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Factors associated with increased breast cancer-related lymphedema volume.

Identifieur interne : 003526 ( PubMed/Curation ); précédent : 003525; suivant : 003527

Factors associated with increased breast cancer-related lymphedema volume.

Auteurs : Stephane Vignes [France] ; Maria Arrault ; Alain Dupuy

Source :

RBID : pubmed:17851861

Descripteurs français

English descriptors

Abstract

Upper limb lymphedema occurs in approximately 15-20% of women after breast cancer treatment. We analysed the factors associated with lymphedema volume.

DOI: 10.1080/02841860701403020
PubMed: 17851861

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pubmed:17851861

Le document en format XML

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<title xml:lang="en">Factors associated with increased breast cancer-related lymphedema volume.</title>
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<name sortKey="Vignes, Stephane" sort="Vignes, Stephane" uniqKey="Vignes S" first="Stephane" last="Vignes">Stephane Vignes</name>
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<nlm:affiliation>Department of Lymphology, Hôpital Cognacq-Jay, 15 rue Eugène Millon, 75015 Paris, France. stephane.vignes@hopital-cognacq-jay.fr</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Lymphology, Hôpital Cognacq-Jay, 15 rue Eugène Millon, 75015 Paris</wicri:regionArea>
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<name sortKey="Arrault, Maria" sort="Arrault, Maria" uniqKey="Arrault M" first="Maria" last="Arrault">Maria Arrault</name>
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<name sortKey="Dupuy, Alain" sort="Dupuy, Alain" uniqKey="Dupuy A" first="Alain" last="Dupuy">Alain Dupuy</name>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Arm</term>
<term>Body Mass Index</term>
<term>Breast Neoplasms (complications)</term>
<term>Breast Neoplasms (therapy)</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph Nodes (pathology)</term>
<term>Lymph Nodes (surgery)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (pathology)</term>
<term>Middle Aged</term>
<term>Multivariate Analysis</term>
<term>Organ Size</term>
<term>Risk Factors</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse multivariée</term>
<term>Bras</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de masse corporelle</term>
<term>Lymphoedème (anatomopathologie)</term>
<term>Lymphoedème (étiologie)</term>
<term>Noeuds lymphatiques ()</term>
<term>Noeuds lymphatiques (anatomopathologie)</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Taille d'organe</term>
<term>Tumeurs du sein ()</term>
<term>Études transversales</term>
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<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr">
<term>Lymphoedème</term>
<term>Noeuds lymphatiques</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Lymph Nodes</term>
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Lymph Nodes</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Arm</term>
<term>Body Mass Index</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Multivariate Analysis</term>
<term>Organ Size</term>
<term>Risk Factors</term>
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<term>Adulte d'âge moyen</term>
<term>Analyse multivariée</term>
<term>Bras</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de masse corporelle</term>
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<term>Sujet âgé de 80 ans ou plus</term>
<term>Taille d'organe</term>
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<div type="abstract" xml:lang="en">Upper limb lymphedema occurs in approximately 15-20% of women after breast cancer treatment. We analysed the factors associated with lymphedema volume.</div>
</front>
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<Year>2008</Year>
<Month>04</Month>
<Day>21</Day>
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<Title>Acta oncologica (Stockholm, Sweden)</Title>
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<ArticleTitle>Factors associated with increased breast cancer-related lymphedema volume.</ArticleTitle>
<Pagination>
<MedlinePgn>1138-42</MedlinePgn>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Upper limb lymphedema occurs in approximately 15-20% of women after breast cancer treatment. We analysed the factors associated with lymphedema volume.</AbstractText>
<AbstractText Label="METHOD" NlmCategory="METHODS">Cross-sectional study of 807 patients with secondary arm lymphedema was performed in a single lymphology unit. Data collected included patient characteristics, characteristics of breast cancer treatment, past history of cellulitis, Body Mass Index, delay from cancer to onset of lymphedema and duration of lymphedema. Lymphedema volume was calculated for each 5-cm segment by utilizing the formula for a truncated cone. Univariate and multivariate regression models were fitted to study the factors associated with increased lymphedema volume.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In univariate analysis, factors associated with lymphedema volume were duration of lymphedema, Body Mass Index, mastectomy, and past history of cellulitis. Treatment with anti-estrogen drugs was negatively associated with lymphedema volume (p = 0.02). In multivariate analysis, factors associated with lymphedema volume were duration of lymphedema (p < 0.001), Body Mass Index (p < 0.001), delay from cancer to onset of lymphedema (p = 0.002), mastectomy (p = 0.02) and past history of cellulitis (p = 0.011).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Early diagnosis and management of lymphedema, weight control and advices to avoid cellulitis are the main controllable parameters in women to prevent severity of breast cancer-related lymphedema.</AbstractText>
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