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Mastektomi ve Aksiller Diseksiyon Sonrası Uzun Dönem Komplikasyonlar

Yıl 2009, Cilt: 42 Sayı: 1, 17 - 23, 01.04.2009

Ozan Zararlı Niyazi Karaman Cihangir Özaslan Sevinç Hüseyinova Mehmet Altınok

Öz

Long-term arm morbidity and its related factors vvere evaluted for 299 patients operated for breast carcinoma. Pain vvas the most prominant complaint. Other complaints vvere arm svvelling, paresthesia and numbness, stiffness of shoulder and loss of strenght in order of frequency. At multivariate analysis; the factors related vvith the pain vvere age < 50, radiotheraphy and arm svvelling. Factors related vvith paresthesia and numbness vvere age < 50 and breast conserving surgery. Factors related vvith loss of strength vvere age < 50, operation on the left breast and arm svvelling. While the factors related vvith stiffness vvere arm svvelling and radiotheraphy administration; the factors related vvith restricted mobility vvere diabetes and arm svvelling. The factor related vvith increased infection vvas arm svvelling. The factors related vvith the loss of strenght and restricted mobility defined vvith physical examination tvere non-preservation of the nerves, axillary metastasis and diabetes, axillary metastasis and arm svvelling, respectiveiy.

Anahtar Kelimeler

Mastectomy complications morbidity.

Kaynakça

  • Delmar R. Complicatiorıs associated with masteotomy. Surg Clin North Am 1983;63:1331-51.
  • Wedgwood K, Benson EA. Non-tumor morbidity and morta- lity after modified radicai masteotomy. Ann Royal Coll Surg Engl 1992;74:314-7.
  • Lin PP, Allison DC, VVainstock J, et al. İmpact of axillary lymph node disseotion on the therapy of breast cancer pati­ ents. J Clin Oncoi 1993;11:1536-44.
  • Stevens PE, Dibble SL, Miaskowski C. Prevelance, charac- teristics and impact of post-mastectomy pain syndrome: An investigation of women's experiences. Pain 1995;61:1-8.
  • Faik SJ. Radiotherapy and the management of the axilla in early breast cancer. Br J Surg 1994;81:1277-81.
  • Fowble BL, Solin LJ, Schultz DJ, Goodman RL. Ten year results of conservative surgery and irradiation for stage I and II breast cancer. Int J Radiat Oncoi Biol Phys 1991 ;21: 269-77.
  • Tasmuth T, von Smitten K, Kalso E. Pain and other symptoms during the first year after radicai and conservati­ ve surgery for breast cancer. Br J Cancer 1996;74:2024-31.
  • Tasmuth T, Blomqvist C, Kalso E. Chronic post-treatment symptoms in patients with breast cancer operated in diffe- rent surgical units. Eur J Surg Oncoi 1999;25:28-43.
  • Ivens D, Hoe AL, Podd TJ, Hamilton CR, Taylor I, Royle GT. Assessment of morbidity from complete axillary disseotion. Br J Cancer 1992;66:136-8.
  • Roses DF, Brooks AD, Harris MN, Shapiro RL, Mitnick J. Complications of level l-ll axillary disseotion in the treatment ofcarcinoma of the breast. Ann Surg 1999;230:194-201.
  • O İsen NK, Pfeiffer P, Johannsen L, Schröder H, Rose C. Radiation induced brachial plexopathy: Neurological follow up in 161 recurrence-free breast cancer patient. Int J Radiat Oncoi Biol Phys 1993;26:43-9.
  • Rietman JS, Dijkstra PU, Hoekstra HJ, et al. Late morbidity after treatment of breast cancer in relation to daily activities and quality of life: A systematic review. Eur J Surg Oncoi 2003;29:229-38.
  • SchrenkP, Rieger R, Shamiyeh A, VVayandVV. Morbidity fol- lovving sentinel lymph node biopsy versus axillary lymph node disseotion for patients with breast carcinoma. Cancer 2000;88:608-14.
  • Liljegren G, Holmberg L. Arm morbidity after resection and axillary disection with or without post-operative radiotherapy in breast cancer stage I. Result from a randomised trial. Eur J Cancer 1997;33:193-9.
  • Hack TF, Cohen L, Katz J, Robson LS, Goss P. Physical and psychological morbidity after axillary lymph node disseotion for breast cancer. J Clin Oncoi 1999;17:143-9.
  • Garden FH, Gillis TA. Principles of cancer rehabilitation. İn: Braddom RL (ed). Physical Medicine and Rehabilitation. 1st ed. Pennsylvania: WB Saunders Company, 1996:1199-214.
  • Gerber L, Lampert M, VZood C, et al. Comparison of pain, motion, and edema after modified radicai mastectomy vs. local excision with axillary disseotion and radiation. Breast Cancer Res and Treat 1992;21:139-45.
  • Montague ED. Experience with altered fractionation in radiation of breast cancer. Radiology 1968;90:962-6.
  • Ververs JM, Roumen RM, Vingerhoets AJ, et al. Risk, seve- rity and predictors of physical and psychological morbidity after axillary lymph node disseotion for breast cancer. Eur J Cancer 2001;37:991-9.
  • Kwan W, Jackson J, Weir LM, Dingee C, McGregor G, Olivotto IA. Chronic arm morbidity after curative breast can­ cer treatment: Prevalence and impact on quality of life. J Clin Oncoi 2002;20:4242-8.
  • Gutman H, Kersz T, Barzilai T, Haddad M, Reiss R. Achievements of physical therapy in patients after modified radical mastectomy compared with quadrantectomy axillary dissection and radiation for carcinoma of the breast. Arch Surg 1990;125:389-91.
  • Molinaro J, Kleinfeld M, Lebed S. Physical therapy and dance in the surgical management of breast cancer. A clini- cal report. Phys Ther 1986;66:967-9.
  • Borup Christensen S, Lundgren E. Sequeiae of axillary dis­ section and axillary sampling with or without irradiation for breast cancer. Açta Chir Scand 1989;155:515-9.
  • Keramopouios A, Tsionou C, Minaretzis D, Michalas S, Aravantinos D. Arm morbidity following treatment for breast cancer with total axillary dissection: A muitivariated appro- ach. Oncology 1993;50:445-9.
  • Kuehn T, Klauss W, Darsow M, et al. Long-term morbidity following axillary dissection in breast cancer patients-clinical assessment, significance for life quaiity and the impact of demografic, oncologic and therapeutic factors. Breast Cancer Res Treat 2000;64:275-86.

Long-Term Complications Associated vvith Mastectomy and Axillary Dissection

Yıl 2009, Cilt: 42 Sayı: 1, 17 - 23, 01.04.2009

Ozan Zararlı Niyazi Karaman Cihangir Özaslan Sevinç Hüseyinova Mehmet Altınok

Öz

Bu çalışmada meme kanseri nedeniyle tedavi edilen 299 hastada uzun dönem kol morbiditesi ve ilişkili faktörler incelenmiştir. Ağrı en sık bildirilen şikayet olarak saptanmıştır. Sıklık sırasına göre diğer komplikasyonlar; kolda şişme, parestezi ve uyuşukluk, omuz eklem sertliği ve güç kaybı olarak saptanmıştır. Çok değişkenli analizde ağrı ile ilişkili faktörler; yaşın 50'nin altında olması, radyoterapi uygulanması ve kol şişliği olarak saptandı. Parestezi ve uyuşukluk ile ilgili faktörler; yaşın 50'nin altında olması ve meme koruyucu cerrahi olarak saptandı. Güç kaybı ile ilgili faktörler; yaşın 50'nin altında olması, sol memeye cerrahi girişim uygulanması ve kol şişliği olarak saptandı. Eklem sertliği ile ilgili faktörler kol şişliği ve radyoterapi uygulanması iken; hareket kısıtlılığı ile faktörler diyabet ve kol şişliği olarak olarak saptandı. Kol şişliğinin artmış infeksiyon oranları ile ilişkili olduğu saptandı. Fiziksel muayene ile saptanan güç kaybı ve hareket kısıtlılığı ile ilgili faktörler sırasıyla; sinirlerin korunmaması, aksiller metastaz ve diyabet, aksiller metastaz ve kol şişliği olarak saptandı.

Anahtar Kelimeler

Mastektomi komplikasyon morbidite.

Kaynakça

  • Delmar R. Complicatiorıs associated with masteotomy. Surg Clin North Am 1983;63:1331-51.
  • Wedgwood K, Benson EA. Non-tumor morbidity and morta- lity after modified radicai masteotomy. Ann Royal Coll Surg Engl 1992;74:314-7.
  • Lin PP, Allison DC, VVainstock J, et al. İmpact of axillary lymph node disseotion on the therapy of breast cancer pati­ ents. J Clin Oncoi 1993;11:1536-44.
  • Stevens PE, Dibble SL, Miaskowski C. Prevelance, charac- teristics and impact of post-mastectomy pain syndrome: An investigation of women's experiences. Pain 1995;61:1-8.
  • Faik SJ. Radiotherapy and the management of the axilla in early breast cancer. Br J Surg 1994;81:1277-81.
  • Fowble BL, Solin LJ, Schultz DJ, Goodman RL. Ten year results of conservative surgery and irradiation for stage I and II breast cancer. Int J Radiat Oncoi Biol Phys 1991 ;21: 269-77.
  • Tasmuth T, von Smitten K, Kalso E. Pain and other symptoms during the first year after radicai and conservati­ ve surgery for breast cancer. Br J Cancer 1996;74:2024-31.
  • Tasmuth T, Blomqvist C, Kalso E. Chronic post-treatment symptoms in patients with breast cancer operated in diffe- rent surgical units. Eur J Surg Oncoi 1999;25:28-43.
  • Ivens D, Hoe AL, Podd TJ, Hamilton CR, Taylor I, Royle GT. Assessment of morbidity from complete axillary disseotion. Br J Cancer 1992;66:136-8.
  • Roses DF, Brooks AD, Harris MN, Shapiro RL, Mitnick J. Complications of level l-ll axillary disseotion in the treatment ofcarcinoma of the breast. Ann Surg 1999;230:194-201.
  • O İsen NK, Pfeiffer P, Johannsen L, Schröder H, Rose C. Radiation induced brachial plexopathy: Neurological follow up in 161 recurrence-free breast cancer patient. Int J Radiat Oncoi Biol Phys 1993;26:43-9.
  • Rietman JS, Dijkstra PU, Hoekstra HJ, et al. Late morbidity after treatment of breast cancer in relation to daily activities and quality of life: A systematic review. Eur J Surg Oncoi 2003;29:229-38.
  • SchrenkP, Rieger R, Shamiyeh A, VVayandVV. Morbidity fol- lovving sentinel lymph node biopsy versus axillary lymph node disseotion for patients with breast carcinoma. Cancer 2000;88:608-14.
  • Liljegren G, Holmberg L. Arm morbidity after resection and axillary disection with or without post-operative radiotherapy in breast cancer stage I. Result from a randomised trial. Eur J Cancer 1997;33:193-9.
  • Hack TF, Cohen L, Katz J, Robson LS, Goss P. Physical and psychological morbidity after axillary lymph node disseotion for breast cancer. J Clin Oncoi 1999;17:143-9.
  • Garden FH, Gillis TA. Principles of cancer rehabilitation. İn: Braddom RL (ed). Physical Medicine and Rehabilitation. 1st ed. Pennsylvania: WB Saunders Company, 1996:1199-214.
  • Gerber L, Lampert M, VZood C, et al. Comparison of pain, motion, and edema after modified radicai mastectomy vs. local excision with axillary disseotion and radiation. Breast Cancer Res and Treat 1992;21:139-45.
  • Montague ED. Experience with altered fractionation in radiation of breast cancer. Radiology 1968;90:962-6.
  • Ververs JM, Roumen RM, Vingerhoets AJ, et al. Risk, seve- rity and predictors of physical and psychological morbidity after axillary lymph node disseotion for breast cancer. Eur J Cancer 2001;37:991-9.
  • Kwan W, Jackson J, Weir LM, Dingee C, McGregor G, Olivotto IA. Chronic arm morbidity after curative breast can­ cer treatment: Prevalence and impact on quality of life. J Clin Oncoi 2002;20:4242-8.
  • Gutman H, Kersz T, Barzilai T, Haddad M, Reiss R. Achievements of physical therapy in patients after modified radical mastectomy compared with quadrantectomy axillary dissection and radiation for carcinoma of the breast. Arch Surg 1990;125:389-91.
  • Molinaro J, Kleinfeld M, Lebed S. Physical therapy and dance in the surgical management of breast cancer. A clini- cal report. Phys Ther 1986;66:967-9.
  • Borup Christensen S, Lundgren E. Sequeiae of axillary dis­ section and axillary sampling with or without irradiation for breast cancer. Açta Chir Scand 1989;155:515-9.
  • Keramopouios A, Tsionou C, Minaretzis D, Michalas S, Aravantinos D. Arm morbidity following treatment for breast cancer with total axillary dissection: A muitivariated appro- ach. Oncology 1993;50:445-9.
  • Kuehn T, Klauss W, Darsow M, et al. Long-term morbidity following axillary dissection in breast cancer patients-clinical assessment, significance for life quaiity and the impact of demografic, oncologic and therapeutic factors. Breast Cancer Res Treat 2000;64:275-86.
Toplam 25 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Makaleler
Yazarlar

Ozan Zararlı Bu kişi benim

Niyazi Karaman Bu kişi benim

Cihangir Özaslan Bu kişi benim

Sevinç Hüseyinova Bu kişi benim

Mehmet Altınok Bu kişi benim

Yayımlanma Tarihi 1 Nisan 2009
Yayımlandığı Sayı Yıl 2009 Cilt: 42 Sayı: 1

Kaynak Göster

APA Zararlı, O. ., Karaman, N. ., Özaslan, C. ., Hüseyinova, S. ., vd. (2009). Long-Term Complications Associated vvith Mastectomy and Axillary Dissection. Acta Oncologica Turcica, 42(1), 17-23.
AMA Zararlı O, Karaman N, Özaslan C, Hüseyinova S, Altınok M. Long-Term Complications Associated vvith Mastectomy and Axillary Dissection. Acta Oncologica Turcica. Nisan 2009;42(1):17-23.
Chicago Zararlı, Ozan, Niyazi Karaman, Cihangir Özaslan, Sevinç Hüseyinova, ve Mehmet Altınok. “Long-Term Complications Associated Vvith Mastectomy and Axillary Dissection”. Acta Oncologica Turcica 42, sy. 1 (Nisan 2009): 17-23.
EndNote Zararlı O, Karaman N, Özaslan C, Hüseyinova S, Altınok M (01 Nisan 2009) Long-Term Complications Associated vvith Mastectomy and Axillary Dissection. Acta Oncologica Turcica 42 1 17–23.
IEEE O. . Zararlı, N. . Karaman, C. . Özaslan, S. . Hüseyinova, ve M. . Altınok, “Long-Term Complications Associated vvith Mastectomy and Axillary Dissection”, Acta Oncologica Turcica, c. 42, sy. 1, ss. 17–23, 2009.
ISNAD Zararlı, Ozan vd. “Long-Term Complications Associated Vvith Mastectomy and Axillary Dissection”. Acta Oncologica Turcica 42/1 (Nisan 2009), 17-23.
JAMA Zararlı O, Karaman N, Özaslan C, Hüseyinova S, Altınok M. Long-Term Complications Associated vvith Mastectomy and Axillary Dissection. Acta Oncologica Turcica. 2009;42:17–23.
MLA Zararlı, Ozan vd. “Long-Term Complications Associated Vvith Mastectomy and Axillary Dissection”. Acta Oncologica Turcica, c. 42, sy. 1, 2009, ss. 17-23.
Vancouver Zararlı O, Karaman N, Özaslan C, Hüseyinova S, Altınok M. Long-Term Complications Associated vvith Mastectomy and Axillary Dissection. Acta Oncologica Turcica. 2009;42(1):17-23.