Serveur d'exploration sur le lymphœdème

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Arm lymphoedema after axillary surgery in women with invasive breast cancer.

Identifieur interne : 001672 ( PubMed/Curation ); précédent : 001671; suivant : 001673

Arm lymphoedema after axillary surgery in women with invasive breast cancer.

Auteurs : H. Sackey [Suède] ; A. Magnuson ; K. Sandelin ; G. Liljegren ; L. Bergkvist ; Z. Fülep ; F. Celebioglu ; J. Frisell

Source :

RBID : pubmed:24536010

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English descriptors

Abstract

The primary aim was to compare arm lymphoedema after sentinel lymph node biopsy (SLNB) alone versus axillary lymph node dissection (ALND) in women with node-negative and node-positive breast cancer. The secondary aim was to examine the potential association between self-reported and objectively measured arm lymphoedema.

DOI: 10.1002/bjs.9401
PubMed: 24536010

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pubmed:24536010

Le document en format XML

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<title xml:lang="en">Arm lymphoedema after axillary surgery in women with invasive breast cancer.</title>
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<nlm:affiliation>Department of Molecular Medicine and Surgery, Karolinska Institute and Karolinska University Hospital, Stockholm.</nlm:affiliation>
<country>Suède</country>
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<wicri:orgArea>Department of Molecular Medicine and Surgery, Karolinska Institute and Karolinska University Hospital</wicri:orgArea>
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<name sortKey="Magnuson, A" sort="Magnuson, A" uniqKey="Magnuson A" first="A" last="Magnuson">A. Magnuson</name>
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<name sortKey="Sandelin, K" sort="Sandelin, K" uniqKey="Sandelin K" first="K" last="Sandelin">K. Sandelin</name>
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<name sortKey="Fulep, Z" sort="Fulep, Z" uniqKey="Fulep Z" first="Z" last="Fülep">Z. Fülep</name>
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<name sortKey="Celebioglu, F" sort="Celebioglu, F" uniqKey="Celebioglu F" first="F" last="Celebioglu">F. Celebioglu</name>
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<term>Arm</term>
<term>Axilla (surgery)</term>
<term>Breast Neoplasms (pathology)</term>
<term>Breast Neoplasms (radiotherapy)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Chemotherapy, Adjuvant</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymphedema (etiology)</term>
<term>Mastectomy (methods)</term>
<term>Mastectomy, Segmental</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Self Report</term>
<term>Sentinel Lymph Node Biopsy (adverse effects)</term>
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<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte d'âge moyen</term>
<term>Aisselle ()</term>
<term>Autorapport</term>
<term>Biopsie de noeud lymphatique sentinelle (effets indésirables)</term>
<term>Bras</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphadénectomie (effets indésirables)</term>
<term>Lymphoedème (étiologie)</term>
<term>Mastectomie ()</term>
<term>Mastectomie partielle</term>
<term>Traitement médicamenteux adjuvant</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (anatomopathologie)</term>
<term>Tumeurs du sein (radiothérapie)</term>
<term>Études prospectives</term>
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<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Lymph Node Excision</term>
<term>Sentinel Lymph Node Biopsy</term>
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<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr">
<term>Tumeurs du sein</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr">
<term>Biopsie de noeud lymphatique sentinelle</term>
<term>Lymphadénectomie</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Mastectomy</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Breast Neoplasms</term>
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<keywords scheme="MESH" qualifier="radiotherapy" xml:lang="en">
<term>Breast Neoplasms</term>
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<term>Tumeurs du sein</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Axilla</term>
<term>Breast Neoplasms</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Lymphoedème</term>
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<term>Arm</term>
<term>Chemotherapy, Adjuvant</term>
<term>Female</term>
<term>Humans</term>
<term>Mastectomy, Segmental</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Self Report</term>
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<term>Autorapport</term>
<term>Bras</term>
<term>Femelle</term>
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<term>Mastectomie</term>
<term>Mastectomie partielle</term>
<term>Traitement médicamenteux adjuvant</term>
<term>Tumeurs du sein</term>
<term>Études prospectives</term>
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<front>
<div type="abstract" xml:lang="en">The primary aim was to compare arm lymphoedema after sentinel lymph node biopsy (SLNB) alone versus axillary lymph node dissection (ALND) in women with node-negative and node-positive breast cancer. The secondary aim was to examine the potential association between self-reported and objectively measured arm lymphoedema.</div>
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<pubmed>
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<DateCreated>
<Year>2014</Year>
<Month>02</Month>
<Day>18</Day>
</DateCreated>
<DateCompleted>
<Year>2014</Year>
<Month>04</Month>
<Day>15</Day>
</DateCompleted>
<DateRevised>
<Year>2014</Year>
<Month>02</Month>
<Day>18</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Electronic">1365-2168</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>101</Volume>
<Issue>4</Issue>
<PubDate>
<Year>2014</Year>
<Month>Mar</Month>
</PubDate>
</JournalIssue>
<Title>The British journal of surgery</Title>
<ISOAbbreviation>Br J Surg</ISOAbbreviation>
</Journal>
<ArticleTitle>Arm lymphoedema after axillary surgery in women with invasive breast cancer.</ArticleTitle>
<Pagination>
<MedlinePgn>390-7</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1002/bjs.9401</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The primary aim was to compare arm lymphoedema after sentinel lymph node biopsy (SLNB) alone versus axillary lymph node dissection (ALND) in women with node-negative and node-positive breast cancer. The secondary aim was to examine the potential association between self-reported and objectively measured arm lymphoedema.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Women who had surgery during 1999-2004 for invasive breast cancer in four centres in Sweden were included. The study groups were defined by the axillary procedure performed and the presence of axillary metastases: SLNB alone, ALND without axillary metastases, and ALND with axillary metastases. Before surgery, and 1, 2 and 3 years after operation, arm volume was measured and a questionnaire regarding symptoms of arm lymphoedema was completed. A mixed model was used to determine the adjusted mean difference in arm volume between the study groups, and generalized estimating equations were employed to determine differences in self-reported arm lymphoedema.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">One hundred and forty women had SLNB alone, 125 had node-negative ALND and 155 node-positive ALND. Women who underwent SLNB had no increase in postoperative arm volume over time, whereas both ALND groups showed a significant increase. The risk of self-reported arm lymphoedema 1, 2 and 3 years after surgery was significantly lower in the SLNB group compared with that in both ALND groups. Three years after surgery there was a significant association between increased arm volume and self-reported symptoms of arm lymphoedema.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">SLNB is associated with a minimal risk of increased arm volume and few symptoms of arm lymphoedema, significantly less than after ALND, regardless of lymph node status.</AbstractText>
<CopyrightInformation>© 2014 BJS Society Ltd. Published by John Wiley & Sons Ltd.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Sackey</LastName>
<ForeName>H</ForeName>
<Initials>H</Initials>
<AffiliationInfo>
<Affiliation>Department of Molecular Medicine and Surgery, Karolinska Institute and Karolinska University Hospital, Stockholm.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Magnuson</LastName>
<ForeName>A</ForeName>
<Initials>A</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Sandelin</LastName>
<ForeName>K</ForeName>
<Initials>K</Initials>
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<LastName>Liljegren</LastName>
<ForeName>G</ForeName>
<Initials>G</Initials>
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<LastName>Bergkvist</LastName>
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<LastName>Fülep</LastName>
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<LastName>Frisell</LastName>
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<Initials>J</Initials>
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<Language>eng</Language>
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<PublicationType UI="D003160">Comparative Study</PublicationType>
<PublicationType UI="D023362">Evaluation Studies</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
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<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
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<Country>England</Country>
<MedlineTA>Br J Surg</MedlineTA>
<NlmUniqueID>0372553</NlmUniqueID>
<ISSNLinking>0007-1323</ISSNLinking>
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<CitationSubset>AIM</CitationSubset>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D001132" MajorTopicYN="N">Arm</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D001365" MajorTopicYN="N">Axilla</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
<QualifierName UI="Q000532" MajorTopicYN="N">radiotherapy</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D017024" MajorTopicYN="N">Chemotherapy, Adjuvant</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="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008408" MajorTopicYN="N">Mastectomy</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
</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="D057566" MajorTopicYN="N">Self Report</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D021701" MajorTopicYN="N">Sentinel Lymph Node Biopsy</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
<PubmedData>
<History>
<PubMedPubDate PubStatus="accepted">
<Year>2013</Year>
<Month>11</Month>
<Day>13</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez">
<Year>2014</Year>
<Month>2</Month>
<Day>19</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<PublicationStatus>ppublish</PublicationStatus>
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<ArticleId IdType="doi">10.1002/bjs.9401</ArticleId>
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