Impacto de la linfadenectomía sobre la recurrencia axilar y la morbilidad del miembro superior en pacientes con cáncer de mama y ganglio centinela negativo. Estudio prospectivo aleatorizado

Fougo, José Luís; Dinis-Ribeiro, Mário; Araújo, Cláudia; Dias, Teresa; Reis, Paulo; Giesteira, L.; Castro, Fernando; Silva, Hernâni

doi:10.1016/j.ciresp.2011.01.011

Cited by 14 publications

(4 citation statements)

References 43 publications

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“…The incidence of motor disorders is around 10% to 17% in women after cancer treatment 24,25,27,28 . Such disorders may include decreased range of motion for abduction, adduction, flexion, internal and external rotation of the ipsilateral shoulder joint, and deficits in arm strength and palm grip.…”

Section: Types Of Complicationsmentioning

confidence: 99%

“…Mastectomy, radiotherapy, and axillary dissection are the main risk factors for the appearance of these alterations. When performing mastectomy and axillary dissection, both procedures can remove structures such as muscle tissue, skin, and lymph nodes during the surgical process, generating motor changes 24,25,27,28 . Removing muscle structures can decrease the shoulder range of motion and a change in strength.…”

Section: Types Of Complicationsmentioning

confidence: 99%

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Physiotherapy in the prevention and treatment of upper limb complications in women with breast cancer

Pilger

Ortolani

Reis³

2022

Rev Cienc Saude

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Breast cancer is the one that most affects the female population in Brazil and the world. Upper limb complications are common after cancer treatment, including conservative procedures. Old studies have already shown the effectiveness of physiotherapy in the rehabilitation of these complications. However, currently, physiotherapeutic care must be initiated from the diagnosis of the disease. Pre-rehabilitation prepares the patient to receive cancer treatment and promotes a reduction in rehabilitation time. Rehabilitation decreased the axillary cord by 57%, increased the range of motion (ROM) by 45º for flexion and 70º for shoulder abduction, the incidence of lymphedema was 11%, and there was a decrease of 3.4 points concerning pain on the Visual Scale Analog (EVA). The physical therapist should work with breast cancer to diagnose, prevent, and rehabilitate after cancer treatment, promoting functionality and quality of life for patients with breast cancer.

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Section: Types Of Complicationsmentioning

confidence: 99%

Section: Types Of Complicationsmentioning

confidence: 99%

Physiotherapy in the prevention and treatment of upper limb complications in women with breast cancer

Pilger

Ortolani

Reis³

2022

Rev Cienc Saude

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“…A técnica de identificação do GS desenvolvida na Instituição é uma técnica tripla, que combina a utilização de radioisotopos com injecção peritumoral e colheita de imagens em gamma-camara fixa, injecção de corante vital no plexo subareolar e pesquisa de pontos quentes com sonda portátil. Foi já pormenorizadamente descrita [3,6].…”

Section: Técnica De Identificação Definição De Gs E Processo De Aleatorizaçãounclassified

“…O Conceito de Gânglio Sentinela (GS) surgiu como uma forma de melhorar o estadiamento de doentes com Cancro da Mama (CM) e de reduzir a morbilidade do Esvaziamento Axilar (EA). Estas duas vertentes foram confirmadas em numerosos estudos publicados na última década [1,2,3].…”

Section: Introductionunclassified

312 The impact of the Sentinel Node concept on overall survival, disease-free survival and axillary recurrence of breast cancer patients

Fougo¹,

Castro²,

Reis³

et al. 2010

European Journal of Cancer Supplements

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Long-term Outcome of Patients Managed With Sentinel Lymph Node Biopsy Alone for Node-Negative Invasive Breast Cancer

Kapoor¹,

Sim²,

Giuliano³

2012

Arch Surg

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To examine the long-term outcome of patients with early breast cancer with hematoxylin-eosinnegative sentinel lymph nodes (SLNs) who did not undergo completion axillary lymph node dissection. Design, Setting, and Patients: Patients with invasive breast cancer surgically treated between May 1, 1995, and December 31, 2002, with SLN biopsy alone without axillary lymph node dissection who had hematoxylineosin-negative SLNs were identified. Main Outcome Measures: Patient and tumor characteristics, adjuvant treatment, disease recurrence, and survival were recorded. A multivariable analysis model was used to identify significant variables associated with disease-free survival and overall survival. Results: A total of 811 patients were included, with a median follow-up of 103.1 months (range, 12.2-182.8 months). The mean patient age was 57.8 years (range, 26-91 years), the mean tumor size was 1.5 cm (range, 0.1-7.5 cm), and the median number of SLNs obtained was 2 (range, 1-8). Seventy-six patients (9.4%) developed disease recurrence; there were 2 patients (0.2%) with isolated axillary recurrences, 40 (4.9%) with local recurrences, 4 (0.5%) with local and regional recurrences, 22 (2.7%) with distant recurrences, and 8 (1.0%) with both local and distant recurrences. The median time to recurrence was 57.2 months (range, 3.1-163.3 months), with 5-year and 10-year disease-free survival rates of 95.1% and 89.9%, respectively. One hundred one patients (12.5%) died; only 15 (1.8%) had distant metastatic disease at the time of death. Patients were significantly more likely to have disease recurrence if they had high-grade tumors (P=.004). Older age and larger tumor size were significant predictors of worse overall survival on multivariate analysis (PϽ .001 and P =.01, respectively). Conclusions: This study reports the long-term follow-up of patients with breast cancer and hematoxylineosin-negative, tumor-free SLNs, showing a remarkably low axillary recurrence of 0.2% and high disease-free survival. Long-term results of SLN biopsy alone are excellent, and the addition of immunohistochemistry analysis does not contribute to survival.

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Impacto de la linfadenectomía sobre la recurrencia axilar y la morbilidad del miembro superior en pacientes con cáncer de mama y ganglio centinela negativo. Estudio prospectivo aleatorizado

Cited by 14 publications

References 43 publications

Physiotherapy in the prevention and treatment of upper limb complications in women with breast cancer

Physiotherapy in the prevention and treatment of upper limb complications in women with breast cancer

312 The impact of the Sentinel Node concept on overall survival, disease-free survival and axillary recurrence of breast cancer patients

Long-term Outcome of Patients Managed With Sentinel Lymph Node Biopsy Alone for Node-Negative Invasive Breast Cancer

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