Achievements of Physical Therapy in Patients After Modified Radical Mastectomy Compared With Quadrantectomy, Axillary Dissection, and Radiation for Carcinoma of the Breast

Gutman, Haim; Kersz, Tali; Barzilai, Tali; Haddad, M; Reiss, Raphael

doi:10.1001/archsurg.1990.01410150111020

Cited by 35 publications

(25 citation statements)

References 7 publications

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“…The potential benefits of axillary dissection must be balanced against the well-known complications of this procedure (Benson and Thorogood, 1986;Gutman et al, 1990;Hoe et al, 1992), such as arm lymphoedema, sensory loss in the upper inner arm and restriction of shoulder movements, which although rare and usually short lived, can be very distressing to the patient. Moreover, routine axillary dissection is associated with increased hospital expense because of longer recovery time and stay in hospital as well as longer operating time.…”

Section: Discussionmentioning

confidence: 99%

Primary tumour characteristics and axillary lymph node status in breast cancer

1999

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Summary This paper examines the correlation between axillary lymph node status and primary tumour characteristics in breast cancer and whether this can be used to select patients for axillary lymphadenectomy. The results are based on a retrospective analysis of 909 patients who underwent axillary dissection in our unit. Axillary lymph nodes containing metastases were found in 406 patients (44.7%), all with invasive carcinomas, but in none of the 37 carcinomas-in-situ. Nodal status was negative in all T1a tumours, but lymph node metastases were present in 16.3% and 35.7% of T1b and T1c tumours respectively. When histological grade was taken into account, positivity for grade I T1b and T1c tumours fell to 13.6% and 26.7% respectively. Lymph node metastases were found in 85% of patients with lymphovascular invasion in their tumours as compared to only 15.4% of those without and in 45.5% of oestrogen and progesterone receptor-positive tumours. When one or both hormone receptors were absent this figure was much higher. It appears that for T1a breast cancers axillary dissection is not necessary, whereas for T1b, T1c and grade I T2 tumours other histopathological parameters should be taken into consideration in deciding who should undergo axillary lymphadenectomy.

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Section: Discussionmentioning

confidence: 99%

Primary tumour characteristics and axillary lymph node status in breast cancer

1999

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“…Recovery of upper limb function was slower and mobility was more impaired at 3 months in MRM patients compared to BCP patients. Several other authors have reached the same conclusion [6,8,11,12,24]. The longer scar associated with MRM, which extends into the axilla, might be associated with more pain and movement limitation [11].…”

Section: Discussionmentioning

confidence: 67%

“…Therefore, a number of women still suffer and will continue to suffer from problems with shoulder mobility [4][5][6][7][8][9] and lymphedema [6,8,10] after surgery for breast cancer. Recovery of shoulder mobility after MRM is slower than after BCP [6,8,11,12]. In addition, radiotherapy to the axilla causes further shoulder disability [5,13,14].…”

Section: Introductionmentioning

confidence: 99%

“…In addition, radiotherapy to the axilla causes further shoulder disability [5,13,14]. Several authors conclude that most patients recover from this shoulder dysfunction at 3 [7,11] or 6 months [4,8,9,15,16]. However, Hack et al [17] reported an impaired range of shoulder movement in 73% of the patients after an average of 3 years postoperative.…”

Section: Introductionmentioning

confidence: 99%

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Recovery of upper limb function after axillary dissection

Gosselink

Rouffaer

Vanhelden

et al. 2003

Journal of Surgical Oncology

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“…During vigorous or prolonged exercise, it is apparent that the speed and depth of respiration are increased. [28] According to Table 3, there is a significant difference in pre-and post-shoulder ROM value for which P < 0.005 which is highly significant. Impaired ROM of shoulder joint is due to incisional pain that causes the muscle guarding and tenderness of shoulder joint.…”

Section: Discussionmentioning

confidence: 92%

The effect of physiotherapy in patients with modified radical mastectomy

Mehta¹,

Vaghela²,

Patel³

2017

Natl J Physiol Pharm Pharmacol

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Background: Through the years, breast cancer management evolved toward conservation surgery. It is obvious that the clinical management requires a multidisciplinary approach to restoration of activity if daily living and quality of life after modified radical mastectomy. Aims and Objectives: The objectives of the study were to measure pain after physiotherapy intervention, to measure chest expansion after physiotherapy intervention, and to measure and improve shoulder range of motion (ROM) after physiotherapy intervention. Materials and Methods: This was a cross-experimental study in which initial data were recorded from the medical records, and then, after assuming proper resting status of the patient, the patients were assessed first numeric pain rating scale (NRS) for pain, ROM of shoulder joint, and chest expansion before and after the physiotherapy treatment given till patient get discharged. Results: In the present study, a total of 7 participants were included who fulfilled inclusion criteria. All the participants underwent routine physiotherapy treatment started from the day 1 till discharged, and NRS for pain, ROM of shoulder joint, and chest expansion all parameters were statistically significant (P < 0.005). Conclusion: The present study concluded that physiotherapy is more effective in modified radical mastectomy.

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Achievements of Physical Therapy in Patients After Modified Radical Mastectomy Compared With Quadrantectomy, Axillary Dissection, and Radiation for Carcinoma of the Breast

Cited by 35 publications

References 7 publications

Primary tumour characteristics and axillary lymph node status in breast cancer

Primary tumour characteristics and axillary lymph node status in breast cancer

Recovery of upper limb function after axillary dissection

The effect of physiotherapy in patients with modified radical mastectomy

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