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Postmastectomy lymphedema: long-term results following microsurgical lymph node transplantation.

Identifieur interne : 003A75 ( PubMed/Curation ); précédent : 003A74; suivant : 003A76

Postmastectomy lymphedema: long-term results following microsurgical lymph node transplantation.

Auteurs : Corinne Becker [France] ; Jalal Assouad ; Marc Riquet ; Geneviève Hidden

Source :

RBID : pubmed:16495693

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English descriptors

Abstract

Lymphedema complicating breast cancer treatment remains a challenging problem. The purpose of this study was to analyze the long-term results following microsurgical lymph node (LN) transplantation.

DOI: 10.1097/01.sla.0000201258.10304.16
PubMed: 16495693

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pubmed:16495693

Le document en format XML

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<title xml:lang="en">Postmastectomy lymphedema: long-term results following microsurgical lymph node transplantation.</title>
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<name sortKey="Becker, Corinne" sort="Becker, Corinne" uniqKey="Becker C" first="Corinne" last="Becker">Corinne Becker</name>
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<nlm:affiliation>Service de Chirurgie Thoracique, Hôpital Européen Georges Pompidou, Paris, France.</nlm:affiliation>
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<name sortKey="Assouad, Jalal" sort="Assouad, Jalal" uniqKey="Assouad J" first="Jalal" last="Assouad">Jalal Assouad</name>
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<name sortKey="Riquet, Marc" sort="Riquet, Marc" uniqKey="Riquet M" first="Marc" last="Riquet">Marc Riquet</name>
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<name sortKey="Hidden, Genevieve" sort="Hidden, Genevieve" uniqKey="Hidden G" first="Geneviève" last="Hidden">Geneviève Hidden</name>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Axilla</term>
<term>Breast Neoplasms (surgery)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Lymph Nodes (transplantation)</term>
<term>Lymphedema (diagnostic imaging)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (surgery)</term>
<term>Lymphography</term>
<term>Mastectomy (adverse effects)</term>
<term>Microsurgery (methods)</term>
<term>Middle Aged</term>
<term>Retrospective Studies</term>
<term>Time Factors</term>
<term>Treatment Outcome</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Aisselle</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (imagerie diagnostique)</term>
<term>Lymphoedème (étiologie)</term>
<term>Lymphographie</term>
<term>Mastectomie (effets indésirables)</term>
<term>Microchirurgie ()</term>
<term>Noeuds lymphatiques (transplantation)</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs du sein ()</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
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<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Mastectomy</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr">
<term>Mastectomie</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr">
<term>Lymphoedème</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Microsurgery</term>
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<term>Breast Neoplasms</term>
<term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="transplantation" xml:lang="en">
<term>Lymph Nodes</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Lymphoedème</term>
<term>Noeuds lymphatiques</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Axilla</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Lymphography</term>
<term>Middle Aged</term>
<term>Retrospective Studies</term>
<term>Time Factors</term>
<term>Treatment Outcome</term>
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<term>Adulte d'âge moyen</term>
<term>Aisselle</term>
<term>Facteurs temps</term>
<term>Femelle</term>
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<term>Lymphoedème</term>
<term>Lymphographie</term>
<term>Microchirurgie</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
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<front>
<div type="abstract" xml:lang="en">Lymphedema complicating breast cancer treatment remains a challenging problem. The purpose of this study was to analyze the long-term results following microsurgical lymph node (LN) transplantation.</div>
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<Day>23</Day>
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<DateCompleted>
<Year>2006</Year>
<Month>04</Month>
<Day>13</Day>
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<DateRevised>
<Year>2016</Year>
<Month>11</Month>
<Day>24</Day>
</DateRevised>
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<ISSN IssnType="Print">0003-4932</ISSN>
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<Volume>243</Volume>
<Issue>3</Issue>
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<Month>Mar</Month>
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<Title>Annals of surgery</Title>
<ISOAbbreviation>Ann. Surg.</ISOAbbreviation>
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<ArticleTitle>Postmastectomy lymphedema: long-term results following microsurgical lymph node transplantation.</ArticleTitle>
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<AbstractText Label="BACKGROUND AND OBJECTIVES" NlmCategory="OBJECTIVE">Lymphedema complicating breast cancer treatment remains a challenging problem. The purpose of this study was to analyze the long-term results following microsurgical lymph node (LN) transplantation.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Twenty-four female patients with lymphedema for more than 5 years underwent LN transplantation. They were treated by physiotherapy and resistant to it. LNs were harvested in the femoral region, transferred to the axillary region, and transplanted by microsurgical procedures. Long-term results were evaluated according to skin elasticity, decrease, or disappearance of lymphedema assessed by measurements, isotopic lymphangiography, and ability to stop physiotherapy.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The postoperative period was uneventful; skin infectious diseases disappeared in all patients. Upper limb perimeter returned to normal in 10 cases, decreased in 12 cases, and remained unchanged in 2 cases. Five of 16 (31%) isotopic lymphoscintigraphies demonstrated activity of the transplanted nodes. Physiotherapy was discontinued in 15 patients (62.5%). Ten patients were considered as cured, important improvement was noted in 12 patients, and only 2 patients were not improved.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">LN transplantation is a safe procedure permitting good long-term results, disappearance, or a noteworthy improvement, in postmastectomy lymphedema, especially in the early stages of the disease.</AbstractText>
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<CommentsCorrectionsList>
<CommentsCorrections RefType="Cites">
<RefSource>Lymphology. 2001 Jun;34(2):84-91</RefSource>
<PMID Version="1">11471576</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Plast Reconstr Surg. 1979 Jun;63(6):817-23</RefSource>
<PMID Version="1">441196</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Ann Surg. 1982 Jul;196(1):92-9</RefSource>
<PMID Version="1">7092359</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Lymphology. 1994 Mar;27(1):1-5</RefSource>
<PMID Version="1">8207966</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Br J Plast Surg. 1990 Sep;43(5):578-86</RefSource>
<PMID Version="1">2224354</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Lymphology. 1993 Dec;26(4):169-76</RefSource>
<PMID Version="1">8121194</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>J Mal Vasc. 1988;13(2):119-22</RefSource>
<PMID Version="1">3397670</PMID>
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