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Das Rezidiv in der gynäkologischen Onkologie pp 82–93Cite as

Zur Problematik des Lymphödems des Armes beim Mammakarzinom

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Zusammenfassung

Eine der häufigsten und für die Patientin potentiell schwerwiegendsten Komplikationen nach der Primärtherapie eines Mammakarzinoms ist das sekundäre Lymphödem des Armes. Nach aktuellen Untersuchungen [23] kommt es in etwa 30% aller Fälle nach einer Dissektion der Axilla zu einem Lymphödem des Armes. Dabei bestehen, wie die tägliche Praxis der Nachsorge zeigt, erhebliche Unterschiede in der Einschätzung der Lymphödemproblematik aus der Sicht des Arztes und der Patientin.

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Literatur

  1. Beadle G.E., Come S., Henderson J.C., Silver B., Hellmann S., Harris J.R.: 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 (1984), 2131.

    Article  PubMed  CAS  Google Scholar 

  2. Bell H.G.: Cancer of the breast. Ann. Surg 130 (1949), 310.

    Article  Google Scholar 

  3. Brismar B., Ljundgdahl J.: Postoperative lymphedema after treatment of breast cancer. Acta Chir. Scand. 129 (1983), 687.

    Google Scholar 

  4. Britton R.C., Nelson P.A.: Causes and treatment of postmastectomy lymphedema of the arm. JAMA 180 (1962), 218.

    Article  Google Scholar 

  5. Calitchi E., Chaula J.M., Otmezguine Y., Roucayrol A.M., Mazeron J.J., Le Bourgeois J.P., Pierquin B.: Analyse retrospective a 10 ans des sequelles du traitment locoregional des cancers du seins. (10-years retrospective analysis of the sequelae of locoregional treatment of breast cancer) Bull Cancer (Paris) 71 (2) (1984), 100.

    CAS  Google Scholar 

  6. Clodius L., Deak L., Piller N.B.: A new instrument for evulation of tissue tonicity in lymphedema, Lymphology 9 (1976), 1.

    PubMed  CAS  Google Scholar 

  7. Clodius L., Piller N.B., Casley-Smith J.R.: The problems of lymphatic micro-surgery for lymphedema. Lymphology 14 (1981), 69.

    PubMed  CAS  Google Scholar 

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

    Article  Google Scholar 

  9. Danese C., Papaioannou A.N., Morales L.E., Mitsuda S.: Surgical approaches to lymphatic blocks. Surgery 64 (1968), 821.

    PubMed  CAS  Google Scholar 

  10. DeMoss E.V., Lichter A.S., Lippmann M.E., Gerber L.G., Reichert C.M., Edwards B.K., Schain W.S., Gorrel C.R., Angelo T.M., Rosenberg S.A.: Complete axillary lymph node dissection before radiotherapy for primary breast cancer. In: Conservative Management of Breast Cancer: New Surgical and Radiotherapeutic Techniques, Harris J.R., Hellmann S., Silen W. (Eds.), J.B. Lippincott Co, London (1983), 163–182.

    Google Scholar 

  11. Engel K., Müller A., Anton W., Kaufmann M., Fournier D., Schmidt W.: Nebenwirkungen und Komplikationen bei der brusterhaltenden Therapie des Mammakarzinoms. Geburtsh. u. Frauenheilk. 29 (1989), 367–374.

    Article  Google Scholar 

  12. Engel K., Müller A., Kaufmann M., v Fournier D., Schmidt W.: Zur Frage der Lebensqualität nach brusterhaltender Therapie des Mammakarzinoms. Der Frauenarzt, 6 (1988), 697–703.

    Google Scholar 

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

    Article  Google Scholar 

  14. Fisher B., Slack N.H., Katrych D.: Ten-years followup results of patients with carcinoma of the breast in a cooperative clinical trail evaluating surgical adjuvant chemotherapy. Surg. Gynecol. Obstet 140 (1975), 528–534.

    PubMed  CAS  Google Scholar 

  15. Fisher B., Redmond C., Fischer E.R.: The contribution of recent NSABP-clinical trials of primary breast cancer therapy to an understanding of tumor biology — an overview of findings. Cancer 46 (1980), 1009–1025.

    Article  PubMed  CAS  Google Scholar 

  16. Fisher B., Wolmark N., Bauer M., Redmond C., Gebhardt M.: The accuracy of clinical nodal staging and of limited axillary dissection as a determinant of histologic nodal status in carcinomia of the breast. Surg. Gynecol Obstet 152 (1981), 765–772.

    CAS  Google Scholar 

  17. Földi M.: Physiology and Pathophysiology of the Lymphsystem. Handbook of General Pathology. Springer, Berlin/Heidelberg/New York (1972).

    Google Scholar 

  18. Göltner E., Fischbach J.U., Mönt B., Kraus A., Vorher H.: Objektivierung des Lymphödems. Deutsch. Med. Wochenschr. 110, 24 (1985), 949–952.

    Article  Google Scholar 

  19. Göltner E., Gass P., Haas J.P., Schneider P.: The importance of volumetry. Lymphscintigraphy and computer tomography in the diagnosis of brachial edema after mastectomy. Lymphology 21 (1988), 134–143.

    PubMed  Google Scholar 

  20. Gray H.J.: Studies of the regeneration of lymphatic vessels. J. Anat. 74 (1940), 309.

    PubMed  CAS  Google Scholar 

  21. Haagensen C.P.: Lymphatics in the breast. In: The lymphatics in cancer, W.D. Saunders Company, Philadelphia/London/Toronto (1972), 300–398.

    Google Scholar 

  22. Halsted W.S.: Swelling of the arm after operations for cancer of the breast — elephantiasis chirurgica — its cause and prevention. Bull Johns Hopkins Hosp. 32 (1921), 309.

    Google Scholar 

  23. Ingianni G., Holzmann T.: Klinische Erfahrungen in der Anwendung von lymphovenösen Anastomosen beim sekundären Lymphödem. Handchir. Mikrochir. Plast. Chir. 17 (1985), 43.

    PubMed  CAS  Google Scholar 

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

    CAS  Google Scholar 

  25. Kissin M.W., Della Rovere G.Q., Easton D., Westbury G.: Risk of lymphodema following the treatment of breast disease. Br.J.Surg. 73 (1986), 580.

    Article  PubMed  CAS  Google Scholar 

  26. Kubik S.: The role of the lateral upper arm bundle and the lymphatic watersheds in the formation of collateral pathways in lymphodema. Acta biol. Acad. Sci. Hung. 31(1–3) (1980), 191–200.

    CAS  Google Scholar 

  27. Kuhnke E.: Methodik zur Volumenbestimmung menschlicher Extremitäten aus Umfangsmessungen. Physiotherapy 70 (1979), 251.

    Google Scholar 

  28. Langlands A.O., Souter W.A., Samuel E.: Radiation osteitis following irradiation for breast cancer. Clin. Radiol. 28 (1977), 93.

    Article  PubMed  CAS  Google Scholar 

  29. Larson D., Weinstein M., Golberg J. et al.: 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) (1986), 1575.

    Article  PubMed  CAS  Google Scholar 

  30. Lobb A.W., Harkins H.N.: 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 (1949), 550.

    PubMed  CAS  Google Scholar 

  31. Malek R.: Lymphaticovenous Anastomoses. In: Handbuch der Allgemeinen Pathologic Springer Verlag, Berlin/Heidelberg/New York (1972)

    Google Scholar 

  32. Pezner R.D., Patterson M.P., Hill L.R., Lippsett H.A., Desai K.R., Vora N., Wong J.Y., Lutz K.H.: 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 (1986), 2079.

    Article  PubMed  CAS  Google Scholar 

  33. Pickren J.W.: Significance of occult metastases. Cancer 14 (1961), 1266.

    Article  PubMed  CAS  Google Scholar 

  34. Reichert F.L.: The regeneration of lymphatics. Arch. Surg. 13 (1926), 871.

    Article  Google Scholar 

  35. Sapala J.A., Sapala A., Soto A.R., Sharpe D.: Lymphedema following modified radical mastectomy. Breast 6 (4) (1980), 28.

    Google Scholar 

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

    PubMed  CAS  Google Scholar 

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

    PubMed  CAS  Google Scholar 

  38. Threefoot S.A., Kossover M.F.: Lymphaticovenous communications in man. Arch. Int. Med. 117 (1966), 213.

    Article  CAS  Google Scholar 

  39. Valagussa P., Bonadonna G., Veronesi U.: Patterns of relapse and survival foilowing radical mastectomy. Cancer 41 (1978), 1170–1178.

    Article  PubMed  CAS  Google Scholar 

  40. Veronesi U.: Randomized trial comparing conservation techniques with conventional surgery: An overview. In: Tobias J.S., Peckham M.J. (eds): Primary management of breast cancer: Alternatives to mastectomy. Management of malignant disease series, E. Arnold, London (1985), 131–152.

    Google Scholar 

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Authors
  1. K. Engel
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Editors and Affiliations

  1. Universitäts-Frauenklinik, Hugstetter Straße 55, D-7800, Freiburg, Deutschland

    Hans-Gerd Meerpohl  & Albercht Pfleiderer  & 

  2. Farmitalia Carlo Erba GmbH, Merzhauser Straße 112, D-7800, Freiburg, Deutschland

    Christian Z. Profous

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© 1990 Springer-Verlag Berlin Heidelberg

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Engel, K. (1990). Zur Problematik des Lymphödems des Armes beim Mammakarzinom. In: Meerpohl, HG., Pfleiderer, A., Profous, C.Z. (eds) Das Rezidiv in der gynäkologischen Onkologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-75990-1_11

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  • DOI: https://doi.org/10.1007/978-3-642-75990-1_11

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-53016-9

  • Online ISBN: 978-3-642-75990-1

  • eBook Packages: Springer Book Archive

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