Impairment of lymph drainage in subfascial compartment of forearm in breast cancer-related lymphedema.
Identifieur interne : 003E17 ( PubMed/Curation ); précédent : 003E16; suivant : 003E18Impairment of lymph drainage in subfascial compartment of forearm in breast cancer-related lymphedema.
Auteurs : A W B. Stanton [Royaume-Uni] ; R H Mellor ; G J Cook ; W E Svensson ; A M Peters ; J R Levick ; P S MortimerSource :
- Lymphatic research and biology [ 1539-6851 ] ; 2003.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Avant-bras (anatomopathologie), Caméras à rayons gamma, Drainage, Facteurs temps, Femelle, Humains, Immunoglobuline G (métabolisme), Lymphadénectomie, Lymphe (métabolisme), Lymphe (physiologie), Lymphoedème (anatomopathologie), Lymphoedème (étiologie), Lymphographie (), Mastectomie radicale modifiée, Muscles (anatomopathologie), Noeuds lymphatiques (anatomopathologie), Scintigraphie (), Sujet âgé, Système lymphatique (anatomopathologie), Technétium (pharmacocinétique), Température, Tumeurs du sein (), Tumeurs du sein (anatomopathologie), Vaisseaux lymphatiques (anatomopathologie).
- MESH :
- anatomopathologie : Avant-bras, Lymphoedème, Muscles, Noeuds lymphatiques, Système lymphatique, Tumeurs du sein, Vaisseaux lymphatiques.
- métabolisme : Immunoglobuline G, Lymphe.
- pharmacocinétique : Technétium.
- physiologie : Lymphe.
- étiologie : Lymphoedème.
- Adulte d'âge moyen, Caméras à rayons gamma, Drainage, Facteurs temps, Femelle, Humains, Lymphadénectomie, Lymphographie, Mastectomie radicale modifiée, Scintigraphie, Sujet âgé, Température, Tumeurs du sein.
English descriptors
- KwdEn :
- Aged, Breast Neoplasms (complications), Breast Neoplasms (pathology), Drainage, Female, Forearm (pathology), Gamma Cameras, Humans, Immunoglobulin G (metabolism), Lymph (metabolism), Lymph (physiology), Lymph Node Excision, Lymph Nodes (pathology), Lymphatic System (pathology), Lymphatic Vessels (pathology), Lymphedema (etiology), Lymphedema (pathology), Lymphography (methods), Mastectomy, Modified Radical, Middle Aged, Muscles (pathology), Radionuclide Imaging (methods), Technetium (pharmacokinetics), Temperature, Time Factors.
- MESH :
- chemical , metabolism : Immunoglobulin G.
- complications : Breast Neoplasms.
- etiology : Lymphedema.
- metabolism : Lymph.
- methods : Lymphography, Radionuclide Imaging.
- pathology : Breast Neoplasms, Forearm, Lymph Nodes, Lymphatic System, Lymphatic Vessels, Lymphedema, Muscles.
- chemical , pharmacokinetics : Technetium.
- physiology : Lymph.
- Aged, Drainage, Female, Gamma Cameras, Humans, Lymph Node Excision, Mastectomy, Modified Radical, Middle Aged, Temperature, Time Factors.
Abstract
In arm lymphedema secondary to axillary surgery and radiotherapy (breast cancer-related lymphedema), the swelling is largely epifascial and lymph flow per unit epifascial volume is impaired. The subfascial muscle compartment is not measurably swollen despite the iatrogenic damage to its axillary drainage pathway, but this could be due to its low compliance. Our aim was to test the hypothesis that subfascial lymph drainage too is impaired.
DOI: 10.1089/153968503321642615
PubMed: 15624420
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: Pour aller vers cette notice dans l'étape Curation :003E17
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pubmed:15624420Le document en format XML
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<term>Système lymphatique</term>
<term>Tumeurs du sein</term>
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<term>Female</term>
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<term>Caméras à rayons gamma</term>
<term>Drainage</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
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<term>Lymphographie</term>
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<front><div type="abstract" xml:lang="en">In arm lymphedema secondary to axillary surgery and radiotherapy (breast cancer-related lymphedema), the swelling is largely epifascial and lymph flow per unit epifascial volume is impaired. The subfascial muscle compartment is not measurably swollen despite the iatrogenic damage to its axillary drainage pathway, but this could be due to its low compliance. Our aim was to test the hypothesis that subfascial lymph drainage too is impaired.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">15624420</PMID>
<DateCreated><Year>2004</Year>
<Month>12</Month>
<Day>30</Day>
</DateCreated>
<DateCompleted><Year>2005</Year>
<Month>02</Month>
<Day>01</Day>
</DateCompleted>
<DateRevised><Year>2017</Year>
<Month>09</Month>
<Day>02</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">1539-6851</ISSN>
<JournalIssue CitedMedium="Print"><Volume>1</Volume>
<Issue>2</Issue>
<PubDate><Year>2003</Year>
</PubDate>
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<Title>Lymphatic research and biology</Title>
<ISOAbbreviation>Lymphat Res Biol</ISOAbbreviation>
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<ArticleTitle>Impairment of lymph drainage in subfascial compartment of forearm in breast cancer-related lymphedema.</ArticleTitle>
<Pagination><MedlinePgn>121-32</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">In arm lymphedema secondary to axillary surgery and radiotherapy (breast cancer-related lymphedema), the swelling is largely epifascial and lymph flow per unit epifascial volume is impaired. The subfascial muscle compartment is not measurably swollen despite the iatrogenic damage to its axillary drainage pathway, but this could be due to its low compliance. Our aim was to test the hypothesis that subfascial lymph drainage too is impaired.</AbstractText>
<AbstractText Label="METHODS AND RESULTS" NlmCategory="RESULTS">Quantitative lymphoscintigraphy was used to measure the removal rate constant (local lymph flow per unit distribution volume) for technetium-99m-human immunoglobulin G injected intramuscularly in the forearms of nine women with unilateral lymphedema. The removal rate constant was on average 31% lower in the ipsilateral swollen forearm than in the contralateral forearm (swollen arm: -0.096+/-0.041% min(-1), contralateral arm: -0.138+/-0.037% min(-1); mean+/-SD, p = 0.037). The decrease in subfascial rate constant correlated strongly with increase in arm volume (r = -0.88, p = 0.002), even though the swelling is mainly epifascial. There was no convincing evidence of dermal backflow.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Lymph flow in the subfascial muscle compartment is decreased in breast cancer-related lymphedema. The correlation between impairment of subfascial drainage and epifascial arm swelling could be because both depend on the severity of axillary damage, or because loss of function in subfascial lymphatics impairs drainage from the epifascial to the subfascial system.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Stanton</LastName>
<ForeName>A W B</ForeName>
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<AffiliationInfo><Affiliation>Department of Medicine, St George's Hospital Medical School, London. astanton@sghms.ac.uk</Affiliation>
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<Author ValidYN="Y"><LastName>Mellor</LastName>
<ForeName>R H</ForeName>
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<Author ValidYN="Y"><LastName>Cook</LastName>
<ForeName>G J</ForeName>
<Initials>GJ</Initials>
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<Author ValidYN="Y"><LastName>Svensson</LastName>
<ForeName>W E</ForeName>
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<Author ValidYN="Y"><LastName>Peters</LastName>
<ForeName>A M</ForeName>
<Initials>AM</Initials>
</Author>
<Author ValidYN="Y"><LastName>Levick</LastName>
<ForeName>J R</ForeName>
<Initials>JR</Initials>
</Author>
<Author ValidYN="Y"><LastName>Mortimer</LastName>
<ForeName>P S</ForeName>
<Initials>PS</Initials>
</Author>
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