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Microsurgical techniques for the treatment of breast cancer-related lymphedema: a systematic review.

Identifieur interne : 001D97 ( PubMed/Curation ); précédent : 001D96; suivant : 001D98

Microsurgical techniques for the treatment of breast cancer-related lymphedema: a systematic review.

Auteurs : Tiara R Lopez Penha [Pays-Bas] ; Charlotte Ijsbrandy ; Nicole A M. Hendrix ; Esther M. Heuts ; Adri C. Voogd ; Maarten F. Von Meyenfeldt ; Rene R W J. Van Der Hulst

Source :

RBID : pubmed:23254539

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Abstract

Upper limb lymphedema is one of the most underestimated and debilitating complications of breast cancer treatment. The aim of this review is to summarize the recent literature for evidence of the effectiveness of lymphatic microsurgery for the treatment of breast cancer-related lymphedema (BCRL).

DOI: 10.1055/s-0032-1329919
PubMed: 23254539

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pubmed:23254539

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<title xml:lang="en">Microsurgical techniques for the treatment of breast cancer-related lymphedema: a systematic review.</title>
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<name sortKey="Penha, Tiara R Lopez" sort="Penha, Tiara R Lopez" uniqKey="Penha T" first="Tiara R Lopez" last="Penha">Tiara R Lopez Penha</name>
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<nlm:affiliation>Department of General Surgery, Maastricht University Medical Centre, Maastricht, The Netherlands. t.lopez@maastrichtuniversity.nl</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of General Surgery, Maastricht University Medical Centre, Maastricht</wicri:regionArea>
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<name sortKey="Ijsbrandy, Charlotte" sort="Ijsbrandy, Charlotte" uniqKey="Ijsbrandy C" first="Charlotte" last="Ijsbrandy">Charlotte Ijsbrandy</name>
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<name sortKey="Hendrix, Nicole A M" sort="Hendrix, Nicole A M" uniqKey="Hendrix N" first="Nicole A M" last="Hendrix">Nicole A M. Hendrix</name>
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<name sortKey="Heuts, Esther M" sort="Heuts, Esther M" uniqKey="Heuts E" first="Esther M" last="Heuts">Esther M. Heuts</name>
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<name sortKey="Voogd, Adri C" sort="Voogd, Adri C" uniqKey="Voogd A" first="Adri C" last="Voogd">Adri C. Voogd</name>
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<name sortKey="Von Meyenfeldt, Maarten F" sort="Von Meyenfeldt, Maarten F" uniqKey="Von Meyenfeldt M" first="Maarten F" last="Von Meyenfeldt">Maarten F. Von Meyenfeldt</name>
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<name sortKey="Van Der Hulst, Rene R W J" sort="Van Der Hulst, Rene R W J" uniqKey="Van Der Hulst R" first="Rene R W J" last="Van Der Hulst">Rene R W J. Van Der Hulst</name>
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<title level="j">Journal of reconstructive microsurgery</title>
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<term>Bandages</term>
<term>Breast Neoplasms (complications)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Drainage</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph Nodes (transplantation)</term>
<term>Lymphatic Vessels (surgery)</term>
<term>Lymphatic Vessels (transplantation)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (surgery)</term>
<term>Mass Screening</term>
<term>Microsurgery (methods)</term>
<term>Treatment Outcome</term>
<term>Upper Extremity (surgery)</term>
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<keywords scheme="KwdFr" xml:lang="fr">
<term>Bandages</term>
<term>Drainage</term>
<term>Dépistage systématique</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (étiologie)</term>
<term>Membre supérieur ()</term>
<term>Microchirurgie ()</term>
<term>Noeuds lymphatiques (transplantation)</term>
<term>Résultat thérapeutique</term>
<term>Tumeurs du sein ()</term>
<term>Vaisseaux lymphatiques ()</term>
<term>Vaisseaux lymphatiques (transplantation)</term>
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<term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Microsurgery</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Breast Neoplasms</term>
<term>Lymphatic Vessels</term>
<term>Lymphedema</term>
<term>Upper Extremity</term>
</keywords>
<keywords scheme="MESH" qualifier="transplantation" xml:lang="en">
<term>Lymph Nodes</term>
<term>Lymphatic Vessels</term>
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<term>Lymphoedème</term>
<term>Noeuds lymphatiques</term>
<term>Vaisseaux lymphatiques</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Bandages</term>
<term>Drainage</term>
<term>Female</term>
<term>Humans</term>
<term>Mass Screening</term>
<term>Treatment Outcome</term>
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<term>Drainage</term>
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<term>Microchirurgie</term>
<term>Résultat thérapeutique</term>
<term>Tumeurs du sein</term>
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<front>
<div type="abstract" xml:lang="en">Upper limb lymphedema is one of the most underestimated and debilitating complications of breast cancer treatment. The aim of this review is to summarize the recent literature for evidence of the effectiveness of lymphatic microsurgery for the treatment of breast cancer-related lymphedema (BCRL).</div>
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<Month>01</Month>
<Day>25</Day>
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<DateCompleted>
<Year>2013</Year>
<Month>09</Month>
<Day>17</Day>
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<Year>2016</Year>
<Month>05</Month>
<Day>26</Day>
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<Volume>29</Volume>
<Issue>2</Issue>
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<Year>2013</Year>
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<Title>Journal of reconstructive microsurgery</Title>
<ISOAbbreviation>J Reconstr Microsurg</ISOAbbreviation>
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<ArticleTitle>Microsurgical techniques for the treatment of breast cancer-related lymphedema: a systematic review.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Upper limb lymphedema is one of the most underestimated and debilitating complications of breast cancer treatment. The aim of this review is to summarize the recent literature for evidence of the effectiveness of lymphatic microsurgery for the treatment of breast cancer-related lymphedema (BCRL).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A search was conducted for articles published from January 2000 until January 2012. Only studies on secondary lymphedema after breast cancer treatment and those examining the effectiveness of microsurgery were included.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">No randomized clinical trials or comparative studies were available. Ten case-series met inclusion criteria: (composite) tissue transfer (n = 4), lymphatic vessel transfer (n = 2), and derivative microlymphatic surgery (n = 4). Limb volume/circumference reduction varied from 2 to 50% over a follow-up time ranging from 1 to 132 months. Postoperative discontinuation rates of conservative therapy were only reported after composite tissue transfer, ranging from 33 to 100% after 3 to 24 months. Clear selection criteria for lymphatic surgery and lymphatic flow assessment were absent in most studies.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">We identified important methodological shortcomings of the available literature. Evidence acquired through comparative studies with uniform patient selection is lacking. Consistent positive findings with regards to limb volume reduction and limited complications are reasons to further explore these techniques in methodologically superior studies.</AbstractText>
<CopyrightInformation>Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.</CopyrightInformation>
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<RefSource>J Reconstr Microsurg. 2014 Jan;30(1):71-2</RefSource>
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