Systemic Analysis on Risk Factors for Breast Cancer Related Lymphedema

Zhu, Ya-Qun; Xie, Yu-Huan; Liu, Feng-Huan; Guo, Qi; Shen, Pei-Pei; Tian, Ye

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자료유형: 학술저널

저자정보: Zhu, Ya-Qun (Department of Radiotherapy & Oncology, The Second Affiliated Hospital of Soochow University) Xie, Yu-Huan (Department of Radiotherapy & Oncology, The Second Affiliated Hospital of Soochow University) Liu, Feng-Huan (Department of Radiotherapy & Oncology, The Second Affiliated Hospital of Soochow University) Guo, Qi (Department of Radiotherapy & Oncology, The Second Affiliated Hospital of Soochow University) Shen, Pei-Pei (Department of Radiotherapy & Oncology, The Second Affiliated Hospital of Soochow University) Tian, Ye (Department of Radiotherapy & Oncology, The Second Affiliated Hospital of Soochow University)

저널정보: 아시아태평양암예방학회 Asian Pacific journal of cancer prevention : APJCP Asian Pacific journal of cancer prevention : APJCP 제15권 제16호

발행연도: 2014.1

수록면: 6,535 - 6,541 (7page)

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Background: To evaluate risk factors for upper extremity lymphedema due to breast cancer surgery. Materials and Methods: Clinical studies published on PubMed, Ovid, EMbase, and Cochrane Library from January 1996 to December 2012 were selected. Results: Twenty-five studies were identified, including 12,104 patients. Six risk factors related to the incidence of lymphedema after breast cancer treatment were detected: axillary lymph node dissection (OR=3.73, 95%CI 1.16 to 11.96), postoperative complications (OR=2.64, 95%CI 1.10 to 6.30), hypertension (OR=1.83, 95%CI 1.38 to 2.42), high body mass index (OR=1.80, 95%CI 1.30 to 2.49), chemotherapy (OR=1.38, 95%CI 1.07 to 1.79) and radiotherapy (OR=1.35, 95%CI 1.10 to 1.66). We found significant protective factors for lymphedema: pathologic T classification (OR=0.57, 95%CI 0.36 to 0.91) and stage (OR=0.60, 95%CI 0.39 to 0.93), while some factors, like age, number of positive lymph nodes, number of lymph node dissection, demonstrated no obvious correlation. Conclusions: Axillary lymph node dissection, postoperative complications, hypertension, body mass index, chemotherapy, radiotherapy are risk factors for lymphedema after breast cancer treatment. Attention should be paid to patients with risk factors to prevent the occurrence of lymphedema.

#Breast cancer #upper extremity surgery #lymphedema #risk factors

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Zhu, Ya-Qun

소속기관 Department of Radiotherapy & Oncology, The Second Affiliated Hospital of Soochow University