Winged Scapula after Axillary Clearence in the Treatment of Breast Cancer

Detalhes bibliográficos
Autor(a) principal: Mastrella, Adriana de Sousa
Data de Publicação: 2009
Outros Autores: Freitas-Junior, Ruffo, Paulinelli, Régis Resende, Soares, Leonardo Ribeiro
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Brasileira de Cancerologia (Online)
Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/1600
Resumo: Axillary lymphadenectomy for treating breast cancer may cause winged scapula, a surgical complication resulting from either partial or total lesion of the long thoracic nerve. This study aimed to discuss epidemiological aspects of winged scapula found in the literature. This is a systematic review focusing on epidemiological aspects of winged scapula after surgical treatment of breast cancer. Using either the descriptors "escapula alada" or "winged scapula", studies concerning this subject were searched in the Lilacs, Medline and Pubmed data bases within the previous ten years, as well as classic studies, cited by the authors. 43 papers were found; however, only three were related to epidemiological aspects of winged scapula after breast cancer treatment. Significant variation in the incidence of winged scapula ranging from 0.6 to 74.7% and following axillary lymphadenectomy was found. This variation is possibly due to different ways of evaluating this postsurgical abnormality. The greatest differences occur when different professionals are compared, whose criteria to detect winged scapula are different and, therefore, there is greater variation. In most cases the scapula spontaneously returns to its proper position after a few months (transient winged scapula).
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spelling Winged Scapula after Axillary Clearence in the Treatment of Breast CancerEscápula Alada Post-Linfadenectomía en el Tratamiento del Cáncer de MamaEscápula Alada Pós-Linfadenectomia no Tratamento do Câncer de MamaExcisão de LinfonodoAxilaNeoplasias da MamaEscápulaComplicações Pós-OperatóriasNervos Torácicos/LesõesLymph Node ExcisionAxillaBreast NeoplasmsScapulaPostoperative ComplicationsThoracic Nerves/InjuriesExcisión del Ganglio LinfáticoAxilaNeoplasias de la MamaEscápulaComplicaciones PostoperatoriasNervios Toráxicos/LesionesAxillary lymphadenectomy for treating breast cancer may cause winged scapula, a surgical complication resulting from either partial or total lesion of the long thoracic nerve. This study aimed to discuss epidemiological aspects of winged scapula found in the literature. This is a systematic review focusing on epidemiological aspects of winged scapula after surgical treatment of breast cancer. Using either the descriptors "escapula alada" or "winged scapula", studies concerning this subject were searched in the Lilacs, Medline and Pubmed data bases within the previous ten years, as well as classic studies, cited by the authors. 43 papers were found; however, only three were related to epidemiological aspects of winged scapula after breast cancer treatment. Significant variation in the incidence of winged scapula ranging from 0.6 to 74.7% and following axillary lymphadenectomy was found. This variation is possibly due to different ways of evaluating this postsurgical abnormality. The greatest differences occur when different professionals are compared, whose criteria to detect winged scapula are different and, therefore, there is greater variation. In most cases the scapula spontaneously returns to its proper position after a few months (transient winged scapula).La linfadenectomía axilar en el tratamiento del cáncer de mama puede acarrear la escápula alada, una complicación quirúrgica como consecuencia de una lesión parcial o total del nervio torácico largo. Este estudio tuvo como objetivo discutir los aspectos epidemiológicos de la escápula alada identificados en la literatura. Se trata de una revisión sistemática enfocando los aspectos epidemiológicos de la escápula alada después del tratamiento quirúrgico del cáncer de mama. Se han realizado búsquedas en las bases de datos del Lilacs, Medline y PubMed de los trabajos sobre el tema durante los últimos diez años, utilizando los descriptores "escápula alada" y "winged scapula", y también obras clásicas citadas por los autores. Se encontraron 43 trabajos, pero sólo tres relacionados con el tratamiento del cáncer de mama, versando sobre aspectos epidemiológicos. Se ha observado que hay en la literatura una variación significativa en la incidencia de escápula alada pos-linfadenectomía axilar que va desde 0,6% a 74,7%. Esa variación quizá sea el resultado de las diferentes formas de evaluación de esa alteración pos-quirúrgica. Las mayores diferencias se producen al comparar los diferentes profesionales, donde los criterios para el análisis y detección de la escápula son diferentes y por lo tanto hay mucha variabilidad. Gran parte de las escápulas aladas retroceden espontáneamente después de unos meses (escápula alada transitoria).A linfadenectomia axilar no tratamento do câncer de mama pode acarretar a escápula alada, uma complicação cirúrgica decorrente de lesão parcial ou total do nervo torácico longo. Este estudo teve como objetivo discutir os aspectos epidemiológicos da escapula alada identificados na literatura. Trata-se de uma revisão sistemática focando os aspectos epidemiológicos da escápula alada após o tratamento cirúrgico do câncer de mama. Foram buscados nas bases de dados Lilacs, Medline e PubMed os trabalhos referentes ao tema, nos últimos dez anos, utilizando os descritores "escápula alada" e "winged scapula", e também trabalhos clássicos citados pelos autores. Foram encontrados 43 trabalhos, porém apenas três relacionados ao tratamento do câncer de mama, versando sobre aspectos epidemiológicos. Observou-se que há na literatura uma variação significante da incidência de escápula alada pós-linfadenectomia axilar que vai de 0,6% a 74,7%. Essa variação possivelmente se dá em decorrência das diferentes formas de avaliação dessa alteração pós-cirúrgica. As diferenças maiores ocorrem quando se comparam diferentes profissionais, em que os critérios de análise e detecção da escápula alada são distintos e, por isso, há uma variabilidade maior. Grande parte das escápulas aladas regride espontaneamente após alguns meses (escápula alada transitória).INCA2009-12-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionRevisão de literaturaapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/160010.32635/2176-9745.RBC.2009v55n4.1600Revista Brasileira de Cancerologia; Vol. 55 No. 4 (2009): Oct./Nov./Dec.; 397-404Revista Brasileira de Cancerologia; Vol. 55 Núm. 4 (2009): oct./nov./dic.; 397-404Revista Brasileira de Cancerologia; v. 55 n. 4 (2009): out./nov./dez; 397-4042176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/1600/949Mastrella, Adriana de SousaFreitas-Junior, RuffoPaulinelli, Régis Resende Soares, Leonardo Ribeiroinfo:eu-repo/semantics/openAccess2021-11-29T20:19:50Zoai:rbc.inca.gov.br:article/1600Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:19:50Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Winged Scapula after Axillary Clearence in the Treatment of Breast Cancer
Escápula Alada Post-Linfadenectomía en el Tratamiento del Cáncer de Mama
Escápula Alada Pós-Linfadenectomia no Tratamento do Câncer de Mama
title Winged Scapula after Axillary Clearence in the Treatment of Breast Cancer
spellingShingle Winged Scapula after Axillary Clearence in the Treatment of Breast Cancer
Mastrella, Adriana de Sousa
Excisão de Linfonodo
Axila
Neoplasias da Mama
Escápula
Complicações Pós-Operatórias
Nervos Torácicos/Lesões
Lymph Node Excision
Axilla
Breast Neoplasms
Scapula
Postoperative Complications
Thoracic Nerves/Injuries
Excisión del Ganglio Linfático
Axila
Neoplasias de la Mama
Escápula
Complicaciones Postoperatorias
Nervios Toráxicos/Lesiones
title_short Winged Scapula after Axillary Clearence in the Treatment of Breast Cancer
title_full Winged Scapula after Axillary Clearence in the Treatment of Breast Cancer
title_fullStr Winged Scapula after Axillary Clearence in the Treatment of Breast Cancer
title_full_unstemmed Winged Scapula after Axillary Clearence in the Treatment of Breast Cancer
title_sort Winged Scapula after Axillary Clearence in the Treatment of Breast Cancer
author Mastrella, Adriana de Sousa
author_facet Mastrella, Adriana de Sousa
Freitas-Junior, Ruffo
Paulinelli, Régis Resende
Soares, Leonardo Ribeiro
author_role author
author2 Freitas-Junior, Ruffo
Paulinelli, Régis Resende
Soares, Leonardo Ribeiro
author2_role author
author
author
dc.contributor.author.fl_str_mv Mastrella, Adriana de Sousa
Freitas-Junior, Ruffo
Paulinelli, Régis Resende
Soares, Leonardo Ribeiro
dc.subject.por.fl_str_mv Excisão de Linfonodo
Axila
Neoplasias da Mama
Escápula
Complicações Pós-Operatórias
Nervos Torácicos/Lesões
Lymph Node Excision
Axilla
Breast Neoplasms
Scapula
Postoperative Complications
Thoracic Nerves/Injuries
Excisión del Ganglio Linfático
Axila
Neoplasias de la Mama
Escápula
Complicaciones Postoperatorias
Nervios Toráxicos/Lesiones
topic Excisão de Linfonodo
Axila
Neoplasias da Mama
Escápula
Complicações Pós-Operatórias
Nervos Torácicos/Lesões
Lymph Node Excision
Axilla
Breast Neoplasms
Scapula
Postoperative Complications
Thoracic Nerves/Injuries
Excisión del Ganglio Linfático
Axila
Neoplasias de la Mama
Escápula
Complicaciones Postoperatorias
Nervios Toráxicos/Lesiones
description Axillary lymphadenectomy for treating breast cancer may cause winged scapula, a surgical complication resulting from either partial or total lesion of the long thoracic nerve. This study aimed to discuss epidemiological aspects of winged scapula found in the literature. This is a systematic review focusing on epidemiological aspects of winged scapula after surgical treatment of breast cancer. Using either the descriptors "escapula alada" or "winged scapula", studies concerning this subject were searched in the Lilacs, Medline and Pubmed data bases within the previous ten years, as well as classic studies, cited by the authors. 43 papers were found; however, only three were related to epidemiological aspects of winged scapula after breast cancer treatment. Significant variation in the incidence of winged scapula ranging from 0.6 to 74.7% and following axillary lymphadenectomy was found. This variation is possibly due to different ways of evaluating this postsurgical abnormality. The greatest differences occur when different professionals are compared, whose criteria to detect winged scapula are different and, therefore, there is greater variation. In most cases the scapula spontaneously returns to its proper position after a few months (transient winged scapula).
publishDate 2009
dc.date.none.fl_str_mv 2009-12-31
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Revisão de literatura
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/1600
10.32635/2176-9745.RBC.2009v55n4.1600
url https://rbc.inca.gov.br/index.php/revista/article/view/1600
identifier_str_mv 10.32635/2176-9745.RBC.2009v55n4.1600
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/1600/949
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 INCA
publisher.none.fl_str_mv INCA
dc.source.none.fl_str_mv Revista Brasileira de Cancerologia; Vol. 55 No. 4 (2009): Oct./Nov./Dec.; 397-404
Revista Brasileira de Cancerologia; Vol. 55 Núm. 4 (2009): oct./nov./dic.; 397-404
Revista Brasileira de Cancerologia; v. 55 n. 4 (2009): out./nov./dez; 397-404
2176-9745
reponame:Revista Brasileira de Cancerologia (Online)
instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron:INCA
instname_str Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron_str INCA
institution INCA
reponame_str Revista Brasileira de Cancerologia (Online)
collection Revista Brasileira de Cancerologia (Online)
repository.name.fl_str_mv Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
repository.mail.fl_str_mv rbc@inca.gov.br
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