Postmastectomy lymphoedema: different patterns of fluid distribution visualised by ultrasound imaging compared with magnetic resonance imaging.
Identifieur interne : 002496 ( PubMed/Curation ); précédent : 002495; suivant : 002497Postmastectomy lymphoedema: different patterns of fluid distribution visualised by ultrasound imaging compared with magnetic resonance imaging.
Auteurs : An Tassenoy [Belgique] ; Johan De Mey ; Filip De Ridder ; Peter Van Schuerbeeck ; Tim Vanderhasselt ; Jan Lamote ; Pierre LievensSource :
- Physiotherapy [ 1873-1465 ] ; 2011.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Bras, Complications postopératoires (anatomopathologie), Complications postopératoires (imagerie diagnostique), Complications postopératoires (rééducation et réadaptation), Derme (anatomopathologie), Derme (imagerie diagnostique), Fascia (anatomopathologie), Fascia (imagerie diagnostique), Femelle, Humains, Imagerie par résonance magnétique (), Liquides biologiques (imagerie diagnostique), Lymphoedème (anatomopathologie), Lymphoedème (imagerie diagnostique), Lymphoedème (rééducation et réadaptation), Mastectomie (effets indésirables), Mastectomie (rééducation et réadaptation), Sujet âgé, Techniques de physiothérapie, Tissu sous-cutané (anatomopathologie), Tissu sous-cutané (imagerie diagnostique), Tumeurs du sein (), Tumeurs du sein (rééducation et réadaptation), Échographie ().
- MESH :
- anatomopathologie : Complications postopératoires, Derme, Fascia, Lymphoedème, Tissu sous-cutané.
- effets indésirables : Mastectomie.
- imagerie diagnostique : Complications postopératoires, Derme, Fascia, Liquides biologiques, Lymphoedème, Tissu sous-cutané.
- rééducation et réadaptation : Complications postopératoires, Lymphoedème, Mastectomie, Tumeurs du sein.
- Adulte, Adulte d'âge moyen, Bras, Femelle, Humains, Imagerie par résonance magnétique, Sujet âgé, Techniques de physiothérapie, Tumeurs du sein, Échographie.
English descriptors
- KwdEn :
- Adult, Aged, Arm, Body Fluids (diagnostic imaging), Breast Neoplasms (rehabilitation), Breast Neoplasms (surgery), Dermis (diagnostic imaging), Dermis (pathology), Fascia (diagnostic imaging), Fascia (pathology), Female, Humans, Lymphedema (diagnostic imaging), Lymphedema (pathology), Lymphedema (rehabilitation), Magnetic Resonance Imaging (methods), Mastectomy (adverse effects), Mastectomy (rehabilitation), Middle Aged, Physical Therapy Modalities, Postoperative Complications (diagnostic imaging), Postoperative Complications (pathology), Postoperative Complications (rehabilitation), Subcutaneous Tissue (diagnostic imaging), Subcutaneous Tissue (pathology), Ultrasonography (methods).
- MESH :
- adverse effects : Mastectomy.
- diagnostic imaging : Body Fluids, Dermis, Fascia, Lymphedema, Postoperative Complications, Subcutaneous Tissue.
- methods : Magnetic Resonance Imaging, Ultrasonography.
- pathology : Dermis, Fascia, Lymphedema, Postoperative Complications, Subcutaneous Tissue.
- rehabilitation : Breast Neoplasms, Lymphedema, Mastectomy, Postoperative Complications.
- surgery : Breast Neoplasms.
- Adult, Aged, Arm, Female, Humans, Middle Aged, Physical Therapy Modalities.
Abstract
Postmastectomy lymphoedema remains a disabling complication caused by treatment for breast cancer. The increased thickness of the dermal layer and the increased volume of the subcutis represent the most important contributions to the total swelling of the arm. Ultrasound imaging of the subcutaneous layer results in different patterns of reflected ultrasound waves depending on the morphological alternations that occurred due to impaired lymphatic drainage. The aim of this study was to compare these echographic images with those obtained using magnetic resonance imaging to explain the nature of the morphological changes.
DOI: 10.1016/j.physio.2010.08.003
PubMed: 21820542
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type="abstract" xml:lang="en">Postmastectomy lymphoedema remains a disabling complication caused by treatment for breast cancer. The increased thickness of the dermal layer and the increased volume of the subcutis represent the most important contributions to the total swelling of the arm. Ultrasound imaging of the subcutaneous layer results in different patterns of reflected ultrasound waves depending on the morphological alternations that occurred due to impaired lymphatic drainage. The aim of this study was to compare these echographic images with those obtained using magnetic resonance imaging to explain the nature of the morphological changes.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21820542</PMID><DateCreated><Year>2011</Year><Month>08</Month><Day>08</Day></DateCreated><DateCompleted><Year>2011</Year><Month>12</Month><Day>13</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>25</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-1465</ISSN><JournalIssue CitedMedium="Internet"><Volume>97</Volume><Issue>3</Issue><PubDate><Year>2011</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Physiotherapy</Title><ISOAbbreviation>Physiotherapy</ISOAbbreviation></Journal><ArticleTitle>Postmastectomy lymphoedema: different patterns of fluid distribution visualised by ultrasound imaging compared with magnetic resonance imaging.</ArticleTitle><Pagination><MedlinePgn>234-43</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.physio.2010.08.003</ELocationID><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">Postmastectomy lymphoedema remains a disabling complication caused by treatment for breast cancer. The increased thickness of the dermal layer and the increased volume of the subcutis represent the most important contributions to the total swelling of the arm. Ultrasound imaging of the subcutaneous layer results in different patterns of reflected ultrasound waves depending on the morphological alternations that occurred due to impaired lymphatic drainage. The aim of this study was to compare these echographic images with those obtained using magnetic resonance imaging to explain the nature of the morphological changes.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">Observational study.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">Patients were recruited from the Breast Clinic at the University Hospital Brussels.</AbstractText><AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">Seven women (mean age 60 years) with unilateral breast cancer who subsequently developed lymphoedema.</AbstractText><AbstractText Label="MAIN OUTCOME MEASURES" NlmCategory="METHODS">The water displacement technique was applied to determine arm volumes, and echographic and magnetic resonance images were used to evaluate changes in tissue structures.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Volumetric measurements of the arm (mean affected arm 3241 ml vs unaffected arm 2538 ml) showed a significant increase in total arm volume of 703 ml (95% confidence interval 324 to 1084 ml). Using echography, the thickness of the dermal and subcutaneous layers showed an average increase of 0.2 to 0.8mm and 3.9 to 7.2mm, respectively. The differences between the affected arm and the unaffected arm for all upper and lower arm measurements (i.e. volumetry, dermal and subcutaneous thickness) were significant, but no significant differences were registered for hand measurements. On echography, the dermis showed uniform changes, with a homogenous hypo-echogenic appearance compared with the contralateral side due to water influx. Different patterns of structural changes could be visualised within the subcutis: (1) uniformly hypo-echogenic due to the diffuse spread of water through the subcutis; (2) hyperechogenic areas surrounded by hypo-echogenic streaks visualised on magnetic resonance imaging as adipose tissue surrounded by fluid embedded in fibrous tissue; and (3) homogenously hyperechogenic due to the overgrowth of adipose tissue with a minimal amount of water.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Echographic images can help to determine the likelihood that complex physical therapy will reduce lymphoedema, and evaluate treatment results by measuring tissue thickness and evaluating tissue consistency.</AbstractText><CopyrightInformation>Copyright © 2010 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Tassenoy</LastName><ForeName>An</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Rehabilitation Research, Vrije Universiteit Brussel, Laarbeeklaan 103, 1090 Brussels, Belgium. An.tassenoy@vub.ac.be</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>De Mey</LastName><ForeName>Johan</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>De Ridder</LastName><ForeName>Filip</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Van Schuerbeeck</LastName><ForeName>Peter</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Vanderhasselt</LastName><ForeName>Tim</ForeName><Initials>T</Initials></Author><Author ValidYN="Y"><LastName>Lamote</LastName><ForeName>Jan</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Lievens</LastName><ForeName>Pierre</ForeName><Initials>P</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2010</Year><Month>12</Month><Day>04</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Physiotherapy</MedlineTA><NlmUniqueID>0401223</NlmUniqueID><ISSNLinking>0031-9406</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001132" MajorTopicYN="N">Arm</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001826" MajorTopicYN="N">Body Fluids</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000534" MajorTopicYN="N">rehabilitation</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D020405" MajorTopicYN="N">Dermis</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005205" MajorTopicYN="N">Fascia</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName><QualifierName UI="Q000534" MajorTopicYN="N">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008279" MajorTopicYN="N">Magnetic Resonance Imaging</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008408" MajorTopicYN="N">Mastectomy</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName><QualifierName UI="Q000534" MajorTopicYN="N">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D026741" MajorTopicYN="N">Physical Therapy Modalities</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName><QualifierName UI="Q000534" MajorTopicYN="N">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D040521" MajorTopicYN="N">Subcutaneous Tissue</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014463" MajorTopicYN="N">Ultrasonography</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2009</Year><Month>08</Month><Day>20</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2010</Year><Month>08</Month><Day>03</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2011</Year><Month>8</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>8</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2011</Year><Month>12</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">21820542</ArticleId><ArticleId IdType="pii">S0031-9406(10)00096-9</ArticleId><ArticleId IdType="doi">10.1016/j.physio.2010.08.003</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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