Linfedema em Pacientes Submetidas à Mastectomia Radical Modificada

Abstract

Objetivo: avaliar a taxa de linfedema em pacientes tratadas cirurgicamente para câncer de mama e sua relação com o tipo de cirurgia, idade e peso das pacientes. Métodos: foram estudadas 109 pacientes portadoras de câncer de mama, submetidas à mastectomia radical modificada com conservação do músculo peitoral maior ou de ambos os peitorais. Considerou-se como linfedema quando houve diferença maior que 2,0 cm entre as circunferências dos membros superiores, mensurados acima e abaixo do olécrano. Resultados: observou-se uma taxa total de 14% de linfedema (15 casos). Entre as pacientes em que foram conservados ambos os músculos peitorais, a taxa foi de (9%), ao passo que quando se empregou a conservação apenas do grande peitoral, a taxa foi de 15% (p<0,4). Notou-se uma relação significativa entre a freqüência de linfedema e o peso e a idade das pacientes. O linfedema foi observado em apenas uma das 34 pacientes com menos de 46 anos e nenhuma das 19 pacientes com até 50 kg de peso apresentou linfedema. Conclusão: Na presente série, o linfedema de membro superior esteve associado a pacientes mais idosas e de maior peso.

Ultrasonografic changes in the axillary vein of patients with lymphedema after mastectomy

“…We also observed increased USC prevalence. This correlation between high BMI and lymphedema has been reported by other authors [25][26][27] . We Abreu Junior Abreu Junior Abreu Junior Abreu Junior Abreu Junior Ultrasonografic changes in the axillary vein of patients with lymphedema after mastectomy have not found participants with BMI compatible with ideal weight.…”

Lymphedema in the Mastectomy Postoperative Period: An Integrative Literature Review

“…Four (40%) studies were found in the LILACS database, five (50%) were found in PubMed, and one (10%) was found in CINAHL. Regarding the journals, one (10%) article was published in Revista Latino-Americana de Enfermagem, one (10%) was published in Escola Enfermagem Anna Nery, one (10%) was published in Revista Brasileira Ginecologia e Obstetrícia, one (10%) was published in Acta Paulista de Enfermagem, one (10%) was published in the Indian Journal of Cancer, one (10%) was published in The Breast, one (10%) was published in the Journal of Clinical Oncology, and one (10%) was Regarding the methodological design of the studies, one (10%) was a randomized controlled clinical trial [14]; one (10%) was a non-controlled randomized clinical trial [15]; two (20%) were cohort studies [16,17], and six (60%) were case-control studies [2,5,[18][19][20][21].…”

“…Lymphedema of the upper limb is the most prevalent cause of morbidity during the postoperative period after mastectomy [4], consequent to axillary lymph node dissection. The condition, which is associated with the limbs, is characterized by abnormal accumulation of proteins and fluids in the interstitial space, edema, and chronic inflammation [5,6]. The risk of lymphedema is associated with axillary dissection and radiotherapy, obesity, extent of the surgical technique, infection, patient age, number of dissected lymph nodes, number of positive lymph nodes, and level of lymph node dissection [4,7].…”

Electromyographic study of shoulder and acromioclavicular joint muscles in women who underwent unilateral breast surgery of the types mastectomy and quadrantectomy

“…The surgical techniques can be used for the mastectomy or conservative surgery, which may be associated with axillary lymphadenectomy (AL) or sentinel lymph node biopsy [2]. Among the surgical complications of AL, it is the long thoracic nerve injury [3]. Most injuries of this nerve are partial and transient (neuropraxia), which gradually recover with conservative treatment [2].…”