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Analysis of Undesirable Sequelae of Sentinel Node Surgery in Breast Cancer Patients – a Prospective Cohort Study

Use of sentinel lymph node biopsy limits the frequency and severity of sequelae of surgical treatment. However, the procedure itself may not be completely free of complications. The goal of this work was to analyze prospectively the occurrence of undesirable sequelae in patients undergoing sentinel...

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Autores principales: Kozak, Dominika, Głowacka-Mrotek, Iwona, Nowikiewicz, Tomasz, Siedlecki, Zygmunt, Hagner, Wojciech, Sowa, Magdalena, Zegarski, Wojciech
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Netherlands 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132823/
https://www.ncbi.nlm.nih.gov/pubmed/28918579
http://dx.doi.org/10.1007/s12253-017-0306-3
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author Kozak, Dominika
Głowacka-Mrotek, Iwona
Nowikiewicz, Tomasz
Siedlecki, Zygmunt
Hagner, Wojciech
Sowa, Magdalena
Zegarski, Wojciech
author_facet Kozak, Dominika
Głowacka-Mrotek, Iwona
Nowikiewicz, Tomasz
Siedlecki, Zygmunt
Hagner, Wojciech
Sowa, Magdalena
Zegarski, Wojciech
author_sort Kozak, Dominika
collection PubMed
description Use of sentinel lymph node biopsy limits the frequency and severity of sequelae of surgical treatment. However, the procedure itself may not be completely free of complications. The goal of this work was to analyze prospectively the occurrence of undesirable sequelae in patients undergoing sentinel lymph node biopsy as an isolated intervention in the axillary fossa. This prospective observational study was conducted on a group of 104 women. Patients were examined on five occasions: one day before the procedure, one day after the procedure, one month, three months, and six months after the procedure. At every stage of the study they were assessed for tactile sensation, range of motion in the shoulder joint, upper limb circumference, sensation abnormalities, winged scapula sign, and pain severity according to Visual Analogue Scale (VAS). In the study group we observed statistically significant differences, such as limited mobility in the shoulder joint (p ≤ 0.01), gradual increase in limb circumference on the operated side (p < 0.01) and pain (p ≤ 0.01). Despite relatively low invasiveness of the procedure, sentinel lymph node biopsy is not entirely devoid of the risk of undesirable sequelae.
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spelling pubmed-61328232018-09-13 Analysis of Undesirable Sequelae of Sentinel Node Surgery in Breast Cancer Patients – a Prospective Cohort Study Kozak, Dominika Głowacka-Mrotek, Iwona Nowikiewicz, Tomasz Siedlecki, Zygmunt Hagner, Wojciech Sowa, Magdalena Zegarski, Wojciech Pathol Oncol Res Original Article Use of sentinel lymph node biopsy limits the frequency and severity of sequelae of surgical treatment. However, the procedure itself may not be completely free of complications. The goal of this work was to analyze prospectively the occurrence of undesirable sequelae in patients undergoing sentinel lymph node biopsy as an isolated intervention in the axillary fossa. This prospective observational study was conducted on a group of 104 women. Patients were examined on five occasions: one day before the procedure, one day after the procedure, one month, three months, and six months after the procedure. At every stage of the study they were assessed for tactile sensation, range of motion in the shoulder joint, upper limb circumference, sensation abnormalities, winged scapula sign, and pain severity according to Visual Analogue Scale (VAS). In the study group we observed statistically significant differences, such as limited mobility in the shoulder joint (p ≤ 0.01), gradual increase in limb circumference on the operated side (p < 0.01) and pain (p ≤ 0.01). Despite relatively low invasiveness of the procedure, sentinel lymph node biopsy is not entirely devoid of the risk of undesirable sequelae. Springer Netherlands 2017-09-16 2018 /pmc/articles/PMC6132823/ /pubmed/28918579 http://dx.doi.org/10.1007/s12253-017-0306-3 Text en © The Author(s) 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Article
Kozak, Dominika
Głowacka-Mrotek, Iwona
Nowikiewicz, Tomasz
Siedlecki, Zygmunt
Hagner, Wojciech
Sowa, Magdalena
Zegarski, Wojciech
Analysis of Undesirable Sequelae of Sentinel Node Surgery in Breast Cancer Patients – a Prospective Cohort Study
title Analysis of Undesirable Sequelae of Sentinel Node Surgery in Breast Cancer Patients – a Prospective Cohort Study
title_full Analysis of Undesirable Sequelae of Sentinel Node Surgery in Breast Cancer Patients – a Prospective Cohort Study
title_fullStr Analysis of Undesirable Sequelae of Sentinel Node Surgery in Breast Cancer Patients – a Prospective Cohort Study
title_full_unstemmed Analysis of Undesirable Sequelae of Sentinel Node Surgery in Breast Cancer Patients – a Prospective Cohort Study
title_short Analysis of Undesirable Sequelae of Sentinel Node Surgery in Breast Cancer Patients – a Prospective Cohort Study
title_sort analysis of undesirable sequelae of sentinel node surgery in breast cancer patients – a prospective cohort study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132823/
https://www.ncbi.nlm.nih.gov/pubmed/28918579
http://dx.doi.org/10.1007/s12253-017-0306-3
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