Linfedema em pacientes submetidas à mastectomia radical modificada
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Data
2001
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Resumo
Purpose: to evaluate the rate of lymphedema and its relation
to the type of surgery, age and weight of the patient.
Methods: one hundred and nine patients with breast cancer,
submitted to modified radical mastectomy sparing the
pectoralis major or both pectorales, were studied. Differences
of more than 2.0 cm between the diameters of the upper
members, measured above and below the elbow, were
considered as due to lymphedema.
Results: a total rate of 14% of this complication was observed
(15 cases). In mastectomies sparing both pectoralis muscles,
a smaller rate was observed (9%), when compared to 15%
using Patey’s technique. However, the difference was not
significant. There was a significant relationship between the
incidence of lymphedema and the patient’s weight and age.
The lymphedema was observed in only one of the 34 patients
younger than 46 years old, and none of the 19 patients with
up to 50 kg presented lymphedema.
Conclusion: in the present series lymphedema of the upper
limb was associated with the older and heavier patients.
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Palavras-chave
Câncer de mama: tratamento, Cirurgia: complicações, Linfedema, Breast cancer, treatment, Breast cancer, complications of surgery, Breast cancer, lymphedema
Citação
FREITAS JÚNIOR, Ruffo de et al. Linfedema em pacientes submetidas à mastectomia radical modificada. Revista Brasileira de Ginecologia e Obstetrícia, São Paulo, v. 23, n. 4, p. 205-208, 2001.