Lymphedema in breast cancer survivors: incidence, degree, time course, treatment, and symptoms.
Identifieur interne : 003055 ( PubMed/Curation ); précédent : 003054; suivant : 003056Lymphedema in breast cancer survivors: incidence, degree, time course, treatment, and symptoms.
Auteurs : Sandra A. Norman [États-Unis] ; A Russell Localio ; Sheryl L. Potashnik ; Heather A. Simoes Torpey ; Michael J. Kallan ; Anita L. Weber ; Linda T. Miller ; Angela Demichele ; Lawrence J. SolinSource :
- Journal of clinical oncology : official journal of the American Society of Clinical Oncology [ 1527-7755 ] ; 2009.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Lymphoedème.
- physiopathologie : Lymphoedème.
- épidémiologie : Lymphoedème.
- Adulte d'âge moyen, Enquêtes et questionnaires, Femelle, Humains, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs du sein, Études prospectives.
English descriptors
- KwdEn :
- MESH :
- complications : Breast Neoplasms.
- epidemiology : Lymphedema.
- pathology : Lymphedema.
- physiopathology : Lymphedema.
- Aged, Aged, 80 and over, Female, Humans, Middle Aged, Prospective Studies, Surveys and Questionnaires.
Abstract
To examine the incidence, degree, time course, treatment, and symptoms of lymphedema in breast cancer survivors.
DOI: 10.1200/JCO.2008.17.9291
PubMed: 19064976
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Norman</name><affiliation wicri:level="1"><nlm:affiliation>Department of Medicine, Division of Hematology/Oncology, Center for Clinical Epidemiologyand Biostatistics, University of Pennsylvania School of Medicine, Philadelphia, PA 19104-6021, USA. snorman@mail.med.upenn.edu</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Medicine, Division of Hematology/Oncology, Center for Clinical Epidemiologyand Biostatistics, University of Pennsylvania School of Medicine, Philadelphia, PA 19104-6021</wicri:regionArea></affiliation></author><author><name sortKey="Localio, A Russell" sort="Localio, A Russell" uniqKey="Localio A" first="A Russell" last="Localio">A Russell Localio</name></author><author><name sortKey="Potashnik, Sheryl L" sort="Potashnik, Sheryl L" uniqKey="Potashnik S" first="Sheryl L" last="Potashnik">Sheryl L. Potashnik</name></author><author><name sortKey="Simoes Torpey, Heather A" sort="Simoes Torpey, Heather A" uniqKey="Simoes Torpey H" first="Heather A" last="Simoes Torpey">Heather A. Simoes Torpey</name></author><author><name sortKey="Kallan, Michael J" sort="Kallan, Michael J" uniqKey="Kallan M" first="Michael J" last="Kallan">Michael J. Kallan</name></author><author><name sortKey="Weber, Anita L" sort="Weber, Anita L" uniqKey="Weber A" first="Anita L" last="Weber">Anita L. Weber</name></author><author><name sortKey="Miller, Linda T" sort="Miller, Linda T" uniqKey="Miller L" first="Linda T" last="Miller">Linda T. Miller</name></author><author><name sortKey="Demichele, Angela" sort="Demichele, Angela" uniqKey="Demichele A" first="Angela" last="Demichele">Angela Demichele</name></author><author><name sortKey="Solin, Lawrence J" sort="Solin, Lawrence J" uniqKey="Solin L" first="Lawrence J" last="Solin">Lawrence J. 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Norman</name><affiliation wicri:level="1"><nlm:affiliation>Department of Medicine, Division of Hematology/Oncology, Center for Clinical Epidemiologyand Biostatistics, University of Pennsylvania School of Medicine, Philadelphia, PA 19104-6021, USA. snorman@mail.med.upenn.edu</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Medicine, Division of Hematology/Oncology, Center for Clinical Epidemiologyand Biostatistics, University of Pennsylvania School of Medicine, Philadelphia, PA 19104-6021</wicri:regionArea></affiliation></author><author><name sortKey="Localio, A Russell" sort="Localio, A Russell" uniqKey="Localio A" first="A Russell" last="Localio">A Russell Localio</name></author><author><name sortKey="Potashnik, Sheryl L" sort="Potashnik, Sheryl L" uniqKey="Potashnik S" first="Sheryl L" last="Potashnik">Sheryl L. Potashnik</name></author><author><name sortKey="Simoes Torpey, Heather A" sort="Simoes Torpey, Heather A" uniqKey="Simoes Torpey H" first="Heather A" last="Simoes Torpey">Heather A. Simoes Torpey</name></author><author><name sortKey="Kallan, Michael J" sort="Kallan, Michael J" uniqKey="Kallan M" first="Michael J" last="Kallan">Michael J. Kallan</name></author><author><name sortKey="Weber, Anita L" sort="Weber, Anita L" uniqKey="Weber A" first="Anita L" last="Weber">Anita L. Weber</name></author><author><name sortKey="Miller, Linda T" sort="Miller, Linda T" uniqKey="Miller L" first="Linda T" last="Miller">Linda T. Miller</name></author><author><name sortKey="Demichele, Angela" sort="Demichele, Angela" uniqKey="Demichele A" first="Angela" last="Demichele">Angela Demichele</name></author><author><name sortKey="Solin, Lawrence J" sort="Solin, Lawrence J" uniqKey="Solin L" first="Lawrence J" last="Solin">Lawrence J. Solin</name></author></analytic><series><title level="j">Journal of clinical oncology : official journal of the American Society of Clinical Oncology</title><idno type="eISSN">1527-7755</idno><imprint><date when="2009" type="published">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Breast Neoplasms (complications)</term><term>Female</term><term>Humans</term><term>Lymphedema (epidemiology)</term><term>Lymphedema (pathology)</term><term>Lymphedema (physiopathology)</term><term>Middle Aged</term><term>Prospective Studies</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Lymphoedème (anatomopathologie)</term><term>Lymphoedème (physiopathologie)</term><term>Lymphoedème (épidémiologie)</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs du sein ()</term><term>Études prospectives</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Prospective Studies</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs du sein</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To examine the incidence, degree, time course, treatment, and symptoms of lymphedema in breast cancer survivors.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">19064976</PMID><DateCreated><Year>2009</Year><Month>01</Month><Day>19</Day></DateCreated><DateCompleted><Year>2009</Year><Month>02</Month><Day>05</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>14</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1527-7755</ISSN><JournalIssue CitedMedium="Internet"><Volume>27</Volume><Issue>3</Issue><PubDate><Year>2009</Year><Month>Jan</Month><Day>20</Day></PubDate></JournalIssue><Title>Journal of clinical oncology : official journal of the American Society of Clinical Oncology</Title><ISOAbbreviation>J. Clin. Oncol.</ISOAbbreviation></Journal><ArticleTitle>Lymphedema in breast cancer survivors: incidence, degree, time course, treatment, and symptoms.</ArticleTitle><Pagination><MedlinePgn>390-7</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1200/JCO.2008.17.9291</ELocationID><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To examine the incidence, degree, time course, treatment, and symptoms of lymphedema in breast cancer survivors.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We conducted a 5-year, population-based prospective study of 631 randomly selected Philadelphia and Delaware County, Pennsylvania female residents with incident breast cancer who were diagnosed from 1999 to 2001. Using a questionnaire previously validated against physical therapists' measurement-based clinical criteria, we assigned a score indicating the degree of lymphedema (none, mild, or moderate/severe) to each month of follow-up based on the respondent's perceived differences in hand/arm size. Standard survival analysis methods permitted maximum use of follow-up.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Five-year cumulative incidence of lymphedema was 42 (42%) per 100 women. Among the 238 affected women, lymphedema first occurred within 2 years of diagnosis in 80% and within 3 years in 89%. Among 433 women observed for 3 years, 23% reported no more than mild lymphedema, 12% reported moderate/severe lymphedema, and 2% reported chronically moderate/severe lymphedema. Women with mild lymphedema were more than three times more likely to develop moderate/severe lymphedema than women with no lymphedema. Thirty-seven percent of women with mild lymphedema and 68% with moderate/severe lymphedema received treatment. Increasing proportions of women with increasing degree of lymphedema reported symptoms (eg, jewelry too tight, tired/thick/heavy arm). Symptoms present before the first occurrence of lymphedema were associated with a higher probability of later lymphedema (eg, hazard ratio for jewelry too tight = 7.37; 95% CI, 4.26 to 12.76).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Lymphedema after breast cancer is common but mostly mild. Subtle differences in self-reported hand/arm size and symptoms can be early signs of progressing lymphedema.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Norman</LastName><ForeName>Sandra A</ForeName><Initials>SA</Initials><AffiliationInfo><Affiliation>Department of Medicine, Division of Hematology/Oncology, Center for Clinical Epidemiologyand Biostatistics, University of Pennsylvania School of Medicine, Philadelphia, PA 19104-6021, USA. snorman@mail.med.upenn.edu</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Localio</LastName><ForeName>A Russell</ForeName><Initials>AR</Initials></Author><Author ValidYN="Y"><LastName>Potashnik</LastName><ForeName>Sheryl L</ForeName><Initials>SL</Initials></Author><Author ValidYN="Y"><LastName>Simoes Torpey</LastName><ForeName>Heather A</ForeName><Initials>HA</Initials></Author><Author ValidYN="Y"><LastName>Kallan</LastName><ForeName>Michael J</ForeName><Initials>MJ</Initials></Author><Author ValidYN="Y"><LastName>Weber</LastName><ForeName>Anita L</ForeName><Initials>AL</Initials></Author><Author ValidYN="Y"><LastName>Miller</LastName><ForeName>Linda T</ForeName><Initials>LT</Initials></Author><Author ValidYN="Y"><LastName>Demichele</LastName><ForeName>Angela</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Solin</LastName><ForeName>Lawrence J</ForeName><Initials>LJ</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>R01 CA65422</GrantID><Acronym>CA</Acronym><Agency>NCI NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D052061">Research Support, N.I.H., Extramural</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2008</Year><Month>12</Month><Day>08</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Clin Oncol</MedlineTA><NlmUniqueID>8309333</NlmUniqueID><ISSNLinking>0732-183X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>J Clin Oncol. 2009 Jun 10;27(17):2890; author reply 2890</RefSource><PMID Version="1">19414663</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Cancer. 1998 Dec 15;83(12 Suppl American):2776-81</RefSource><PMID Version="1">9874397</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Eur J Cancer. 1994;30A(9):1326-36</RefSource><PMID Version="1">7999421</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Natl Cancer Inst. 2001 Jan 17;93(2):96-111</RefSource><PMID Version="1">11208879</PMID></CommentsCorrections><CommentsCorrections 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Pain Symptom Manage. 1993 May;8(4):226-33</RefSource><PMID Version="1">7963764</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Cancer. 1998 Dec 15;83(12 Suppl American):2882-5</RefSource><PMID Version="1">9874417</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Cancer. 2000 Feb 1;88(3):608-14</RefSource><PMID Version="1">10649254</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Cancer. 1998 Dec 15;83(12 Suppl American):2775-890</RefSource><PMID Version="1">9925418</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Eur J Surg Oncol. 2003 May;29(4):341-50</RefSource><PMID Version="1">12711287</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Ann Surg Oncol. 2002 Oct;9(8):745-53</RefSource><PMID Version="1">12374657</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</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="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading></MeshHeadingList><OtherID Source="NLM">PMC2645852</OtherID></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2008</Year><Month>12</Month><Day>10</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2009</Year><Month>2</Month><Day>6</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2008</Year><Month>12</Month><Day>10</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">19064976</ArticleId><ArticleId IdType="pii">JCO.2008.17.9291</ArticleId><ArticleId IdType="doi">10.1200/JCO.2008.17.9291</ArticleId><ArticleId IdType="pmc">PMC2645852</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour 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