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[Poor influence of surgery on upper limb lymphedema volume in patients after breast cancer treatment].

Identifieur interne : 003831 ( PubMed/Curation ); précédent : 003830; suivant : 003832

[Poor influence of surgery on upper limb lymphedema volume in patients after breast cancer treatment].

Auteurs : S. Vignes [France] ; M. Arrault ; M. Ebelin

Source :

RBID : pubmed:17088788

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English descriptors

Abstract

Secondary upper lymphedema occurs in 15 to 20% of patients after breast cancer treatment. Surgery may be required on lymphedematous limb. The aim of our study was to analyze the effects of surgery on lymphedema volume.

PubMed: 17088788

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pubmed:17088788

Le document en format XML

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<title xml:lang="en">[Poor influence of surgery on upper limb lymphedema volume in patients after breast cancer treatment].</title>
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<name sortKey="Vignes, S" sort="Vignes, S" uniqKey="Vignes S" first="S" last="Vignes">S. Vignes</name>
<affiliation wicri:level="1">
<nlm:affiliation>Unité de Lymphologie, Hôpital Cognacq-Jay, 15 rue Eugène Millon, 75015 Paris. stephane.vignes@hopital-cognacq-jay.fr</nlm:affiliation>
<country>France</country>
<placeName>
<settlement type="city">Paris</settlement>
<region type="région" nuts="2">Île-de-France</region>
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<wicri:regionArea>Unité de Lymphologie, Hôpital Cognacq-Jay, 15 rue Eugène Millon</wicri:regionArea>
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<name sortKey="Arrault, M" sort="Arrault, M" uniqKey="Arrault M" first="M" last="Arrault">M. Arrault</name>
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<name sortKey="Ebelin, M" sort="Ebelin, M" uniqKey="Ebelin M" first="M" last="Ebelin">M. Ebelin</name>
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<title xml:lang="en">[Poor influence of surgery on upper limb lymphedema volume in patients after breast cancer treatment].</title>
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<nlm:affiliation>Unité de Lymphologie, Hôpital Cognacq-Jay, 15 rue Eugène Millon, 75015 Paris. stephane.vignes@hopital-cognacq-jay.fr</nlm:affiliation>
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<name sortKey="Ebelin, M" sort="Ebelin, M" uniqKey="Ebelin M" first="M" last="Ebelin">M. Ebelin</name>
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<title level="j">Journal des maladies vasculaires</title>
<idno type="ISSN">0398-0499</idno>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Adult</term>
<term>Arm</term>
<term>Breast Neoplasms (therapy)</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (pathology)</term>
<term>Lymphedema (surgery)</term>
<term>Middle Aged</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Bras</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (anatomopathologie)</term>
<term>Lymphoedème (étiologie)</term>
<term>Résultat thérapeutique</term>
<term>Tumeurs du sein ()</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr">
<term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Lymphedema</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>Arm</term>
<term>Female</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Treatment Outcome</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Bras</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème</term>
<term>Résultat thérapeutique</term>
<term>Tumeurs du sein</term>
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<front>
<div type="abstract" xml:lang="en">Secondary upper lymphedema occurs in 15 to 20% of patients after breast cancer treatment. Surgery may be required on lymphedematous limb. The aim of our study was to analyze the effects of surgery on lymphedema volume.</div>
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<PMID Version="1">17088788</PMID>
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<Year>2006</Year>
<Month>11</Month>
<Day>07</Day>
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<DateCompleted>
<Year>2007</Year>
<Month>01</Month>
<Day>25</Day>
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<Year>2006</Year>
<Month>11</Month>
<Day>07</Day>
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<ISSN IssnType="Print">0398-0499</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>31</Volume>
<Issue>4 Pt 1</Issue>
<PubDate>
<Year>2006</Year>
<Month>Sep</Month>
</PubDate>
</JournalIssue>
<Title>Journal des maladies vasculaires</Title>
<ISOAbbreviation>J Mal Vasc</ISOAbbreviation>
</Journal>
<ArticleTitle>[Poor influence of surgery on upper limb lymphedema volume in patients after breast cancer treatment].</ArticleTitle>
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<MedlinePgn>202-5</MedlinePgn>
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<Abstract>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">Secondary upper lymphedema occurs in 15 to 20% of patients after breast cancer treatment. Surgery may be required on lymphedematous limb. The aim of our study was to analyze the effects of surgery on lymphedema volume.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Nine women with upper limb lymphedema after breast cancer treatment were recruited. Mean age at time of breast cancer was 45.6 +/- 8 years. Breast cancer was localized at right side and was treated with mammectomy (n=4), radiotherapy (n=8), chemotherapy (n=4) and antiestrogen (n=5). Mean duration of lymphedema before upper limb surgery was 10 years. Six patients reported one or more previous cellulitis. Surgery was indicated for carpal tunnel syndrome (n=6), forearm (n=2) or humeral (n=1) fracture. Lymphedema volume, calculated by the difference of volume between the lymphedematous and the contralateral arm, was compared before and after surgery.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Six patients had carpal tunnel release by transecting the transverse carpal ligament under local anesthesia with short total time tourniquet. Humeral and forearm fractures were treated with osteosynthesis. Before surgery, lymphedema volume of upper limb was 747 +/- 315 ml. Lymphedema management included low stretch bandages, elastic sleeve, manual lymph drainage. After 8 months follow up, lymphedema volume was significantly higher, 858 +/- 293 ml (p=0.012). Mean absolute variation of lymphedema volume was 111 ml (CI 95%: 32 to 109 ml), i.e. 15% of pre surgery lymphedema volume.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Surgery of carpal tunnel syndrome or osteosynthesis for fractures may lead to increased lymphedema volume in patients previously treated for breast cancer despite compressive therapy.</AbstractText>
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<Affiliation>Unité de Lymphologie, Hôpital Cognacq-Jay, 15 rue Eugène Millon, 75015 Paris. stephane.vignes@hopital-cognacq-jay.fr</Affiliation>
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<VernacularTitle>Effet délétère d'un acte chirurgical sur le volume d'un lymphoedème du membre supérieur après cancer du sein.</VernacularTitle>
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<Country>France</Country>
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<DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName>
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<DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
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