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Upper limb lymphedema in breast cancer patients in the era of Z0011, sentinel lymph node biopsy and breast conservation.

Identifieur interne : 000078 ( PubMed/Curation ); précédent : 000077; suivant : 000079

Upper limb lymphedema in breast cancer patients in the era of Z0011, sentinel lymph node biopsy and breast conservation.

Auteurs : N R Bhatt [Irlande (pays)] ; M R Boland [Irlande (pays)] ; R. Mcgovern [Irlande (pays)] ; A. Lal [Irlande (pays)] ; S. Tormey [Irlande (pays)] ; A J Lowery [Irlande (pays)] ; B A Merrigan [Irlande (pays)]

Source :

RBID : pubmed:28752233

Abstract

Surgical techniques in breast cancer (BCa) have seen a dramatic change recently with breast-conserving surgery (BCS) and sentinel lymph node biopsy (SLNB). The ACOSOG-Z0011 trial reported equivalence in outcomes for certain patients with SLN metastases treated with axillary lymph node dissection (ALND) or SLNB alone. Our aim was to investigate changes in lymphedema referral patterns in BCa patients over the last 3 years in a specialist unit and to elucidate effects of SLNB, BCS, and Z0011 trial publication on such patterns.

DOI: 10.1007/s11845-017-1658-0
PubMed: 28752233

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pubmed:28752233

Le document en format XML

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<div type="abstract" xml:lang="en">Surgical techniques in breast cancer (BCa) have seen a dramatic change recently with breast-conserving surgery (BCS) and sentinel lymph node biopsy (SLNB). The ACOSOG-Z0011 trial reported equivalence in outcomes for certain patients with SLN metastases treated with axillary lymph node dissection (ALND) or SLNB alone. Our aim was to investigate changes in lymphedema referral patterns in BCa patients over the last 3 years in a specialist unit and to elucidate effects of SLNB, BCS, and Z0011 trial publication on such patterns.</div>
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<Month>07</Month>
<Day>28</Day>
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<Month>Jul</Month>
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<Title>Irish journal of medical science</Title>
<ISOAbbreviation>Ir J Med Sci</ISOAbbreviation>
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<ArticleTitle>Upper limb lymphedema in breast cancer patients in the era of Z0011, sentinel lymph node biopsy and breast conservation.</ArticleTitle>
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<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Surgical techniques in breast cancer (BCa) have seen a dramatic change recently with breast-conserving surgery (BCS) and sentinel lymph node biopsy (SLNB). The ACOSOG-Z0011 trial reported equivalence in outcomes for certain patients with SLN metastases treated with axillary lymph node dissection (ALND) or SLNB alone. Our aim was to investigate changes in lymphedema referral patterns in BCa patients over the last 3 years in a specialist unit and to elucidate effects of SLNB, BCS, and Z0011 trial publication on such patterns.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A retrospective study was performed over a 3-year period (May 2012-May 2015). Patients were identified using a prospectively maintained lymphedema database and newly referred BCa patients with data availability were included.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Overall lymphedema incidence was 11% (19.2% in ALND and 5.1% in SLNB cohort). There was a statistically significant difference in lymphedema referral patterns after Z0011, new referrals reduced by 20% (chi-sq; p = 0.001). Volume of referrals post ALND was reduced by 40% with concomitant 31% rise in those post SLNB alone, reflecting changing surgical patterns. There was a significant change in extent of lymphnode dissection during ALND (p = 0.003).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The Z0011 trial in association with wider implementation of SLNB has led to significant changes in the lymphedema referral patterns and extent of ALND.</AbstractText>
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<Keyword MajorTopicYN="N">Axillary lymph node dissection</Keyword>
<Keyword MajorTopicYN="N">Incidence</Keyword>
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