Development and Validation of an Intraoperative Nomogram to Predict Breast Cancer-Related Lymphedema Based on the Arm Lymphatics Distribution

Yuan, Quan; Hou, Jian; Zhou, Rui; Liao, Yinqin; Zheng, Luming; Jiao, Chong; Zhou, Wenbo; Wu, Gaosong

doi:10.2139/ssrn.3778706

SSRN Journal

2021

DOI: 10.2139/ssrn.3778706

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Development and Validation of an Intraoperative Nomogram to Predict Breast Cancer-Related Lymphedema Based on the Arm Lymphatics Distribution

Quan Yuan¹,

Jian Hou²,

Rui Zhou³

et al.

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“…10 Studies should incorporate larger sample size cohorts and incremental dosages of taxane and include follow-up data, such as indocyanine green lymphangiogram images, and quantification of lymphatic contraction to validate results can provide more clear associations. 11 One recent study performed by Yuan et al 12 considers the use of a nomogram to check the lymph flow, which can be used in future studies.…”

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confidence: 99%

Invited Commentary from the Authors of: Kuruvilla AS, et al. Risk Factors Associated With Postmastectomy Breast Cancer Lymphedema: Amulticenter Retrospective Analysis

Kuruvilla¹

2022

Ann Plast Surg

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To the Editor:I read with great interest the article by Kuruvilla et al, 1 in which they evaluated the risk factors predictive of lymphedema-related events within 2 years of mastectomy in breast cancer patients. The predictive risk factors included higher Elixhauser score, prolonged hospitalization for mastectomy, more recent mastectomy procedure, obesity, younger age, non-Asian race, Medicaid insurance, and hypertension (all P < 0.01). Detailed information about chemotherapy schedules was not described in this article. The association of taxanes with the development of peripheral edema was evaluated previously. Taxanes may cause systemic disruption, which could have a longer-term effect on lymphatic function leading to lymphedema in breast cancer patients. Cariati and colleagues 2 in their hypothesis-generating study investigated risk factors for lymphedema with a specific focus on the potential impact of chemotherapy. They found that patients who received adjuvant taxanes were nearly 3 times more likely to develop lymphedema than patients who did not. Therefore, adjuvant taxane use might be one of the predictive factors for postmastectomy breast cancer lymphedema.

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confidence: 99%

Invited Commentary from the Authors of: Kuruvilla AS, et al. Risk Factors Associated With Postmastectomy Breast Cancer Lymphedema: Amulticenter Retrospective Analysis

Kuruvilla¹

2022

Ann Plast Surg

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Development and Validation of an Intraoperative Nomogram to Predict Breast Cancer-Related Lymphedema Based on the Arm Lymphatics Distribution

Cited by 1 publication

References 0 publications

Invited Commentary from the Authors of: Kuruvilla AS, et al. Risk Factors Associated With Postmastectomy Breast Cancer Lymphedema: Amulticenter Retrospective Analysis

Invited Commentary from the Authors of: Kuruvilla AS, et al. Risk Factors Associated With Postmastectomy Breast Cancer Lymphedema: Amulticenter Retrospective Analysis

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