BackgroundBreast cancer is the most common malignancy among women. Surgical treatment is an essential part of therapy, which still includes chemotherapy, radiotherapy and hormone therapy. The increase in early cancer detection and less aggressive treatment has made longer survival rates possible for women with this neoplasia. Morbidities after treatment have subsequently aroused particular interest in the scientific community in order to minimize their effects and provide increased quality-of-life for these patients. The present study aimed at investigating one of these morbidities: axillary web syndrome, which occurs after axillary surgical management.MethodsFrom December 2011 to September 2012, according to the inclusion and exclusion criteria, 97 patients, who had been surgically treated for breast cancer, were enrolled, interviewed, and submitted to a specific physical exam. An investigation of the axillary cords, characteristic of this syndrome, was performed in all patients.ResultsThe axillary web syndrome was diagnosed in 28.86% of the women. Higher risk of triggering the syndrome has been associated with younger age (21.7%), longer time between first treatment and data collection (29.3%), greater number of resected lymph nodes (149.7%) and surgical management medical teams (113.2%).ConclusionsOne can conclude that axillary web syndrome was associated with younger age, greater time elapsed since surgery, surgical management of medical staff and number of resected lymph nodes.Further studies are needed to review prior-to-surgery and post-operative follow-up, to properly assess the effects of surgery in the axilla on homeostatic balance, not only in the ipsilateral upper limb, but also assess their compensatory consequences throughout the body.
Introdução: O câncer de mama é a neoplasia mais frequente na mulher brasileira e controle das morbidades pós tratamento têm estimulado investigações para melhor qualidade de vida. Objetivos: Determinar a frequência da síndrome da rede axilar (SRA) e associação com linfedema e déficit na amplitude de movimento (DAM) da articulação do ombro após abordagem cirúrgica da axila. Métodos: Entre dezembro de 2011 a setembro de 2012, foram incluídas 97 mulheres tratadas cirurgicamente para câncer de mama no Hospital de Câncer de Pernambuco, Brasil. Foram realizadas procura dos cordões axilares, goniometria da articulação do ombro e perimetria dos membros superiores ipsilateral e contralateral a mama afetada. Para comparação entre valores goniométricos e perimétricos, usou-se o teste “t” de Student e análise de variância Lévené. Os testes Qui quadrado e exato de Fisher foram utilizados para comparação de proporções. Adotou-se nível de significância p ≤ 0.05. O trabalho foi aprovado pelo Comitê de Ética de Pesquisa em Seres Humanos. Resultados: SRA foi diagnosticada em 28 (28,86%) mulheres, destas, 15 (53,57%) apresentavam linfedema. Houve redução significante na maioria das movimentações no membro ipsilateral comparado com o seu contralateral. Conclusões: Houve expressivo número de mulheres diagnosticadas com SRA e associação com início precoce de alterações na perimetria, além de redução significante da amplitude de movimento dos ombros.
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