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Hand surgery after axillary lymph node clearance for breast cancer: contra-indication to surgery?

Identifieur interne : 002A08 ( PubMed/Curation ); précédent : 002A07; suivant : 002A09

Hand surgery after axillary lymph node clearance for breast cancer: contra-indication to surgery?

Auteurs : Dean Fulford [Royaume-Uni] ; Sam Dalal ; John Winstanley ; Mike J. Hayton

Source :

RBID : pubmed:20587171

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English descriptors

Abstract

Breast cancer patients who have had prior axillary lymph node clearance (ALNC) can present with ipsilateral hand conditions that could easily be treated with surgical intervention. These patients are often advised to avoid interventional procedures due to risks of complications such as lymphoedema, infection and cellulitis.

DOI: 10.1308/003588410X12699663904475
PubMed: 20587171

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pubmed:20587171

Le document en format XML

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<title xml:lang="en">Hand surgery after axillary lymph node clearance for breast cancer: contra-indication to surgery?</title>
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<name sortKey="Fulford, Dean" sort="Fulford, Dean" uniqKey="Fulford D" first="Dean" last="Fulford">Dean Fulford</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Orthopaedics, Royal Bolton Hospital, Farnworth, UK. drdean@doctors.org.uk</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Orthopaedics, Royal Bolton Hospital, Farnworth</wicri:regionArea>
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<name sortKey="Dalal, Sam" sort="Dalal, Sam" uniqKey="Dalal S" first="Sam" last="Dalal">Sam Dalal</name>
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<name sortKey="Winstanley, John" sort="Winstanley, John" uniqKey="Winstanley J" first="John" last="Winstanley">John Winstanley</name>
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<name sortKey="Hayton, Mike J" sort="Hayton, Mike J" uniqKey="Hayton M" first="Mike J" last="Hayton">Mike J. Hayton</name>
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<country xml:lang="fr">Royaume-Uni</country>
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<name sortKey="Dalal, Sam" sort="Dalal, Sam" uniqKey="Dalal S" first="Sam" last="Dalal">Sam Dalal</name>
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<name sortKey="Winstanley, John" sort="Winstanley, John" uniqKey="Winstanley J" first="John" last="Winstanley">John Winstanley</name>
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<title level="j">Annals of the Royal College of Surgeons of England</title>
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<term>Attitude of Health Personnel</term>
<term>Axilla</term>
<term>Breast Neoplasms</term>
<term>Cellulitis (etiology)</term>
<term>Elective Surgical Procedures (contraindications)</term>
<term>Female</term>
<term>Hand (surgery)</term>
<term>Humans</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymph Node Excision (methods)</term>
<term>Lymphatic Metastasis</term>
<term>Lymphedema (etiology)</term>
<term>Surgical Wound Infection (etiology)</term>
<term>Tourniquets (utilization)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Aisselle</term>
<term>Attitude du personnel soignant</term>
<term>Cellulite sous-cutanée (étiologie)</term>
<term>Femelle</term>
<term>Garrots (utilisation)</term>
<term>Humains</term>
<term>Infection de plaie opératoire (étiologie)</term>
<term>Interventions chirurgicales non urgentes ()</term>
<term>Lymphadénectomie ()</term>
<term>Lymphadénectomie (effets indésirables)</term>
<term>Lymphoedème (étiologie)</term>
<term>Main ()</term>
<term>Métastase lymphatique</term>
<term>Tumeurs du sein</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Lymph Node Excision</term>
</keywords>
<keywords scheme="MESH" qualifier="contraindications" xml:lang="en">
<term>Elective Surgical Procedures</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr">
<term>Lymphadénectomie</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Cellulitis</term>
<term>Lymphedema</term>
<term>Surgical Wound Infection</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Lymph Node Excision</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Hand</term>
</keywords>
<keywords scheme="MESH" qualifier="utilisation" xml:lang="fr">
<term>Garrots</term>
</keywords>
<keywords scheme="MESH" qualifier="utilization" xml:lang="en">
<term>Tourniquets</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Cellulite sous-cutanée</term>
<term>Infection de plaie opératoire</term>
<term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Attitude of Health Personnel</term>
<term>Axilla</term>
<term>Breast Neoplasms</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphatic Metastasis</term>
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<term>Aisselle</term>
<term>Attitude du personnel soignant</term>
<term>Femelle</term>
<term>Humains</term>
<term>Interventions chirurgicales non urgentes</term>
<term>Lymphadénectomie</term>
<term>Main</term>
<term>Métastase lymphatique</term>
<term>Tumeurs du sein</term>
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<front>
<div type="abstract" xml:lang="en">Breast cancer patients who have had prior axillary lymph node clearance (ALNC) can present with ipsilateral hand conditions that could easily be treated with surgical intervention. These patients are often advised to avoid interventional procedures due to risks of complications such as lymphoedema, infection and cellulitis.</div>
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<DateCreated>
<Year>2010</Year>
<Month>10</Month>
<Day>01</Day>
</DateCreated>
<DateCompleted>
<Year>2010</Year>
<Month>10</Month>
<Day>21</Day>
</DateCompleted>
<DateRevised>
<Year>2014</Year>
<Month>12</Month>
<Day>03</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1478-7083</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>92</Volume>
<Issue>7</Issue>
<PubDate>
<Year>2010</Year>
<Month>Oct</Month>
</PubDate>
</JournalIssue>
<Title>Annals of the Royal College of Surgeons of England</Title>
<ISOAbbreviation>Ann R Coll Surg Engl</ISOAbbreviation>
</Journal>
<ArticleTitle>Hand surgery after axillary lymph node clearance for breast cancer: contra-indication to surgery?</ArticleTitle>
<Pagination>
<MedlinePgn>573-6</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1308/003588410X12699663904475</ELocationID>
<Abstract>
<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Breast cancer patients who have had prior axillary lymph node clearance (ALNC) can present with ipsilateral hand conditions that could easily be treated with surgical intervention. These patients are often advised to avoid interventional procedures due to risks of complications such as lymphoedema, infection and cellulitis.</AbstractText>
<AbstractText Label="SUBJECTS AND METHODS" NlmCategory="METHODS">Between April and June 2009, we conducted an online survey of hand surgeons, breast surgeons and breast-care nurses to obtain their views on hand surgery after ipsilateral axillary lymph node clearance.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The majority of hand surgeons (58%) felt there was no contra-indication to surgery in a breast cancer patient with prior ipsilateral ALNC compared to just 30% of breast surgeons and 10% of breast-care nurses. The majority of breast surgeons and breast-care nurses (70% and 89%, respectively) felt that hand surgery was a relative contra-indication compared to just 41% of hand surgeons. Postoperative lymphoedema was the commonest cited reason for avoiding surgery. The majority of hand surgeons (79%) and nearly two-thirds of breast surgeons (57%) would use a tourniquet during surgery if it was normal practice.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">A review of the published literature does not support the notion that these patients experience increased complications; therefore, we recommend the advice given to breast cancer patients regarding ipsilateral surgery be re-evaluated.</AbstractText>
</Abstract>
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<LastName>Fulford</LastName>
<ForeName>Dean</ForeName>
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<Affiliation>Department of Orthopaedics, Royal Bolton Hospital, Farnworth, UK. drdean@doctors.org.uk</Affiliation>
</AffiliationInfo>
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<LastName>Dalal</LastName>
<ForeName>Sam</ForeName>
<Initials>S</Initials>
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<LastName>Winstanley</LastName>
<ForeName>John</ForeName>
<Initials>J</Initials>
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<LastName>Hayton</LastName>
<ForeName>Mike J</ForeName>
<Initials>MJ</Initials>
</Author>
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<Language>eng</Language>
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<CommentsCorrectionsList>
<CommentsCorrections RefType="Cites">
<RefSource>Phys Ther. 2002 Oct;82(10):1009-16</RefSource>
<PMID Version="1">12350215</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Handchir Mikrochir Plast Chir. 2004 Aug;36(4):237-40</RefSource>
<PMID Version="1">15368150</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Cancer. 1979 Dec;44(6):2254-9</RefSource>
<PMID Version="1">509395</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Int J Radiat Oncol Biol Phys. 1986 Sep;12(9):1575-82</RefSource>
<PMID Version="1">3759582</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>J Hand Surg Am. 1993 Nov;18(6):1041-3</RefSource>
<PMID Version="1">8294739</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Ann Surg Oncol. 1995 Mar;2(2):132-7</RefSource>
<PMID Version="1">7728566</PMID>
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<CommentsCorrections RefType="Cites">
<RefSource>Breast J. 2007 May-Jun;13(3):287-90</RefSource>
<PMID Version="1">17461904</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>J Hand Surg Eur Vol. 2008 Aug;33(4):515-8</RefSource>
<PMID Version="1">18687842</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>J Hand Surg Br. 1993 Apr;18(2):184-6</RefSource>
<PMID Version="1">8501369</PMID>
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<DescriptorName UI="D001291" MajorTopicYN="N">Attitude of Health Personnel</DescriptorName>
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<DescriptorName UI="D001365" MajorTopicYN="N">Axilla</DescriptorName>
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<DescriptorName UI="D001943" MajorTopicYN="Y">Breast Neoplasms</DescriptorName>
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<DescriptorName UI="D002481" MajorTopicYN="N">Cellulitis</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
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<DescriptorName UI="D017558" MajorTopicYN="N">Elective Surgical Procedures</DescriptorName>
<QualifierName UI="Q000744" MajorTopicYN="N">contraindications</QualifierName>
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<MeshHeading>
<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D006225" MajorTopicYN="N">Hand</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName>
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<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
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<DescriptorName UI="D014111" MajorTopicYN="N">Tourniquets</DescriptorName>
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<OtherID Source="NLM">PMC3229347</OtherID>
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