Avaliação comparativa da morbidade e funcionalidade do membro superior em mulheres submetidas à linfadenectomia axilar total e biópsia de linfonodo sentinela por câncer de mama

Abstract

Lista de Figuras Figura Representação de coleta da sensibilidade axilar cutânea à pressão, utilizando monofilamentos de Semmes-Weinstein .

Functional performance of upper limb and quality of life after sentinel lymph node biopsy of breast cancer

“…The lack standardized measures for assessing lymphedema makes comparisons between studies difficult 6,22,26,27 . Post-SLNB upper limb lymphedema has been described as ranging from 0 to 22% 2,5,6,18,19,22,27,28 . A single criterion for classifying lymphedema should be standardized.…”

“…Moreover, physical morbidities can lead to a reduction in the quality of life, especially during the first year after surgery 1,2,[11][12][13][14][15] . Healthcare professionals must understand the impact of breast cancer treatment on patient's quality of life in order to promote a better health on an individual and group levels [16][17][18][19] . The International Classification of Functioning, Disability and Health (ICFDH), proposed by the World Health Organization (WHO) 20 in 2003, adopted a function and dysfunction model, which states that there is no linear relationship among impairments, functional limitation during activities and restriction in social participation.…”

“…There are several international studies aiming to detect morbidities after ALND and SLNB in the treatment of breast cancer 1,2,[5][6][7][8][9][10][11][12][13]15,19,[22][23][24][25][26][27][28][29][30][31] . In Brazil, we found only three studies 18,26,32 which evaluated upper limb morbidities after SLNB. Only one 26 analyzed the relationship between upper limb impairments and quality of life, however there is no study that investigated the association of impairments and functional performance on the activities of daily living (ADL) of the upper limb on the health related quality of life (HRQL).…”

Visita domiciliar como estratégia no manejo da dor para mulheres com câncer de mama

“…A severidade de tais sintomas tem grande impacto na realização das atividades diárias e na qualidade de vida das mulheres após o tratamento do câncer de mama (MAGALDI et al 2005).…”

Sentinel lymph node detection through radioguided surgery in patients with breast cancer

“…Due to the trend to conservative treatment for breast cancer (McCready et al, 2005), mainly because of early detection of the disease through mammographic screening, the SLNB has become a standard technique for axillary staging in many centers, with high sensitivity (84%-98%) and low rates of false-negative (2.0-8.8%), decreasing the number of unnecessary axillary lymphadenectomy (AL), with low rates of axillary recurrence, less post-operative complications and a significant improvement the patient's quality of life (Veronesi et al, 2003;Blanchard et al, 2003;Mansel et al, 2006). Magaldi et al (2005), comparing a group of women with breast cancer who underwent AL with women who underwent SLNB, observed that the second group had less lymphedema, pain, shoulder rigidity and paresthesia. However, there are some controversies regarding SLN in breast cancer: the presence of axillary micrometastasis and SLN in the internal mammary chain.…”