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Comparison of morbidity between axillary lymph node dissection and sentinel node biopsy.

Identifieur interne : 004277 ( PubMed/Curation ); précédent : 004276; suivant : 004278

Comparison of morbidity between axillary lymph node dissection and sentinel node biopsy.

Auteurs : M P Schijven [Pays-Bas] ; A J J M. Vingerhoets ; H J T. Rutten ; G A P. Nieuwenhuijzen ; R M H. Roumen ; M E Van Bussel ; A C Voogd

Source :

RBID : pubmed:12711287

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English descriptors

Abstract

The use of axillary lymph node dissection (ALND) in women with breast cancer is associated with considerable morbidity. Sentinel node biopsy (SNB) removes the lymph node in the axillary basin indicative for receiving first lymphatic drainage from the breast. This study compares the nature and severity of physical morbidity among breast cancer patients who underwent primary surgery for breast cancer combined with either ALND or SNB. Also, it assesses influence of subsequent radiotherapy on morbidity.

PubMed: 12711287

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<title xml:lang="en">Comparison of morbidity between axillary lymph node dissection and sentinel node biopsy.</title>
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<name sortKey="Schijven, M P" sort="Schijven, M P" uniqKey="Schijven M" first="M P" last="Schijven">M P Schijven</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Surgery, Catharina Hospital Eindhoven, The Netherlands. mschijv@zonnet.nl</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Surgery, Catharina Hospital Eindhoven</wicri:regionArea>
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<name sortKey="Vingerhoets, A J J M" sort="Vingerhoets, A J J M" uniqKey="Vingerhoets A" first="A J J M" last="Vingerhoets">A J J M. Vingerhoets</name>
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<name sortKey="Rutten, H J T" sort="Rutten, H J T" uniqKey="Rutten H" first="H J T" last="Rutten">H J T. Rutten</name>
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<name sortKey="Nieuwenhuijzen, G A P" sort="Nieuwenhuijzen, G A P" uniqKey="Nieuwenhuijzen G" first="G A P" last="Nieuwenhuijzen">G A P. Nieuwenhuijzen</name>
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<name sortKey="Roumen, R M H" sort="Roumen, R M H" uniqKey="Roumen R" first="R M H" last="Roumen">R M H. Roumen</name>
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<name sortKey="Van Bussel, M E" sort="Van Bussel, M E" uniqKey="Van Bussel M" first="M E" last="Van Bussel">M E Van Bussel</name>
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<name sortKey="Voogd, A C" sort="Voogd, A C" uniqKey="Voogd A" first="A C" last="Voogd">A C Voogd</name>
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<name sortKey="Vingerhoets, A J J M" sort="Vingerhoets, A J J M" uniqKey="Vingerhoets A" first="A J J M" last="Vingerhoets">A J J M. Vingerhoets</name>
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<title level="j">European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology</title>
<idno type="ISSN">0748-7983</idno>
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<term>Aged</term>
<term>Axilla</term>
<term>Breast Neoplasms (radiotherapy)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymphedema (etiology)</term>
<term>Middle Aged</term>
<term>Quality of Life</term>
<term>Radiotherapy, Adjuvant (adverse effects)</term>
<term>Research Design</term>
<term>Risk Factors</term>
<term>Sentinel Lymph Node Biopsy (adverse effects)</term>
<term>Severity of Illness Index</term>
<term>Surveys and Questionnaires</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte d'âge moyen</term>
<term>Aisselle</term>
<term>Biopsie de noeud lymphatique sentinelle (effets indésirables)</term>
<term>Enquêtes et questionnaires</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de gravité médicale</term>
<term>Lymphadénectomie (effets indésirables)</term>
<term>Lymphoedème (étiologie)</term>
<term>Plan de recherche</term>
<term>Qualité de vie</term>
<term>Radiothérapie adjuvante (effets indésirables)</term>
<term>Sujet âgé</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (radiothérapie)</term>
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<term>Lymph Node Excision</term>
<term>Radiotherapy, Adjuvant</term>
<term>Sentinel Lymph Node Biopsy</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr">
<term>Biopsie de noeud lymphatique sentinelle</term>
<term>Lymphadénectomie</term>
<term>Radiothérapie adjuvante</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="radiotherapy" xml:lang="en">
<term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="radiothérapie" xml:lang="fr">
<term>Tumeurs du sein</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Lymphoedème</term>
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<term>Aged</term>
<term>Axilla</term>
<term>Female</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Quality of Life</term>
<term>Research Design</term>
<term>Risk Factors</term>
<term>Severity of Illness Index</term>
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<term>Enquêtes et questionnaires</term>
<term>Facteurs de risque</term>
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<term>Humains</term>
<term>Indice de gravité médicale</term>
<term>Plan de recherche</term>
<term>Qualité de vie</term>
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<front>
<div type="abstract" xml:lang="en">The use of axillary lymph node dissection (ALND) in women with breast cancer is associated with considerable morbidity. Sentinel node biopsy (SNB) removes the lymph node in the axillary basin indicative for receiving first lymphatic drainage from the breast. This study compares the nature and severity of physical morbidity among breast cancer patients who underwent primary surgery for breast cancer combined with either ALND or SNB. Also, it assesses influence of subsequent radiotherapy on morbidity.</div>
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<PMID Version="1">12711287</PMID>
<DateCreated>
<Year>2003</Year>
<Month>04</Month>
<Day>24</Day>
</DateCreated>
<DateCompleted>
<Year>2003</Year>
<Month>06</Month>
<Day>25</Day>
</DateCompleted>
<DateRevised>
<Year>2015</Year>
<Month>11</Month>
<Day>19</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0748-7983</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>29</Volume>
<Issue>4</Issue>
<PubDate>
<Year>2003</Year>
<Month>May</Month>
</PubDate>
</JournalIssue>
<Title>European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology</Title>
<ISOAbbreviation>Eur J Surg Oncol</ISOAbbreviation>
</Journal>
<ArticleTitle>Comparison of morbidity between axillary lymph node dissection and sentinel node biopsy.</ArticleTitle>
<Pagination>
<MedlinePgn>341-50</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="AIMS" NlmCategory="OBJECTIVE">The use of axillary lymph node dissection (ALND) in women with breast cancer is associated with considerable morbidity. Sentinel node biopsy (SNB) removes the lymph node in the axillary basin indicative for receiving first lymphatic drainage from the breast. This study compares the nature and severity of physical morbidity among breast cancer patients who underwent primary surgery for breast cancer combined with either ALND or SNB. Also, it assesses influence of subsequent radiotherapy on morbidity.</AbstractText>
<AbstractText Label="METHOD" NlmCategory="METHODS">Two hundred and thirteen ALND patients were compared with 180 SNB patients retrospectively. Morbidity was measured using a disease-specific quality-of-life questionnaire.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Patients' demographic characteristics were alike. The axillary procedure is the strongest and most consistent factor in explaining differences in a variety of self-reported complaints. Patients having had SNB have a 3.2-fold lower risk of experiencing pain, a 5-fold lower risk of lymph oedema, a 7.7-fold lower risk of numbness, a 3.7-fold lower risk of tingling sensations, a 7.1-fold lower risk of loss of strength in arm/hand, a 3.6-fold lower risk of loss of active motion range of the arm and a 2.9-fold lower risk of impaired use of the arm. Axillary radiation therapy adds to complaints next to the axillary surgical procedure by increasing the risk of lymph oedema 2.4-fold and enhancing the risk of impaired use of the arm by 2.6-fold. Axillary radiation therapy does not explain lymph oedema by itself.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">SNB is associated with less morbidity compared to ALND in patients with primary breast cancer.</AbstractText>
</Abstract>
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<LastName>Schijven</LastName>
<ForeName>M P</ForeName>
<Initials>MP</Initials>
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<Affiliation>Department of Surgery, Catharina Hospital Eindhoven, The Netherlands. mschijv@zonnet.nl</Affiliation>
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<LastName>Rutten</LastName>
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<LastName>Nieuwenhuijzen</LastName>
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<DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
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</MeshHeading>
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<DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName>
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<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
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<MeshHeading>
<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName>
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<DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName>
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<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<DescriptorName UI="D011788" MajorTopicYN="Y">Quality of Life</DescriptorName>
</MeshHeading>
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<DescriptorName UI="D018714" MajorTopicYN="N">Radiotherapy, Adjuvant</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName>
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<MeshHeading>
<DescriptorName UI="D012107" MajorTopicYN="N">Research Design</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D021701" MajorTopicYN="N">Sentinel Lymph Node Biopsy</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012720" MajorTopicYN="N">Severity of Illness Index</DescriptorName>
</MeshHeading>
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<Month>4</Month>
<Day>25</Day>
<Hour>5</Hour>
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<Year>2003</Year>
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