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Primary breast cancer. Complications of axillary management.

Identifieur interne : 006632 ( PubMed/Curation ); précédent : 006631; suivant : 006633

Primary breast cancer. Complications of axillary management.

Auteurs : E K Yeoh ; J W Denham ; S A Davies ; M F Spittle

Source :

RBID : pubmed:3012953

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English descriptors

Abstract

The complications following surgery and postoperative radiation therapy in the management of the axilla in 187 patients with primary breast cancer treated between 1978 and 1982 have been studied. Although no difference in complication rate could be detected between the three different postoperative radiation schedules utilised there was a strong and positive correlation between complication rate and increasing extent of surgical intervention. When the groups were sub-divided according to the extent of surgery performed, no differences in regional recurrence rates were observed but complication rates (defined as significant lymphoedema of the arm and/or restriction of shoulder movements) were significantly different (p less than 0.001) at 30 months between those who had no surgical intervention (25%), those who had had 'sampling' performed (50%) and those who had had formal dissection performed (84%).

PubMed: 3012953

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Le document en format XML

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<title xml:lang="en">Primary breast cancer. Complications of axillary management.</title>
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<name sortKey="Yeoh, E K" sort="Yeoh, E K" uniqKey="Yeoh E" first="E K" last="Yeoh">E K Yeoh</name>
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<name sortKey="Denham, J W" sort="Denham, J W" uniqKey="Denham J" first="J W" last="Denham">J W Denham</name>
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<name sortKey="Davies, S A" sort="Davies, S A" uniqKey="Davies S" first="S A" last="Davies">S A Davies</name>
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<name sortKey="Spittle, M F" sort="Spittle, M F" uniqKey="Spittle M" first="M F" last="Spittle">M F Spittle</name>
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<term>Axilla</term>
<term>Breast Neoplasms (radiotherapy)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Joint Diseases (etiology)</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymphedema (etiology)</term>
<term>Mastectomy (methods)</term>
<term>Neoplasm Recurrence, Local</term>
<term>Neoplasm Staging</term>
<term>Postoperative Complications (etiology)</term>
<term>Radiotherapy Dosage</term>
<term>Shoulder Joint (physiopathology)</term>
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<term>Aisselle</term>
<term>Articulation glénohumérale (physiopathologie)</term>
<term>Bras</term>
<term>Complications postopératoires (étiologie)</term>
<term>Dosimétrie en radiothérapie</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphadénectomie (effets indésirables)</term>
<term>Lymphoedème (étiologie)</term>
<term>Maladies articulaires (étiologie)</term>
<term>Mastectomie ()</term>
<term>Récidive tumorale locale</term>
<term>Stade de la tumeur</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (radiothérapie)</term>
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<term>Lymphadénectomie</term>
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<term>Joint Diseases</term>
<term>Lymphedema</term>
<term>Postoperative Complications</term>
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<term>Mastectomy</term>
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<term>Articulation glénohumérale</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Shoulder Joint</term>
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<keywords scheme="MESH" qualifier="radiotherapy" xml:lang="en">
<term>Breast Neoplasms</term>
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<term>Tumeurs du sein</term>
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<term>Breast Neoplasms</term>
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<term>Arm</term>
<term>Axilla</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Neoplasm Recurrence, Local</term>
<term>Neoplasm Staging</term>
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<div type="abstract" xml:lang="en">The complications following surgery and postoperative radiation therapy in the management of the axilla in 187 patients with primary breast cancer treated between 1978 and 1982 have been studied. Although no difference in complication rate could be detected between the three different postoperative radiation schedules utilised there was a strong and positive correlation between complication rate and increasing extent of surgical intervention. When the groups were sub-divided according to the extent of surgery performed, no differences in regional recurrence rates were observed but complication rates (defined as significant lymphoedema of the arm and/or restriction of shoulder movements) were significantly different (p less than 0.001) at 30 months between those who had no surgical intervention (25%), those who had had 'sampling' performed (50%) and those who had had formal dissection performed (84%).</div>
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<AbstractText>The complications following surgery and postoperative radiation therapy in the management of the axilla in 187 patients with primary breast cancer treated between 1978 and 1982 have been studied. Although no difference in complication rate could be detected between the three different postoperative radiation schedules utilised there was a strong and positive correlation between complication rate and increasing extent of surgical intervention. When the groups were sub-divided according to the extent of surgery performed, no differences in regional recurrence rates were observed but complication rates (defined as significant lymphoedema of the arm and/or restriction of shoulder movements) were significantly different (p less than 0.001) at 30 months between those who had no surgical intervention (25%), those who had had 'sampling' performed (50%) and those who had had formal dissection performed (84%).</AbstractText>
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