| Popis: |
Introduction:The aim of this prospective clinical study was to evaluate early and late complications of diff erent surgical procedures, and compare conservative surgeries (breast conserving surgery, sentinel lymph node biopsy) to more radical surgical treatments (mastectomy, axillary lymph node dissection), and fi nd factors related to these complications in patients with early breast cancer.Materials and Methods:218 early stage breast cancer patients (stage I and II) were enrolled in this prospective study. We studied physical complications (restrictions in shoulder motions, shoulder functional capacity, pain, lymphedema and sensory loss), psychological complications (depression, decreased quality of life) and the factors related to these complications in patients after breast surgery and/or radiotherapy at fi rst week, at 9th-12th months and at mean follow up time of 50 months.Results:Median age of 218 patients was 48 (19-82) years. Lymphedema rates after surgery were 14.7 %, 24.8% and 6.9% at fi rst week, 9th-12th months, and long term respectively. In early postoperative period, pain and functional capacity of the effected shoulder were worse than preoperatively measured values and all the motions of shoulder were eff ected signifi cantly. On the other hand, at 9th-12th months, only internal fl exion motion was still aff ected. At long term period, all shoulder motions, pain and functional capacitiy were in normal ranges like before treatment. The factors related with lymphedema were axillary lymph node dissection (p=0.002), radiation therapy to axillae (p |
