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Prospective assessment of lymphedema incidence and lymphedema-associated symptoms following lymph node surgery for melanoma
- Source :
- Melanoma Research. 23:290-297
- Publication Year :
- 2013
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2013.
-
Abstract
- We aimed to prospectively assess limb volume change (LVC) and associated symptoms in patients with melanoma undergoing sentinel lymph node biopsy and/or therapeutic lymph node dissection. Limb volume was measured preoperatively and postoperatively at 6 and 12 months using a perometer (1000 mol/l). LVC was calculated and used to define three groups: less than 5%, 5-10%, and greater than 10%. A 19-item lymphedema symptom questionnaire was administered at baseline, 6, and 12 months. One hundred and eighty-two patients were enrolled. Twelve months after axillary surgery, 9% had LVC 5-10% and 13% had LVC greater than 10%. Twelve months after inguinofemoral surgery, 10% had LVC 5-10% and 13% had LVC greater than 10%. There was a significant seven- to nine-fold increase in symptoms for patients with LVC greater than 10% compared with those with LVC less than 5% (P
- Subjects :
- Male
Cancer Research
medicine.medical_specialty
Skin Neoplasms
Sentinel lymph node
Dermatology
Article
Body Mass Index
Postoperative Complications
Biopsy
medicine
Humans
Longitudinal Studies
Lymphedema
Prospective Studies
Melanoma
Lymph node
Neoplasm Staging
medicine.diagnostic_test
Sentinel Lymph Node Biopsy
business.industry
Incidence
Incidence (epidemiology)
Odds ratio
Middle Aged
Prognosis
medicine.disease
Texas
Surgery
Dissection
medicine.anatomical_structure
Oncology
Lymph Node Excision
Female
business
Subjects
Details
- ISSN :
- 09608931
- Volume :
- 23
- Database :
- OpenAIRE
- Journal :
- Melanoma Research
- Accession number :
- edsair.doi.dedup.....630e3e348dde8a426b2422efd879796b