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Long-term follow-up on shoulder and arm morbidity in patients treated for early breast cancer
- Source :
- Hauerslev, K R, Madsen, A H, Overgaard, J, Damsgaard, T E & Christiansen, P 2020, ' Long-term follow-up on shoulder and arm morbidity in patients treated for early breast cancer ', Acta Oncologica, vol. 59, no. 7, pp. 851-858 . https://doi.org/10.1080/0284186X.2020.1745269
- Publication Year :
- 2020
-
Abstract
- Background: A prospective study on shoulder and arm morbidity was conducted in Denmark in 2003–2005. This study demonstrated that sentinel lymph node biopsy was associated with better outcomes than axillary lymph node dissection 18 months after surgery. We here aimed to describe subjective symptoms and objective findings in these patients 10+ years after they underwent breast cancer surgery and to assess how symptoms and findings developed during this period. Material and methods: Participants in the prospective study completed a questionnaire and underwent an objective, bilateral examination of their shoulder and arm morbidity, which included measurement of arm volume, range of motion, and sensibility. Results: Seventy participants completed follow-up. Thirty-four (49%) had one or more functional impairments, and 64% had one or more subjective loco regional symptoms like pain, swelling of the arm, and decreased shoulder mobility. Objective evaluation showed 34 ml’s of increased arm volumes and 3–25% had severe reduced shoulder mobility on the operated side. Compared to the findings at 18 months postoperatively, small but significant differences in occurrence of subjective findings were observed. A significant progression regarding most objective findings was revealed. Conclusion: More than 11 years after breast cancer surgery, the majority of participants complained of one or more subjective symptoms of shoulder and arm morbidity. Objective findings were mild or modest in most cases. During the prolonged follow-up period of 10 years, a worsening in symptoms and objective findings was observed.HIGHLIGHTS Shoulder and arm morbidity in relation to breast cancer treatment seems to progress beyond 10 years. The most frequent symptoms were pain, swelling or heaviness of the arm, and decreased shoulder mobility. The objective evaluation showed higher arm volumes and reduced shoulder mobility on the operated side. Objective findings are mild and modest but may affect activities of daily living, and most participants with late symptoms stated that this was a daily problem.
- Subjects :
- Time Factors
SURGERY
030218 nuclear medicine & medical imaging
0302 clinical medicine
Postoperative Complications
Surveys and Questionnaires
Lymphedema
Prospective Studies
Range of Motion, Articular
Prospective cohort study
Mastectomy
Early breast cancer
RISK
SURVIVORS
medicine.diagnostic_test
Shoulder Joint
Hematology
General Medicine
Middle Aged
Oncology
030220 oncology & carcinogenesis
Lymphatic Metastasis
Arm
BIOPSY
Female
RADIOTHERAPY
Adult
WATER DISPLACEMENT INSTRUMENT
medicine.medical_specialty
LYMPHEDEMA
Long term follow up
Sentinel lymph node
MEDLINE
Breast Neoplasms
03 medical and health sciences
Text mining
Shoulder Pain
Biopsy
medicine
Humans
Radiology, Nuclear Medicine and imaging
In patient
Paresthesia
Aged
business.industry
Sentinel Lymph Node Biopsy
General surgery
RANDOMIZED-TRIAL
SENTINEL NODE
Axilla
Lymph Nodes
business
Follow-Up Studies
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Hauerslev, K R, Madsen, A H, Overgaard, J, Damsgaard, T E & Christiansen, P 2020, ' Long-term follow-up on shoulder and arm morbidity in patients treated for early breast cancer ', Acta Oncologica, vol. 59, no. 7, pp. 851-858 . https://doi.org/10.1080/0284186X.2020.1745269
- Accession number :
- edsair.doi.dedup.....ed38346ace872835593ed259ddf0953e