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Titre du document / Document title

Precipitating factors in lymphedema : Myths and realities

Auteur(s) / Author(s)

ROCKSON S. G. (1) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) Lymphedema Center, Division of Cardiovascular Medicine, Stanford University School of Medicine, Stanford, California, ETATS-UNIS

Résumé / Abstract

BACKGROUND. Lymphedema is an all too common occurrence following breast carcinoma therapy. Despite its prevalence, the predisposing factors to the development of this secondary form of lymphedema remain poorly understood. METHODS. Several studies have addressed these questions and are reviewed here. RESULTS. Treatment factors that appear to predispose to the late, subjective appearance of lymphedema include the extent of axillary surgery and exposure to high dose axillary radiotherapy, particularly when combined with surgical clearance of the axilla. Other pertinent patient factors may include the presence of hypertension and exposure to airline travel. Clinical features unrelated to the risk of lymphedema development include patient age; drug therapy; time interval to presentation, surgery, or radiotherapy to the breast; total dose of radiation; and menopausal status. The potential importance of concomitant venous abnormalities in these patients is worthy of consideration. CONCLUSIONS. Breast carcinoma-related secondary lymphedema is an important subjective and functional problem for affected patients. Additional research into the predisposing factors to this common problem is likely to foster enhanced patient education and to produce more efficacious measures to control this disease.

Revue / Journal Title

Cancer    ISSN  0008-543X   CODEN CANCAR 

Source / Source

Congrès
American Cancer Society Workshop on Breast Cancer Treatment-Related Lymphedema, New York, New York , ETATS-UNIS (20/02/1997)
1998, vol. 83, no 12, SUP2 (124 p.)  (9 ref.), pp. 2814-2816

Langue / Language

Anglais

Editeur / Publisher

Wiley-Blackwell, Hoboken, NJ, ETATS-UNIS  (1948) (Revue)

Mots-clés anglais / English Keywords

Carcinoma

;

Mammary gland

;

Lymphadenectomy

;

Mastectomy

;

Complication

;

Axilla

;

Radiotherapy

;

Predisposition

;

Review

;

Human

;

Malignant tumor

;

Mammary gland diseases

;

Surgery

;

Mots-clés français / French Keywords

Carcinome

;

Glande mammaire

;

Lymphadénectomie

;

Mastectomie

;

Complication

;

Creux axillaire

;

Radiothérapie

;

Prédisposition

;

Article synthèse

;

Homme

;

Tumeur maligne

;

Glande mammaire pathologie

;

Chirurgie

;

Mots-clés espagnols / Spanish Keywords

Carcinoma

;

Glándula mamaria

;

Linfadenectomía

;

Mastectomía

;

Complicación

;

Axila

;

Radioterapia

;

Predisposición

;

Artículo síntesis

;

Hombre

;

Tumor maligno

;

Glándula mamaria patología

;

Cirugía

;

Localisation / Location

INIST-CNRS, Cote INIST : 2701, 35400007331532.0070

Nº notice refdoc (ud4) : 1683598



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