TITLE

Incidence and Risk Factors of Arm Edema Following Surgical Treatment of Breast Cancer

AUTHOR(S)
Ramadan, M. M.
PUB. DATE
August 2008
SOURCE
Journal of Medical Sciences;2008, Vol. 8 Issue 5, p498
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Sixty seven female patients who had underwent axillary lymph node dissection of at least level II, for invasive breast cancer were included in this study to evaluate incidence and risk factors (age, tumor size, surgical procedure, No. of axillary nodes removed and No. of positive nodes removed) for breast cancer-related arm lymph edema. Fifteen patients (22.4%) developed clinical lymph edema (grade 2-4) at one year postoperative. The age of the patients at time of treatment constitute one of significant risk factors for developing lymph edema (33.3% of patients older than 55 years developed lymph edema vs. 13.5% in patients younger than 55). The extent of axillary dissection as defined by the No. of nodes dissected is another risk factor (where lymph edema development was 11.8% in patients with <10 lymph nodes removed, it was 23.7% in patients with 10-15 lymph nodes removed and 33.3% in patients with > 15 lymph nodes) also No. of positive lymph nodes removed (while 28.6% of patients with 1-3 positive lymph nodes developed lymph edema, 36.4% of patients with more than 3 positive nodes shows postoperative lymph edema). So, age of the patients, No. of lymph nodes dissected and No. of positive nodes was statistically significant factors leading to the development of arm edema. While tumor size and type of surgical procedure, were not significantly related to post mastectomy lymph edema. So, these risk factors should be taken into account in clinical practice to reduce the incidence of postmastectomy lymph edema.
ACCESSION #
35654021

 

Related Articles

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics