Skip to main content
SpringerLink
Log in

Side Effects and Major Complications of Breast-Conserving Therapy

  • Conference paper
Breast Diseases

  • 77 Accesses

Abstract

The increasing degree of adaptation of the treatment administered in general for carcinoma to suit the individual needs of the patients means that in addition to primarily oncological aspects, the patients’ quality of life has become a major consideration. As long as the indications for breast-conserving therapy are strictly applied and its limitations are borne in mind, it is an alternative to mutilating amputation of the breast [23,44]. Breast-conserving therapy, however, has not yet been established as a routine procedure, and when it is performed it is important for doctor and patient alike to be aware of the possible complications and side effects.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Amberger H (1983) Die Behandlung des Stewart-Treves-Syndroms. (Treatment of Stewart-Treves syndrome). Chirurg 54, 487

    PubMed  CAS  Google Scholar 

  2. Beadle GF, Come S, Henderson IC, Silver B, Hellman S, Harris JR (1984) The effect of adjuvant chemotherapy on the cosmetic results after primary radiation treatment for early stage breast cancer. Int J Radiat Oncol Biol Phys 10, 2131

    Article  PubMed  CAS  Google Scholar 

  3. Bell HG (1949) Cancer of the breast. Ann Surg 130, 310

    Article  Google Scholar 

  4. Brismar B, Ljundgdahl I (1983) Postoperative lymphedema after treatment of breast cancer. Acta Chir. Scand. 149, 687

    Google Scholar 

  5. Britton RC, Nelson PA (1962) Causes and treatment of postmastectomy lymphedema of the arm. JAMA 180, 95

    PubMed  CAS  Google Scholar 

  6. Budd DC, Cochran RC, Sturtz DL, et al. (1978) Surgical morbidity after mastectomy operations. Am J Surg 135, 218

    Article  PubMed  CAS  Google Scholar 

  7. Calitchi E, Chaula JM, Otmezguine Y, Roucayrol AM, Mazeron JJ, Le Bourgeois JP, Pierquin B (1984) Analyse retrospective a 10 ans des sequelles du traitement loco- regional des cancers du seins. (10-year retrospective analysis of the sequelae of loco- regional treatment of breast cancer). Bull Cancer (Paris), 71 (2), 100

    CAS  Google Scholar 

  8. Clarke D, Martinez A, Cox RS (1982) Breast edema following staging axillary node dissection in patients with breast carcinoma treated by radical radiotherapy: Cancer 49, 2295

    PubMed  CAS  Google Scholar 

  9. Chu AM, Cope O, Russo R, Wang CC, Schultz MD, Wang C, Rodkey G (1980) Treatment of early stage breast cancer by limited surgery and radical irradiation. Int J Radiat Oncol Biol Phys 6, 25–30

    PubMed  CAS  Google Scholar 

  10. Daland EM (1950) The incidence of swollen arms after radical mastectomy and suggestions for prevention. N Engl J Med 242, 497

    Article  Google Scholar 

  11. Danoff BF, Goodman RL, Glick JH, Haller DG, Pajak Th T (1983) The effects of adjuvant chemotherapy on cosmesis and complications in patients with breast cancer treated by definitive irradiation. Int J Radiation Oncology Biol Phys 9, 1625

    CAS  Google Scholar 

  12. Feigenberg Z, Zer M, Dintsman M (1977) Comparison of postoperative complications following radical and modified radical mastectomy. World J Surg 1, 207

    Article  Google Scholar 

  13. Flew TJ (1979) Wound drainage following radical mastectomy: the effect of restriction of shoulder movement. Br J Surg 66, 302

    Article  PubMed  CAS  Google Scholar 

  14. Foldi E, Foldi M (1986) Die Therapie chronischer GliedmaBenodeme. Z Allg Med 62, 955

    Google Scholar 

  15. Halsted WS (1921) Swelling of the arm after operations for cancer of the breast - elephantiasis chirurgica - its cause and prevention. Bull Johns Hopkins Hosp. 32, 309

    Google Scholar 

  16. Harris JR, Levene MB, Svenson G (1979) Analysis of cosmetic results following primary radiation therapy for stages I and II carcinoma of the breast. Int J Radiat Oncol Biol: Phys 5: 257

    Google Scholar 

  17. Harris JR, Hellman S (1982) Primary radiation therapy for early breast cancer: the experience at the Joint center for Radiation Therapy in Alternatives to Mastectomy, Harris JR, Hellman S, Silen W (Eds), Philadelphia, JB Lippincott Co

    Google Scholar 

  18. Healey JE jun (1971) Role of rehabilitation medicine in the care of the patient with breast cancer. Cancer 6, 1666

    Google Scholar 

  19. Ingianni G, Holzmann T (1985) Klinische Erfahrungen in der Anwendung von lym- pho-venösen Anastomosen beim sekundären Lymphödem Handchir Mikrochir Plast Chir 17, 43

    CAS  Google Scholar 

  20. Jolly P, Viar W (1981) Reduction of morbidity after radical mastectomy. Am Surg 47, 377

    PubMed  CAS  Google Scholar 

  21. Kim JHI, Chu FCH, Hilaris B (1975) The influence of dose fractionation on acute and late reactions in patients with postoperative radiotherapy for carcinoma of the breast, Cancer, 35, 1583

    Article  PubMed  CAS  Google Scholar 

  22. Kissin MW, della Rovere GQ, Easton D, Westbury G (1986) Risk of lympedema following the treatment of breast disease. Br J Surg 73, 580

    Article  PubMed  CAS  Google Scholar 

  23. Kubli F, von Fournier D (1986) Brusterhaltende Therapie des Mammacarcinoms in Aktuelle Geburtshilfe und Gynäkologie, Melchert F, et al. (Eds) Springer Verlag Berlin, 280

    Google Scholar 

  24. Kuhnke E (1979) Methodik zur Volumenbestimmung menschlicher Extremitäten aus Umfangsmessungen. Physiotherapie 70, 251

    Google Scholar 

  25. Langlands AO, Souter WA, Samuel E (1977) Radiation osteitis following irradiation for breast cancer. Clin Radiol 28, 93

    Article  PubMed  CAS  Google Scholar 

  26. Larson D, Weinstein M, Goldberg I, et al. (1986) Edema of the arm as a function of the extent of axillary surgery in patients with Stage I-II carcinoma of the breast treated with primary radiotherapy. Int J Radiat Oncol Biol Phys 12 (9), 1575

    Article  PubMed  CAS  Google Scholar 

  27. Lichter AS (1982) the National Cancer Institute experience - primary radiotherapy and adjuvant chemotherapy. In Alternatives to Mastectomy, Harris JR, Hellman S, Silen W (Eds), Philadelphia, JB Lippincott Co

    Google Scholar 

  28. Lobb AW, Harkins HN (1949) Postmastectomy swelling of the arm with a note on the effect of segmental resection of the axillary vein at the time of radical mastectomy. West J Surg 57, 550

    PubMed  CAS  Google Scholar 

  29. Match RM (1975) Radiation-induced brachial plexus paralysis. Arch Surg 110, 384

    PubMed  CAS  Google Scholar 

  30. Montague ED (1968) Experience with altered fractionation in radiation therapy of breast cancer, Radiology, 90, 962

    PubMed  CAS  Google Scholar 

  31. DeMoss EV, Lichter AS, Lippman ME, Gerber LG, Reichert CM, Edwards BK, Schain WS, Gorrell CR, d’Angelo TM, Rosenberg SA (1983) Complete axillary lymph node dissection before radiotherapy for primary breast cancer. In Conservative Management of Breast Cancer: New Surgical and Radiotherapeutic Techniques, Eds. Harris JR, Hellman S, Silen W (eds) London JB, Lippincott Co, pp 163–182

    Google Scholar 

  32. Pezner RD, Patterson MP, Hill LR, Lipsett JA, Desai KR, Vora N, Wong JY, Luk KH (1986) Arm lymphedema in patients treated conservatively for breast cancer: relationship to patient age and axillary node dissection technique. Int J Radiat Oncol Biol Phys 12 (12), 2079

    Article  PubMed  CAS  Google Scholar 

  33. Pierquin B (1982) Conservative treatment for carcinoma of the breast - Experience of Creteil, 10 years’ results. In Alternatives to Mastectomy, Harris JR, Hellman S, Silen W (Eds) Philadelphia JB, Lippincott Co

    Google Scholar 

  34. Pollard R, Callum KG, Altman DG (1976) Shoulder movement following mastectomy. Ann Surg 133, 565

    Google Scholar 

  35. Ryttov N, Blichert-Toft M, Madjen EL (1983) Influence of adjuvant irradiation on shoulder joint function after mastectomy for breast cancer. Acta Radiol Oncol 22, 29

    Article  PubMed  CAS  Google Scholar 

  36. Roberson PL, Lichter AS, Iler V (1983) Dose to lung in primary breast irradiation. Int J Radiat Oncol Biol Phys 9, 97

    Article  PubMed  CAS  Google Scholar 

  37. Salner AL, Botnick LE, Herzog AG et al. (1981) Reversible brachial plexopathie following primary radiation therapy for breast cancer. Cancer Treat Rep 65: 797

    PubMed  CAS  Google Scholar 

  38. Sapala JA, Sapala A, Soto AR, Sharpe D (1980) Lymphedema following modified radical mastectomy. Breast, 6 (4), 28

    Google Scholar 

  39. Say CC, Donegan W (1974) A biostatistical evaluation of complications from mastectomy. Surg Gynecol Obstet 138, 370

    PubMed  CAS  Google Scholar 

  40. Stoll BA, Andrews JT (1966) Radiation-induced peripheral neuropathy. Br Med J 1, 834

    Article  PubMed  CAS  Google Scholar 

  41. Swedborg I (1977) Voluminometric estimation of the degree of lymphedema. Scand J Rehabil Med 9, 131

    PubMed  CAS  Google Scholar 

  42. Swedborg I, Wallgren A (1981) The effect of pre- and post-mastectomy radiotherapy on the degree of edema, shoulder joint mobility and gripping force. Cancer 47, 877

    Article  PubMed  CAS  Google Scholar 

  43. Threefoot SA, Kossover MF (1966) Lymphaticovenous communications in man. Arch Int Med 117, 213

    Article  CAS  Google Scholar 

  44. Veronesi U, Saccozzi R, Del Vecchio M, Banti A, Demente C, De Lena M, Gallus G, Greco M, Luini A, Marubini E, Muscolino G, Rilke F, Salvadori B, Zecchini A, Zucali R (1981) Comparing radical mastectomy with quadrantectomy, axillary dissection, and radiotherapy in patients with small cancers of the breast. N Eng J Med 305, 6

    Article  CAS  Google Scholar 

  45. Veronesi U (1985) Randomized trials comparing conservation techniques with conventional surgery: An overview. In: Tobias JS, Peckham MJ (eds): Primary Management of Breast Cancer: Alternatives to Mastectomy Management of Malignant Disease Series, pp 131–152, London, E Arnold

    Google Scholar 

  46. Yeah EK, Denham JW, Davies SA, Spittle MF (1986) Primary breast cancer, complications of axillary management. Acta Radiol (Oncol) 25, 105

    Article  Google Scholar 

Download references

Authors
  1. K. Engel
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. D. von Fournier
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. M. Kaufmann
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. F. Kubli
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Women’s Hospital, University of Heidelberg, Voßstr. 9, D-6900, Heidelberg, Germany

    F. Kubli  & M. Kaufmann  & 

  2. Department of Gynecological Radiology, University Women’s Hospital, Hugstetterstr. 5, D-7800, Freiburg/Brsg., Germany

    M. Bauer

  3. Women’s Hospital and Clinic of Radiology, University of Heidelberg, Voßstr. 9, D-6900, Heidelberg, Germany

    D. von Fournier  & H. Junkermann  & 

Rights and permissions

Reprints and permissions

Copyright information

© 1989 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Engel, K., von Fournier, D., Kaufmann, M., Kubli, F. (1989). Side Effects and Major Complications of Breast-Conserving Therapy. In: Kubli, F., Bauer, M., Kaufmann, M., von Fournier, D., Junkermann, H. (eds) Breast Diseases. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-73523-3_38

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-73523-3_38

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-73525-7

  • Online ISBN: 978-3-642-73523-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation