
<term>Breast Neoplasms (pathology)</term>
<term>Breast Neoplasms (therapy)</term>
<term>Carcinoma (complications)</term>
<term>Carcinoma (pathology)</term>
<term>Carcinoma (therapy)</term>
<term>Female</term>
<term>Humans</term>
<term>Incidence</term>
<term>Lymphatic Metastasis</term>
<term>Lymphedema (epidemiology)</term>
<term>Lymphedema (etiology)</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
<term>Postoperative Complications (epidemiology)</term>
<term>Postoperative Complications (etiology)</term>
<term>Retrospective Studies</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Breast Neoplasms</term>
<term>Carcinoma</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Lymphedema</term>
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Lymphedema</term>
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Breast Neoplasms</term>
<term>Carcinoma</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Breast Neoplasms</term>
<term>Carcinoma</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Arm</term>
<term>Female</term>
<term>Humans</term>
<term>Incidence</term>
<term>Lymphatic Metastasis</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
<term>Retrospective Studies</term>
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<front>
<div type="abstract" xml:lang="en">According to published reports, the incidence of lymphoedema of the arm in patients with cancer of the breast, treated by either surgery or radiotherapy, varies widely. We obtained basic data on the treatment of breast cancer in a large number of patients in order to determine the relationship between the incidence of lymphoedema and the radical nature of the primary treatment.</div>
</front>
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<PMID Version="1">9190300</PMID>
<DateCreated>
<Year>1997</Year>
<Month>06</Month>
<Day>13</Day>
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<DateCompleted>
<Year>1997</Year>
<Month>06</Month>
<Day>13</Day>
</DateCompleted>
<DateRevised>
<Year>2006</Year>
<Month>11</Month>
<Day>15</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0012-0472</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>122</Volume>
<Issue>17</Issue>
<PubDate>
<Year>1997</Year>
<Month>Apr</Month>
<Day>25</Day>
</PubDate>
</JournalIssue>
<Title>Deutsche medizinische Wochenschrift (1946)</Title>
<ISOAbbreviation>Dtsch. Med. Wochenschr.</ISOAbbreviation>
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<ArticleTitle>[Lymphedema after breast carcinoma. A study of 5868 cases].</ArticleTitle>
<Pagination>
<MedlinePgn>536-41</MedlinePgn>
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<Abstract>
<AbstractText Label="BASIC PROBLEM AND OBJECTIVE" NlmCategory="OBJECTIVE">According to published reports, the incidence of lymphoedema of the arm in patients with cancer of the breast, treated by either surgery or radiotherapy, varies widely. We obtained basic data on the treatment of breast cancer in a large number of patients in order to determine the relationship between the incidence of lymphoedema and the radical nature of the primary treatment.</AbstractText>
<AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">Data were collected on all women with lymphoedema of the arm after treatment for breast cancer between 1972 and 1995. The increase in arm circumference was measured by a standardised method. Only those patients were included in the final analysis whose arm circumference had increased by at least 2 cm. The type of operation and(or) radiotherapy, tumor histology and TNM classification were recorded.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">There were 1405 cases of arm lymphoedema after treatment of 5868 cases of breast cancer (24%). 2515 breast cancers had been treated surgically. 3353 surgically and by radiotherapy. Lymphoedema occurred in 22.3% after radical mastectomy without radiotherapy and in 44.4% with it; after modified radical mastectomy without radiotherapy in 19.1%, in 28.9% with radiotherapy; after breast-preserving operation without radiotherapy in 6.7%, with radiotherapy in 10.1%. Until the 1970s radical mastectomy with conventional postoperative radiotherapy has been the treatment of choice, with 38% cases of lymphoedema. This incidence gradually decreased to 16% in subsequent years.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The incidence of lymphoedema of the arm depends on the radical nature of the primary treatment. The quality of life could be easily improved through minimising the incidence of lymphoedema if current standards of breast-preserving surgery were generally practised.</AbstractText>
</Abstract>
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<LastName>Schünemann</LastName>
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<Affiliation>Abteilung Gynäkologie I, Onkologische Klinik Bad Trissl, Oberaudorf.</Affiliation>
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<VernacularTitle>Lymphödeme nach Mammakarzinom. Eine Studie über 5868 Fälle.</VernacularTitle>
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<Country>Germany</Country>
<MedlineTA>Dtsch Med Wochenschr</MedlineTA>
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<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
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<DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName>
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<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
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<MeshHeading>
<DescriptorName UI="D002277" MajorTopicYN="N">Carcinoma</DescriptorName>
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<QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName>
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<DescriptorName UI="D015994" MajorTopicYN="N">Incidence</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D008207" MajorTopicYN="N">Lymphatic Metastasis</DescriptorName>
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<DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName>
</MeshHeading>
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<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<DescriptorName UI="D009367" MajorTopicYN="N">Neoplasm Staging</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
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<DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
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