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Preoperative assessment enables the early diagnosis and successful treatment of lymphedema.

Identifieur interne : 003298 ( PubMed/Curation ); précédent : 003297; suivant : 003299

Preoperative assessment enables the early diagnosis and successful treatment of lymphedema.

Auteurs : Nicole L. Stout Gergich [États-Unis] ; Lucinda A. Pfalzer ; Charles Mcgarvey ; Barbara Springer ; Lynn H. Gerber ; Peter Soballe

Source :

RBID : pubmed:18428212

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English descriptors

Abstract

The incidence of breast cancer (BC)-related lymphedema (LE) ranges from 7% to 47%. Successful management of LE relies on early diagnosis using sensitive measurement techniques. In the current study, the authors demonstrated the effectiveness of a surveillance program that included preoperative limb volume measurement and interval postoperative follow-up to detect and treat subclinical LE.

DOI: 10.1002/cncr.23494
PubMed: 18428212

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pubmed:18428212

Le document en format XML

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<title xml:lang="en">Preoperative assessment enables the early diagnosis and successful treatment of lymphedema.</title>
<author>
<name sortKey="Stout Gergich, Nicole L" sort="Stout Gergich, Nicole L" uniqKey="Stout Gergich N" first="Nicole L" last="Stout Gergich">Nicole L. Stout Gergich</name>
<affiliation wicri:level="1">
<nlm:affiliation>Breast Cancer Department, National Naval Medical Center, Bethesda, Maryland 20889-5600, USA. nicole.stout@med.navy.mil</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Breast Cancer Department, National Naval Medical Center, Bethesda, Maryland 20889-5600</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Pfalzer, Lucinda A" sort="Pfalzer, Lucinda A" uniqKey="Pfalzer L" first="Lucinda A" last="Pfalzer">Lucinda A. Pfalzer</name>
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<author>
<name sortKey="Mcgarvey, Charles" sort="Mcgarvey, Charles" uniqKey="Mcgarvey C" first="Charles" last="Mcgarvey">Charles Mcgarvey</name>
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<author>
<name sortKey="Springer, Barbara" sort="Springer, Barbara" uniqKey="Springer B" first="Barbara" last="Springer">Barbara Springer</name>
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<author>
<name sortKey="Gerber, Lynn H" sort="Gerber, Lynn H" uniqKey="Gerber L" first="Lynn H" last="Gerber">Lynn H. Gerber</name>
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<name sortKey="Soballe, Peter" sort="Soballe, Peter" uniqKey="Soballe P" first="Peter" last="Soballe">Peter Soballe</name>
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<date when="2008">2008</date>
<idno type="RBID">pubmed:18428212</idno>
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<title xml:lang="en">Preoperative assessment enables the early diagnosis and successful treatment of lymphedema.</title>
<author>
<name sortKey="Stout Gergich, Nicole L" sort="Stout Gergich, Nicole L" uniqKey="Stout Gergich N" first="Nicole L" last="Stout Gergich">Nicole L. Stout Gergich</name>
<affiliation wicri:level="1">
<nlm:affiliation>Breast Cancer Department, National Naval Medical Center, Bethesda, Maryland 20889-5600, USA. nicole.stout@med.navy.mil</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Breast Cancer Department, National Naval Medical Center, Bethesda, Maryland 20889-5600</wicri:regionArea>
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<author>
<name sortKey="Pfalzer, Lucinda A" sort="Pfalzer, Lucinda A" uniqKey="Pfalzer L" first="Lucinda A" last="Pfalzer">Lucinda A. Pfalzer</name>
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<author>
<name sortKey="Mcgarvey, Charles" sort="Mcgarvey, Charles" uniqKey="Mcgarvey C" first="Charles" last="Mcgarvey">Charles Mcgarvey</name>
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<author>
<name sortKey="Springer, Barbara" sort="Springer, Barbara" uniqKey="Springer B" first="Barbara" last="Springer">Barbara Springer</name>
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<name sortKey="Gerber, Lynn H" sort="Gerber, Lynn H" uniqKey="Gerber L" first="Lynn H" last="Gerber">Lynn H. Gerber</name>
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<name sortKey="Soballe, Peter" sort="Soballe, Peter" uniqKey="Soballe P" first="Peter" last="Soballe">Peter Soballe</name>
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<title level="j">Cancer</title>
<idno type="ISSN">0008-543X</idno>
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<date when="2008" type="published">2008</date>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Breast Neoplasms (complications)</term>
<term>Case-Control Studies</term>
<term>Early Diagnosis</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Lymphedema (complications)</term>
<term>Lymphedema (diagnosis)</term>
<term>Lymphedema (prevention & control)</term>
<term>Middle Aged</term>
<term>Preoperative Care</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Diagnostic précoce</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (diagnostic)</term>
<term>Soins préopératoires</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs du sein ()</term>
<term>Études cas-témoins</term>
<term>Études de suivi</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Breast Neoplasms</term>
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr">
<term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en">
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Case-Control Studies</term>
<term>Early Diagnosis</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Preoperative Care</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Diagnostic précoce</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème</term>
<term>Soins préopératoires</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs du sein</term>
<term>Études cas-témoins</term>
<term>Études de suivi</term>
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<front>
<div type="abstract" xml:lang="en">The incidence of breast cancer (BC)-related lymphedema (LE) ranges from 7% to 47%. Successful management of LE relies on early diagnosis using sensitive measurement techniques. In the current study, the authors demonstrated the effectiveness of a surveillance program that included preoperative limb volume measurement and interval postoperative follow-up to detect and treat subclinical LE.</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">18428212</PMID>
<DateCreated>
<Year>2008</Year>
<Month>06</Month>
<Day>10</Day>
</DateCreated>
<DateCompleted>
<Year>2008</Year>
<Month>07</Month>
<Day>02</Day>
</DateCompleted>
<DateRevised>
<Year>2009</Year>
<Month>03</Month>
<Day>24</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0008-543X</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>112</Volume>
<Issue>12</Issue>
<PubDate>
<Year>2008</Year>
<Month>Jun</Month>
<Day>15</Day>
</PubDate>
</JournalIssue>
<Title>Cancer</Title>
<ISOAbbreviation>Cancer</ISOAbbreviation>
</Journal>
<ArticleTitle>Preoperative assessment enables the early diagnosis and successful treatment of lymphedema.</ArticleTitle>
<Pagination>
<MedlinePgn>2809-19</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1002/cncr.23494</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The incidence of breast cancer (BC)-related lymphedema (LE) ranges from 7% to 47%. Successful management of LE relies on early diagnosis using sensitive measurement techniques. In the current study, the authors demonstrated the effectiveness of a surveillance program that included preoperative limb volume measurement and interval postoperative follow-up to detect and treat subclinical LE.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">LE was identified in 43 of 196 women who participated in a prospective BC morbidity trial. Limb volume was measured preoperatively and at 3-month intervals after surgery. If an increase>3% in upper limb (UL) volume developed compared with the preoperative volume, then a diagnosis of LE was made, and a compression garment intervention was prescribed for 4 weeks. Upon reduction of LE, garment wear was continued only during strenuous activity, with symptoms of heaviness, or with visible swelling. Women returned to the 3-month interval surveillance pathway. Statistical analysis was a repeated-measures analysis of variance by time and limb (P</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The time to onset of LE averaged 6.9 months postoperatively. The mean (+/-standard deviation) affected limb volume increase was 83 mL (+/-119 mL; 6.5%+/-9.9%) at LE onset (P=.005) compared with baseline. After the intervention, a statistically significant mean 48 mL (+/-103 mL; 4.1%+/-8.8%) volume decrease was realized (P<.0001). The mean duration of the intervention was 4.4 weeks (+/-2.9 weeks). Volume reduction was maintained at an average follow-up of 4.8 months (+/-4.1 months) after the intervention.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">A short trial of compression garments effectively treated subclinical LE.</AbstractText>
<CopyrightInformation>Copyright (c) 2008 American Cancer Society.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Stout Gergich</LastName>
<ForeName>Nicole L</ForeName>
<Initials>NL</Initials>
<AffiliationInfo>
<Affiliation>Breast Cancer Department, National Naval Medical Center, Bethesda, Maryland 20889-5600, USA. nicole.stout@med.navy.mil</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Pfalzer</LastName>
<ForeName>Lucinda A</ForeName>
<Initials>LA</Initials>
</Author>
<Author ValidYN="Y">
<LastName>McGarvey</LastName>
<ForeName>Charles</ForeName>
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<LastName>Springer</LastName>
<ForeName>Barbara</ForeName>
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<ForeName>Lynn H</ForeName>
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<ForeName>Peter</ForeName>
<Initials>P</Initials>
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</AuthorList>
<Language>eng</Language>
<GrantList CompleteYN="Y">
<Grant>
<GrantID>02-CC-0044</GrantID>
<Acronym>CC</Acronym>
<Agency>ODCDC CDC HHS</Agency>
<Country>United States</Country>
</Grant>
</GrantList>
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<ISSNLinking>0008-543X</ISSNLinking>
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<CitationSubset>AIM</CitationSubset>
<CitationSubset>IM</CitationSubset>
<CommentsCorrectionsList>
<CommentsCorrections RefType="CommentIn">
<RefSource>Cancer. 2009 Feb 15;115(4):909; author reply 909-10</RefSource>
<PMID Version="1">19152432</PMID>
</CommentsCorrections>
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<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
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<QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName>
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<DescriptorName UI="D016022" MajorTopicYN="N">Case-Control Studies</DescriptorName>
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<DescriptorName UI="D042241" MajorTopicYN="N">Early Diagnosis</DescriptorName>
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<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName>
<QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011300" MajorTopicYN="N">Preoperative Care</DescriptorName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
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<Day>23</Day>
<Hour>9</Hour>
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