Characterizing axillary web syndrome: ultrasonographic efficacy.
Identifieur interne : 000F23 ( PubMed/Curation ); précédent : 000F22; suivant : 000F24Characterizing axillary web syndrome: ultrasonographic efficacy.
Auteurs : L A Koehler ; D W Hunter ; T C Haddad ; A H Blaes ; A T Hirsch ; P M LudewigSource :
- Lymphology [ 0024-7766 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Aisselle (), Aisselle (imagerie diagnostique), Biopsie de noeud lymphatique sentinelle (effets indésirables), Bras (imagerie diagnostique), Femelle, Humains, Lymphadénectomie (effets indésirables), Lymphoedème (imagerie diagnostique), Lymphoedème (étiologie), Mastectomie, Mastectomie partielle, Peau (imagerie diagnostique), Sensibilité et spécificité, Syndrome, Tumeurs du sein (), Vaisseaux lymphatiques (imagerie diagnostique), Échographie, Études de cohortes, Études prospectives.
- MESH :
- effets indésirables : Biopsie de noeud lymphatique sentinelle, Lymphadénectomie.
- imagerie diagnostique : Aisselle, Bras, Lymphoedème, Peau, Vaisseaux lymphatiques.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Aisselle, Femelle, Humains, Mastectomie, Mastectomie partielle, Sensibilité et spécificité, Syndrome, Tumeurs du sein, Échographie, Études de cohortes, Études prospectives.
English descriptors
- KwdEn :
- Adult, Arm (diagnostic imaging), Axilla (diagnostic imaging), Axilla (surgery), Breast Neoplasms (surgery), Cohort Studies, Female, Humans, Lymph Node Excision (adverse effects), Lymphatic Vessels (diagnostic imaging), Lymphedema (diagnostic imaging), Lymphedema (etiology), Mastectomy, Mastectomy, Segmental, Middle Aged, Prospective Studies, Sensitivity and Specificity, Sentinel Lymph Node Biopsy (adverse effects), Skin (diagnostic imaging), Syndrome, Ultrasonography.
- MESH :
- adverse effects : Lymph Node Excision, Sentinel Lymph Node Biopsy.
- diagnostic imaging : Arm, Axilla, Lymphatic Vessels, Lymphedema, Skin.
- etiology : Lymphedema.
- surgery : Axilla, Breast Neoplasms.
- Adult, Cohort Studies, Female, Humans, Mastectomy, Mastectomy, Segmental, Middle Aged, Prospective Studies, Sensitivity and Specificity, Syndrome, Ultrasonography.
Abstract
The aim of this study was to determine if ultrasound could successfully characterize axillary web syndrome (AWS) and clarify the pathophysiologic basis of AWS as a vascular or lymphatic abnormality, or an abnormal tissue structure. This prospective study evaluated women who developed AWS following breast cancer surgery. Using an 18 MHz ultrasound transducer, images were taken of the AWS cord and compared to mirror images on the contralateral side. A blinded radiologist assessed the ultrasound characteristics of and structural changes in the skin and subcutaneous tissue and formulated an opinion as to the side in which AWS was located. Seventeen subjects participated in the study. No structure or abnormality consistent with AWS could be identified by ultrasound. There were no statistical differences between the ipsilateral and contralateral side in skin thickness; subcutaneous reflector thickness, number or disorganization; or subcutaneous tissue echodensity (p>0.05). The radiologist correctly identified the side with AWS in 12 of 17 subjects (=0.41). A distinct ultrasonographic structure or abnormality could not be identified in subjects with AWS using 18 MHz ultrasound. The inability to identify a specific structure excludes the possibility that AWS is associated with vein thrombosis or a fascial abnormality, and supports the theory that AWS may be pathology that is not visible with 18 MHz ultrasound, such as microlymphatic stasis or binding of fibrin or other proteins in the interstitial space.
PubMed: 25915976
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H" last="Blaes">A H Blaes</name></author><author><name sortKey="Hirsch, A T" sort="Hirsch, A T" uniqKey="Hirsch A" first="A T" last="Hirsch">A T Hirsch</name></author><author><name sortKey="Ludewig, P M" sort="Ludewig, P M" uniqKey="Ludewig P" first="P M" last="Ludewig">P M Ludewig</name></author></analytic><series><title level="j">Lymphology</title><idno type="ISSN">0024-7766</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Arm (diagnostic imaging)</term><term>Axilla (diagnostic imaging)</term><term>Axilla (surgery)</term><term>Breast Neoplasms (surgery)</term><term>Cohort Studies</term><term>Female</term><term>Humans</term><term>Lymph Node Excision (adverse effects)</term><term>Lymphatic Vessels (diagnostic imaging)</term><term>Lymphedema (diagnostic imaging)</term><term>Lymphedema (etiology)</term><term>Mastectomy</term><term>Mastectomy, Segmental</term><term>Middle Aged</term><term>Prospective Studies</term><term>Sensitivity and Specificity</term><term>Sentinel Lymph Node Biopsy (adverse effects)</term><term>Skin (diagnostic imaging)</term><term>Syndrome</term><term>Ultrasonography</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aisselle ()</term><term>Aisselle (imagerie diagnostique)</term><term>Biopsie de noeud lymphatique sentinelle (effets indésirables)</term><term>Bras (imagerie diagnostique)</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie (effets indésirables)</term><term>Lymphoedème (imagerie diagnostique)</term><term>Lymphoedème (étiologie)</term><term>Mastectomie</term><term>Mastectomie partielle</term><term>Peau (imagerie diagnostique)</term><term>Sensibilité et spécificité</term><term>Syndrome</term><term>Tumeurs du sein ()</term><term>Vaisseaux lymphatiques (imagerie diagnostique)</term><term>Échographie</term><term>Études de cohortes</term><term>Études prospectives</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term><term>Sentinel Lymph Node Biopsy</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Arm</term><term>Axilla</term><term>Lymphatic Vessels</term><term>Lymphedema</term><term>Skin</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Biopsie de noeud lymphatique sentinelle</term><term>Lymphadénectomie</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Aisselle</term><term>Bras</term><term>Lymphoedème</term><term>Peau</term><term>Vaisseaux lymphatiques</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Axilla</term><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Cohort Studies</term><term>Female</term><term>Humans</term><term>Mastectomy</term><term>Mastectomy, Segmental</term><term>Middle Aged</term><term>Prospective Studies</term><term>Sensitivity and Specificity</term><term>Syndrome</term><term>Ultrasonography</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aisselle</term><term>Femelle</term><term>Humains</term><term>Mastectomie</term><term>Mastectomie partielle</term><term>Sensibilité et spécificité</term><term>Syndrome</term><term>Tumeurs du sein</term><term>Échographie</term><term>Études de cohortes</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The aim of this study was to determine if ultrasound could successfully characterize axillary web syndrome (AWS) and clarify the pathophysiologic basis of AWS as a vascular or lymphatic abnormality, or an abnormal tissue structure. This prospective study evaluated women who developed AWS following breast cancer surgery. Using an 18 MHz ultrasound transducer, images were taken of the AWS cord and compared to mirror images on the contralateral side. A blinded radiologist assessed the ultrasound characteristics of and structural changes in the skin and subcutaneous tissue and formulated an opinion as to the side in which AWS was located. Seventeen subjects participated in the study. No structure or abnormality consistent with AWS could be identified by ultrasound. There were no statistical differences between the ipsilateral and contralateral side in skin thickness; subcutaneous reflector thickness, number or disorganization; or subcutaneous tissue echodensity (p>0.05). The radiologist correctly identified the side with AWS in 12 of 17 subjects (=0.41). A distinct ultrasonographic structure or abnormality could not be identified in subjects with AWS using 18 MHz ultrasound. The inability to identify a specific structure excludes the possibility that AWS is associated with vein thrombosis or a fascial abnormality, and supports the theory that AWS may be pathology that is not visible with 18 MHz ultrasound, such as microlymphatic stasis or binding of fibrin or other proteins in the interstitial space.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25915976</PMID><DateCreated><Year>2015</Year><Month>04</Month><Day>28</Day></DateCreated><DateCompleted><Year>2015</Year><Month>05</Month><Day>26</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>25</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0024-7766</ISSN><JournalIssue CitedMedium="Print"><Volume>47</Volume><Issue>4</Issue><PubDate><Year>2014</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Lymphology</Title><ISOAbbreviation>Lymphology</ISOAbbreviation></Journal><ArticleTitle>Characterizing axillary web syndrome: ultrasonographic efficacy.</ArticleTitle><Pagination><MedlinePgn>156-63</MedlinePgn></Pagination><Abstract><AbstractText>The aim of this study was to determine if ultrasound could successfully characterize axillary web syndrome (AWS) and clarify the pathophysiologic basis of AWS as a vascular or lymphatic abnormality, or an abnormal tissue structure. This prospective study evaluated women who developed AWS following breast cancer surgery. Using an 18 MHz ultrasound transducer, images were taken of the AWS cord and compared to mirror images on the contralateral side. A blinded radiologist assessed the ultrasound characteristics of and structural changes in the skin and subcutaneous tissue and formulated an opinion as to the side in which AWS was located. Seventeen subjects participated in the study. No structure or abnormality consistent with AWS could be identified by ultrasound. There were no statistical differences between the ipsilateral and contralateral side in skin thickness; subcutaneous reflector thickness, number or disorganization; or subcutaneous tissue echodensity (p>0.05). The radiologist correctly identified the side with AWS in 12 of 17 subjects (=0.41). A distinct ultrasonographic structure or abnormality could not be identified in subjects with AWS using 18 MHz ultrasound. The inability to identify a specific structure excludes the possibility that AWS is associated with vein thrombosis or a fascial abnormality, and supports the theory that AWS may be pathology that is not visible with 18 MHz ultrasound, such as microlymphatic stasis or binding of fibrin or other proteins in the interstitial space.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Koehler</LastName><ForeName>L A</ForeName><Initials>LA</Initials></Author><Author ValidYN="Y"><LastName>Hunter</LastName><ForeName>D W</ForeName><Initials>DW</Initials></Author><Author ValidYN="Y"><LastName>Haddad</LastName><ForeName>T C</ForeName><Initials>TC</Initials></Author><Author ValidYN="Y"><LastName>Blaes</LastName><ForeName>A H</ForeName><Initials>AH</Initials></Author><Author ValidYN="Y"><LastName>Hirsch</LastName><ForeName>A T</ForeName><Initials>AT</Initials></Author><Author ValidYN="Y"><LastName>Ludewig</LastName><ForeName>P M</ForeName><Initials>PM</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>L30 CA142244</GrantID><Acronym>CA</Acronym><Agency>NCI NIH HHS</Agency><Country>United States</Country></Grant></GrantList><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>Lymphology</MedlineTA><NlmUniqueID>0155112</NlmUniqueID><ISSNLinking>0024-7766</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Can Assoc Radiol J. 2001 Jun;52(3):193-5</RefSource><PMID Version="1">11436415</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Am J Surg. 2001 May;181(5):434-9</RefSource><PMID Version="1">11448437</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>AJR Am J Roentgenol. 2001 Oct;177(4):893-6</RefSource><PMID Version="1">11566698</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Clin Ultrasound. 2003 Feb;31(2):103-7</RefSource><PMID Version="1">12539252</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Am J Surg. 2003 Feb;185(2):127-30</RefSource><PMID Version="1">12559441</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Breast. 2006 Jun;15(3):411-3</RefSource><PMID Version="1">16257525</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Surg Radiol Anat. 2006 Dec;28(6):606-19</RefSource><PMID Version="1">17061033</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Breast J. 2009 Jul-Aug;15(4):381-4</RefSource><PMID Version="1">19601943</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Lymphology. 2009 Dec;42(4):176-81</RefSource><PMID Version="1">20218085</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001132" MajorTopicYN="N">Arm</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001365" MajorTopicYN="N">Axilla</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015331" MajorTopicYN="N">Cohort Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D042601" MajorTopicYN="N">Lymphatic Vessels</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008408" MajorTopicYN="N">Mastectomy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015412" MajorTopicYN="N">Mastectomy, Segmental</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012680" MajorTopicYN="N">Sensitivity and Specificity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D021701" MajorTopicYN="N">Sentinel Lymph Node Biopsy</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012867" MajorTopicYN="N">Skin</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013577" MajorTopicYN="N">Syndrome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014463" MajorTopicYN="N">Ultrasonography</DescriptorName></MeshHeading></MeshHeadingList><OtherID Source="NLM">NIHMS704820</OtherID><OtherID Source="NLM">PMC4518554</OtherID></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>4</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>4</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>5</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25915976</ArticleId><ArticleId IdType="pmc">PMC4518554</ArticleId><ArticleId IdType="mid">NIHMS704820</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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