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Titolo:
ARM MORBIDITY FOLLOWING TREATMENT OF BREAST-CANCER WITH TOTAL AXILLARY DISSECTION - A MULTIVARIATED APPROACH
Autore:
KERAMOPOULOS A; TSIONOU C; MINARETZIS D; MICHALAS S; ARAVANTINOS D;
Indirizzi:
UNIV ATHENS,ALEXANDRA MATERN HOSP,DEPT OBSTET & GYNECOL 1,DIV BREAST,80 VAS SOPHIAS AVE GR-11528 ATHENS GREECE UNIV ATHENS,ALEXANDRA MATERN HOSP,DEPT OBSTET & GYNECOL 1,DIV BREAST,80 VAS SOPHIAS AVE GR-11528 ATHENS GREECE
Titolo Testata:
Oncology
fascicolo: 6, volume: 50, anno: 1993,
pagine: 445 - 449
SICI:
0030-2414(1993)50:6<445:AMFTOB>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
RADIOTHERAPY; LYMPHOEDEMA; MASTECTOMY; TRIAL;
Keywords:
BREAST CANCER; BREAST CANCER TREATMENT; ARM MORBIDITY; ARM EDEMA; ARM PAIN; SHOULDER JOINT MOBILITY; RADIOTHERAPY; SURGERY; AXILLARY DISSECTION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
16
Recensione:
Indirizzi per estratti:
Citazione:
A. Keramopoulos et al., "ARM MORBIDITY FOLLOWING TREATMENT OF BREAST-CANCER WITH TOTAL AXILLARY DISSECTION - A MULTIVARIATED APPROACH", Oncology, 50(6), 1993, pp. 445-449

Abstract

In order to clarify the factors that mainly influence arm morbidity following treatment of breast cancer with the full axillary dissection protocol, we evaluated, in a model of multiple regression analysis, parameters such as the type of breast surgery, adjuvant radiotherapy, time of irradiation, age, number of dissected nodes and axillary nodal status. A total of 104 women were studied. Late arm edema was observed in 17% of the patients and was more frequent when (1) irradiation was given immediately after the operation than if it was given 6 months later (p = 0.009) and (2) the number of removed nodes exceeded 40 (p = 0.037). Upper limb pain was reported by 16% of the patients and was reported more frequently from patients over 60 years of age (p = 0.036), as well as from patients who underwent modified radical mastectomy (p = 0.044) and those in whom 30-40 nodes were dissected (p = 0.025). Shoulder joint mobility was impaired in 17% of the patients, and it was not affected by any of the examined factors. It seems that conservativebreast surgery or adjuvant breast radiotherapy 6 months after the operation might reduce independently the likelihood of arm morbidity by 25%.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/04/20 alle ore 18:09:04