Axillary web syndrome and its associations with lymphedema and movement amplitude deficit in women submitted to breast cancer surgery: Cross-sectional study
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Anais da Faculdade de Medicina de Olinda (Online) |
Texto Completo: | https://afmo.emnuvens.com.br/afmo/article/view/10 |
Resumo: | Introduction: Breast cancer is the most frequent neoplasm in Brazilian women and control of post treatment morbidities has stimulated investigations for a better quality of life. Objectives: To determine the frequency of axillary web syndrome (AWS) and the association with lymphedema and range of motion (MAD) of the shoulder joint after axillary surgery. Methods: Between December 2011 and September 2012, 97 women surgically treated for breast cancer were enrolled at the Cancer Hospital of Pernambuco, Brazil. The search for axillary cords, goniometry of the shoulder joint and perimetry of the ipsilateral and contralateral upper limbs of the affected breast were performed. For comparison between goniometric and perimetric values, Student's t-test and Lévené variance analysis were used. Chi-square and Fisher's exact tests were used to compare proportions. The significance level p ≤ 0.05 was adopted. The work was approved by Human Research Ethics Committee. Results: AWS was diagnosed in 28 (28.86%) women, of whom 15 (53.57%) had lymphedema. There was a significant reduction in most movements in the ipsilateral limb compared to its contralateral limb. Conclusions: There wereexpressive numbers of women diagnosed with AWS and association with early onset of perimetry changes, in addition to a significant reduction in shoulder range of motion. |
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Axillary web syndrome and its associations with lymphedema and movement amplitude deficit in women submitted to breast cancer surgery: Cross-sectional studySíndrome da rede axilar e suas associações com linfedema e déficit de amplitude de movimento em mulheres submetidas à cirurgia do câncer de mama: Estudo transversalComplicações pós-operatóriasGoniometriaAxilaLinfadenectomiaLinfedemaPostoperative complicationsGoniometryAxillaLymphadenectomyLymphedemaIntroduction: Breast cancer is the most frequent neoplasm in Brazilian women and control of post treatment morbidities has stimulated investigations for a better quality of life. Objectives: To determine the frequency of axillary web syndrome (AWS) and the association with lymphedema and range of motion (MAD) of the shoulder joint after axillary surgery. Methods: Between December 2011 and September 2012, 97 women surgically treated for breast cancer were enrolled at the Cancer Hospital of Pernambuco, Brazil. The search for axillary cords, goniometry of the shoulder joint and perimetry of the ipsilateral and contralateral upper limbs of the affected breast were performed. For comparison between goniometric and perimetric values, Student's t-test and Lévené variance analysis were used. Chi-square and Fisher's exact tests were used to compare proportions. The significance level p ≤ 0.05 was adopted. The work was approved by Human Research Ethics Committee. Results: AWS was diagnosed in 28 (28.86%) women, of whom 15 (53.57%) had lymphedema. There was a significant reduction in most movements in the ipsilateral limb compared to its contralateral limb. Conclusions: There wereexpressive numbers of women diagnosed with AWS and association with early onset of perimetry changes, in addition to a significant reduction in shoulder range of motion.Introdução: O câncer de mama é a neoplasia mais frequente na mulher brasileira e controle das morbidades pós tratamento têm estimulado investigações para melhor qualidade de vida. Objetivos: Determinar a frequência da síndrome da rede axilar (SRA) e associação com linfedema e déficit na amplitude de movimento (DAM) da articulação do ombro após abordagem cirúrgica da axila. Métodos: Entre dezembro de 2011 a setembro de 2012, foram incluídas 97 mulheres tratadas cirurgicamente para câncer de mama no Hospital de Câncer de Pernambuco, Brasil. Foram realizadas procura dos cordões axilares, goniometria da articulação do ombro e perimetria dos membros superiores ipsilateral e contralateral a mama afetada. Para comparação entre valores goniométricos e perimétricos, usou-se o teste “t” de Student e análise de variância Lévené. Os testes Qui quadrado e exato de Fisher foram utilizados para comparação de proporções. Adotou-se nível de significância p ≤ 0.05. O trabalho foi aprovado pelo Comitê de Ética de Pesquisa em Seres Humanos. Resultados: SRA foi diagnosticada em 28 (28,86%) mulheres, destas, 15 (53,57%) apresentavam linfedema. Houve redução significante na maioria das movimentações no membro ipsilateral comparado com o seu contralateral. Conclusões: Houve expressivo número de mulheres diagnosticadas com SRA e associação com início precoce de alterações na perimetria, além de redução significante da amplitude de movimento dos ombros.Faculdade de Medicina de Olinda2018-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://afmo.emnuvens.com.br/afmo/article/view/1010.56102/afmo.2018.10Annals of Olinda Medical School; Vol. 1 No. 1 (2018); 21-26Anais da Faculdade de Medicina de Olinda; v. 1 n. 1 (2018); 21-262674-84872595-1734reponame:Anais da Faculdade de Medicina de Olinda (Online)instname:Faculdade de Medicina de Olinda (FMO)instacron:FMOporhttps://afmo.emnuvens.com.br/afmo/article/view/10/9Pessoa Fukushima, Kassandra Ferreira Borinelli, Adriana Carvalho Carmo, Luana Aroucha Souto Ferreira, Caroline Wanderley info:eu-repo/semantics/openAccess2023-07-04T18:07:46Zoai:ojs.afmo.emnuvens.com.br:article/10Revistahttps://afmo.emnuvens.com.br/afmoPUBhttps://afmo.emnuvens.com.br/afmo/oaianaisfmo@fmo.edu.br2674-84872595-1734opendoar:2023-07-04T18:07:46Anais da Faculdade de Medicina de Olinda (Online) - Faculdade de Medicina de Olinda (FMO)false |
dc.title.none.fl_str_mv |
Axillary web syndrome and its associations with lymphedema and movement amplitude deficit in women submitted to breast cancer surgery: Cross-sectional study Síndrome da rede axilar e suas associações com linfedema e déficit de amplitude de movimento em mulheres submetidas à cirurgia do câncer de mama: Estudo transversal |
title |
Axillary web syndrome and its associations with lymphedema and movement amplitude deficit in women submitted to breast cancer surgery: Cross-sectional study |
spellingShingle |
Axillary web syndrome and its associations with lymphedema and movement amplitude deficit in women submitted to breast cancer surgery: Cross-sectional study Pessoa Fukushima, Kassandra Ferreira Complicações pós-operatórias Goniometria Axila Linfadenectomia Linfedema Postoperative complications Goniometry Axilla Lymphadenectomy Lymphedema |
title_short |
Axillary web syndrome and its associations with lymphedema and movement amplitude deficit in women submitted to breast cancer surgery: Cross-sectional study |
title_full |
Axillary web syndrome and its associations with lymphedema and movement amplitude deficit in women submitted to breast cancer surgery: Cross-sectional study |
title_fullStr |
Axillary web syndrome and its associations with lymphedema and movement amplitude deficit in women submitted to breast cancer surgery: Cross-sectional study |
title_full_unstemmed |
Axillary web syndrome and its associations with lymphedema and movement amplitude deficit in women submitted to breast cancer surgery: Cross-sectional study |
title_sort |
Axillary web syndrome and its associations with lymphedema and movement amplitude deficit in women submitted to breast cancer surgery: Cross-sectional study |
author |
Pessoa Fukushima, Kassandra Ferreira |
author_facet |
Pessoa Fukushima, Kassandra Ferreira Borinelli, Adriana Carvalho Carmo, Luana Aroucha Souto Ferreira, Caroline Wanderley |
author_role |
author |
author2 |
Borinelli, Adriana Carvalho Carmo, Luana Aroucha Souto Ferreira, Caroline Wanderley |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Pessoa Fukushima, Kassandra Ferreira Borinelli, Adriana Carvalho Carmo, Luana Aroucha Souto Ferreira, Caroline Wanderley |
dc.subject.por.fl_str_mv |
Complicações pós-operatórias Goniometria Axila Linfadenectomia Linfedema Postoperative complications Goniometry Axilla Lymphadenectomy Lymphedema |
topic |
Complicações pós-operatórias Goniometria Axila Linfadenectomia Linfedema Postoperative complications Goniometry Axilla Lymphadenectomy Lymphedema |
description |
Introduction: Breast cancer is the most frequent neoplasm in Brazilian women and control of post treatment morbidities has stimulated investigations for a better quality of life. Objectives: To determine the frequency of axillary web syndrome (AWS) and the association with lymphedema and range of motion (MAD) of the shoulder joint after axillary surgery. Methods: Between December 2011 and September 2012, 97 women surgically treated for breast cancer were enrolled at the Cancer Hospital of Pernambuco, Brazil. The search for axillary cords, goniometry of the shoulder joint and perimetry of the ipsilateral and contralateral upper limbs of the affected breast were performed. For comparison between goniometric and perimetric values, Student's t-test and Lévené variance analysis were used. Chi-square and Fisher's exact tests were used to compare proportions. The significance level p ≤ 0.05 was adopted. The work was approved by Human Research Ethics Committee. Results: AWS was diagnosed in 28 (28.86%) women, of whom 15 (53.57%) had lymphedema. There was a significant reduction in most movements in the ipsilateral limb compared to its contralateral limb. Conclusions: There wereexpressive numbers of women diagnosed with AWS and association with early onset of perimetry changes, in addition to a significant reduction in shoulder range of motion. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-04-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://afmo.emnuvens.com.br/afmo/article/view/10 10.56102/afmo.2018.10 |
url |
https://afmo.emnuvens.com.br/afmo/article/view/10 |
identifier_str_mv |
10.56102/afmo.2018.10 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://afmo.emnuvens.com.br/afmo/article/view/10/9 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Faculdade de Medicina de Olinda |
publisher.none.fl_str_mv |
Faculdade de Medicina de Olinda |
dc.source.none.fl_str_mv |
Annals of Olinda Medical School; Vol. 1 No. 1 (2018); 21-26 Anais da Faculdade de Medicina de Olinda; v. 1 n. 1 (2018); 21-26 2674-8487 2595-1734 reponame:Anais da Faculdade de Medicina de Olinda (Online) instname:Faculdade de Medicina de Olinda (FMO) instacron:FMO |
instname_str |
Faculdade de Medicina de Olinda (FMO) |
instacron_str |
FMO |
institution |
FMO |
reponame_str |
Anais da Faculdade de Medicina de Olinda (Online) |
collection |
Anais da Faculdade de Medicina de Olinda (Online) |
repository.name.fl_str_mv |
Anais da Faculdade de Medicina de Olinda (Online) - Faculdade de Medicina de Olinda (FMO) |
repository.mail.fl_str_mv |
anaisfmo@fmo.edu.br |
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1796798259825475584 |