Cording following treatment for breast cancer

Autor: Melissa N. Skolny, Krista Elliott, Jean O’Toole, Cynthia L. Miller, Nora Horick, Andrzej Niemierko, Michelle C. Specht, Alphonse G. Taghian, Lauren S. Jammallo
Rok vydání: 2013
Předmět:
Zdroj: Breast Cancer Research and Treatment. 140:105-111
ISSN: 1573-7217
0167-6806
DOI: 10.1007/s10549-013-2616-9
Popis: Treatment for breast cancer may result in the formation of palpable cords in the axillary region. Our aim was to evaluate cording incidence, risk factors, and association with upper extremity functional impairment and measured arm volume change. We included 308 patients with unilateral breast cancer prospectively screened for upper extremity lymphedema, symptoms and function. Patients were assessed pre- and post-operatively and at 3–8-month intervals with perometer arm measurements and the LEFT-BC questionnaire. Cording was determined by patient self-report. The cumulative incidence of cording and its association with clinicopathologic factors, upper extremity functional impairment, and measured arm volume change were analyzed. 31.5 % (97/308) of patients reported cording, with a cumulative incidence of 36.2 % at 24 months post-operative. Clinicopathologic factors significantly associated with cording by multivariate analysis included axillary lymph node dissection (p
Databáze: OpenAIRE