The impact of local therapies for breast cancer on shoulder muscle health and function.

Autor: Leonardis JM; School of Kinesiology, University of Michigan, Ann Arbor, MI, USA., Lulic-Kuryllo T; School of Kinesiology, University of Michigan, Ann Arbor, MI, USA., Lipps DB; School of Kinesiology, University of Michigan, Ann Arbor, MI, USA; Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI, USA. Electronic address: dlipps@umich.edu.
Jazyk: angličtina
Zdroj: Critical reviews in oncology/hematology [Crit Rev Oncol Hematol] 2022 Sep; Vol. 177, pp. 103759. Date of Electronic Publication: 2022 Jul 20.
DOI: 10.1016/j.critrevonc.2022.103759
Abstrakt: Advances in breast cancer treatment have improved patient survival but have also created complications, such as shoulder morbidity, impacting the patient's quality of life. Local therapies for breast cancer influence shoulder muscle health through changes to the muscular microenvironment, macroscopic muscle morphology, and neuromuscular function. Our findings suggest both surgery and radiation therapy compromise the healthy functioning of shoulder musculature. Mastectomy and post-mastectomy breast reconstruction directly affect shoulder function through muscle morphology and neuromuscular function alterations. Radiation therapy damages satellite cells and myocytes, causing cell death both during treatment and years after recovery. This damage creates an environment limited in its ability to prevent atrophy. However, research to date is limited to a small number of analyses with small experimental populations and a lack of control for covariates. Future research to uncover the pathophysiological mechanisms underlying shoulder morbidity after breast cancer treatment must integrate measures of shoulder muscle health and shoulder function.
(Copyright © 2022 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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