PubMed:30783388
Annnotations
{"target":"https://pubannotation.org/docs/sourcedb/PubMed/sourceid/30783388","sourcedb":"PubMed","sourceid":"30783388","source_url":"https://www.ncbi.nlm.nih.gov/pubmed/30783388","text":"Evaluation of distant sequelae of breast cancer treatment among patients after breast-conserving surgery depending on the type of intervention in the axillary fossa.\nAIM OF THE STUDY: The goal of this work was to assess upper-limb sequelae among patients undergoing breast-conserving therapy (BCT) for breast cancer 5-6 years after the surgical procedure.\nMATERIAL AND METHODS: A controlled clinical study was conducted on 128 patients who had undergone surgery 5-6 years prior. BCT + ALND (axillary lymph node dissection) was performed in 58 patients and 69 underwent BCT + SLND (sentinel lymph node dissection). Patients declared active participation in physiotherapy. The following parameters were assessed in studied subjects: range of motion in the shoulder joint, superficial sensation, upper limb circumference, skin sensation, and presence of winged scapula sign.\nRESULTS: Five to six years after BCT, patients who had undergone BCT + ALND presented with significantly poorer outcomes concerning upper limb range of motion on the operated side compared to the BCT + SLND group with regard to the following features: flexion (p = 0.00004), external rotation (p = 0.0292), and internal rotation (p = 0.0448). However, no statistically significant differences were noted between compared groups with regard to upper limb circumference and sensation disturbances. Statistically significant differences between limb on the operated side (operated limb - OL) vs. contralateral limb (healthy limb - HL) were noted in the BCT + SLND group with regard to the range of motion in extension (p = 0.0004), external rotation (p = 0.0055), and internal rotation (p \u003c 0.0001), as well as the occurrence of winged scapula sign (p \u003c 0.0001) and sensation disturbances (p \u003c 0.0001).\nCONCLUSIONS: Our study demonstrated that both procedures are not free of distant sequelae, although the BCT + ALND group is more frequently affected.","tracks":[{"project":"maxiaofeng52_800_3","denotations":[{"id":"T1","span":{"begin":34,"end":47},"obj":"DP"},{"id":"T2","span":{"begin":302,"end":315},"obj":"DP"}],"attributes":[{"subj":"T1","pred":"source","obj":"maxiaofeng52_800_3"},{"subj":"T2","pred":"source","obj":"maxiaofeng52_800_3"}]},{"project":"wangzhuo19_800_3","denotations":[{"id":"T1","span":{"begin":34,"end":47},"obj":"DP"},{"id":"T2","span":{"begin":302,"end":315},"obj":"DP"}],"attributes":[{"subj":"T1","pred":"source","obj":"wangzhuo19_800_3"},{"subj":"T2","pred":"source","obj":"wangzhuo19_800_3"}]}],"config":{"attribute types":[{"pred":"source","value type":"selection","values":[{"id":"maxiaofeng52_800_3","color":"#93ecca","default":true},{"id":"wangzhuo19_800_3","color":"#ecb093"}]}]}}