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Sensory morbidity after sentinel lymph node biopsy and axillary dissection: a prospective study of 233 women.

Identifieur interne : 004499 ( PubMed/Curation ); précédent : 004498; suivant : 004500

Sensory morbidity after sentinel lymph node biopsy and axillary dissection: a prospective study of 233 women.

Auteurs : Larissa K F. Temple [États-Unis] ; Roberta Baron ; Hiram S. Cody ; Jane V. Fey ; Howard T. Thaler ; Patrick I. Borgen ; Alexander S. Heerdt ; Leslie L. Montgomery ; Jeanne A. Petrek ; Kimberly J. Van Zee

Source :

RBID : pubmed:12167579

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Abstract

We prospectively compared the sensory morbidity and lymphedema experienced after sentinel node biopsy (SLNB) and axillary dissection (ALND) over a 12-month period by using a validated instrument.

PubMed: 12167579

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pubmed:12167579

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<title xml:lang="en">Sensory morbidity after sentinel lymph node biopsy and axillary dissection: a prospective study of 233 women.</title>
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<name sortKey="Temple, Larissa K F" sort="Temple, Larissa K F" uniqKey="Temple L" first="Larissa K F" last="Temple">Larissa K F. Temple</name>
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<nlm:affiliation>Department of Surgery, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10021, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgery, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10021</wicri:regionArea>
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<name sortKey="Baron, Roberta" sort="Baron, Roberta" uniqKey="Baron R" first="Roberta" last="Baron">Roberta Baron</name>
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<name sortKey="Cody, Hiram S" sort="Cody, Hiram S" uniqKey="Cody H" first="Hiram S" last="Cody">Hiram S. Cody</name>
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<name sortKey="Fey, Jane V" sort="Fey, Jane V" uniqKey="Fey J" first="Jane V" last="Fey">Jane V. Fey</name>
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<name sortKey="Thaler, Howard T" sort="Thaler, Howard T" uniqKey="Thaler H" first="Howard T" last="Thaler">Howard T. Thaler</name>
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<name sortKey="Borgen, Patrick I" sort="Borgen, Patrick I" uniqKey="Borgen P" first="Patrick I" last="Borgen">Patrick I. Borgen</name>
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<name sortKey="Heerdt, Alexander S" sort="Heerdt, Alexander S" uniqKey="Heerdt A" first="Alexander S" last="Heerdt">Alexander S. Heerdt</name>
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<name sortKey="Montgomery, Leslie L" sort="Montgomery, Leslie L" uniqKey="Montgomery L" first="Leslie L" last="Montgomery">Leslie L. Montgomery</name>
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<name sortKey="Petrek, Jeanne A" sort="Petrek, Jeanne A" uniqKey="Petrek J" first="Jeanne A" last="Petrek">Jeanne A. Petrek</name>
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<name sortKey="Van Zee, Kimberly J" sort="Van Zee, Kimberly J" uniqKey="Van Zee K" first="Kimberly J" last="Van Zee">Kimberly J. Van Zee</name>
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<title xml:lang="en">Sensory morbidity after sentinel lymph node biopsy and axillary dissection: a prospective study of 233 women.</title>
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<name sortKey="Temple, Larissa K F" sort="Temple, Larissa K F" uniqKey="Temple L" first="Larissa K F" last="Temple">Larissa K F. Temple</name>
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<nlm:affiliation>Department of Surgery, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10021, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<name sortKey="Baron, Roberta" sort="Baron, Roberta" uniqKey="Baron R" first="Roberta" last="Baron">Roberta Baron</name>
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<name sortKey="Cody, Hiram S" sort="Cody, Hiram S" uniqKey="Cody H" first="Hiram S" last="Cody">Hiram S. Cody</name>
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<name sortKey="Fey, Jane V" sort="Fey, Jane V" uniqKey="Fey J" first="Jane V" last="Fey">Jane V. Fey</name>
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<name sortKey="Borgen, Patrick I" sort="Borgen, Patrick I" uniqKey="Borgen P" first="Patrick I" last="Borgen">Patrick I. Borgen</name>
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<name sortKey="Heerdt, Alexander S" sort="Heerdt, Alexander S" uniqKey="Heerdt A" first="Alexander S" last="Heerdt">Alexander S. Heerdt</name>
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<name sortKey="Montgomery, Leslie L" sort="Montgomery, Leslie L" uniqKey="Montgomery L" first="Leslie L" last="Montgomery">Leslie L. Montgomery</name>
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<name sortKey="Petrek, Jeanne A" sort="Petrek, Jeanne A" uniqKey="Petrek J" first="Jeanne A" last="Petrek">Jeanne A. Petrek</name>
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<name sortKey="Van Zee, Kimberly J" sort="Van Zee, Kimberly J" uniqKey="Van Zee K" first="Kimberly J" last="Van Zee">Kimberly J. Van Zee</name>
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<term>Adult</term>
<term>Age Factors</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Axilla</term>
<term>Breast Neoplasms (pathology)</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymphedema (epidemiology)</term>
<term>Lymphedema (etiology)</term>
<term>Middle Aged</term>
<term>New York City (epidemiology)</term>
<term>Prevalence</term>
<term>Prospective Studies</term>
<term>Sentinel Lymph Node Biopsy (adverse effects)</term>
<term>Somatosensory Disorders (epidemiology)</term>
<term>Somatosensory Disorders (etiology)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Aisselle</term>
<term>Biopsie de noeud lymphatique sentinelle (effets indésirables)</term>
<term>Facteurs de l'âge</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphadénectomie (effets indésirables)</term>
<term>Lymphoedème (épidémiologie)</term>
<term>Lymphoedème (étiologie)</term>
<term>New York (ville) (épidémiologie)</term>
<term>Prévalence</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Troubles somatosensoriels (épidémiologie)</term>
<term>Troubles somatosensoriels (étiologie)</term>
<term>Tumeurs du sein (anatomopathologie)</term>
<term>Études prospectives</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en">
<term>New York City</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Lymph Node Excision</term>
<term>Sentinel Lymph Node Biopsy</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr">
<term>Tumeurs du sein</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr">
<term>Biopsie de noeud lymphatique sentinelle</term>
<term>Lymphadénectomie</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Lymphedema</term>
<term>Somatosensory Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Lymphedema</term>
<term>Somatosensory Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr">
<term>Lymphoedème</term>
<term>New York (ville)</term>
<term>Troubles somatosensoriels</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Lymphoedème</term>
<term>Troubles somatosensoriels</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Age Factors</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Axilla</term>
<term>Female</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Prevalence</term>
<term>Prospective Studies</term>
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<term>Adulte d'âge moyen</term>
<term>Aisselle</term>
<term>Facteurs de l'âge</term>
<term>Femelle</term>
<term>Humains</term>
<term>Prévalence</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">We prospectively compared the sensory morbidity and lymphedema experienced after sentinel node biopsy (SLNB) and axillary dissection (ALND) over a 12-month period by using a validated instrument.</div>
</front>
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<PMID Version="1">12167579</PMID>
<DateCreated>
<Year>2002</Year>
<Month>08</Month>
<Day>08</Day>
</DateCreated>
<DateCompleted>
<Year>2002</Year>
<Month>10</Month>
<Day>08</Day>
</DateCompleted>
<DateRevised>
<Year>2007</Year>
<Month>07</Month>
<Day>18</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">1068-9265</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>9</Volume>
<Issue>7</Issue>
<PubDate>
<Year>2002</Year>
<Month>Aug</Month>
</PubDate>
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<Title>Annals of surgical oncology</Title>
<ISOAbbreviation>Ann. Surg. Oncol.</ISOAbbreviation>
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<ArticleTitle>Sensory morbidity after sentinel lymph node biopsy and axillary dissection: a prospective study of 233 women.</ArticleTitle>
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<MedlinePgn>654-62</MedlinePgn>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">We prospectively compared the sensory morbidity and lymphedema experienced after sentinel node biopsy (SLNB) and axillary dissection (ALND) over a 12-month period by using a validated instrument.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Patients undergoing breast-conserving therapy completed the Breast Sensation Assessment Scale (BSAS) at baseline and 3, 6, and 12 months after surgery. Repeated-measures analysis of variance was used to compare ALND and SLNB over the 12-month period. Upper- and lower-arm circumference measurements at baseline and 12 months were used to assess lymphedema.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">SLNB was associated with substantial sensory morbidity, although significantly less than ALND, over time on all four subscales and the summary score. A statistically significant improvement in sensory morbidity occurred for both groups in the first 3 months, with no further change thereafter. For both types of axillary surgery, younger patients had significantly higher BSAS scores than older patients. There was no significant difference in arm circumference between patients with SLNB and ALND at 12 months.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Among women undergoing breast-conserving therapy, SLNB has significant sensory morbidity, although approximately half that of ALND. Sensory morbidity improves in the first 3 months after surgery, but patients continue to report sensory morbidity at 1 year. Longitudinal follow-up is required to further assess lymphedema.</AbstractText>
</Abstract>
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<LastName>Temple</LastName>
<ForeName>Larissa K F</ForeName>
<Initials>LK</Initials>
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<Affiliation>Department of Surgery, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10021, USA.</Affiliation>
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<Language>eng</Language>
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<DescriptorName UI="D005260" MajorTopicYN="N">Female</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>
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<DescriptorName UI="D020886" MajorTopicYN="N">Somatosensory Disorders</DescriptorName>
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