Sentinel lymph node biopsy and axillary dissection: Added morbidity of the arm, shoulder and chest wall after mastectomy and reconstruction Journal Article


Authors: Sclafani, L. M.; Baron, R. H.
Article Title: Sentinel lymph node biopsy and axillary dissection: Added morbidity of the arm, shoulder and chest wall after mastectomy and reconstruction
Abstract: Axillary lymph node surgery is essential for the treatment of breast cancer but can produce both short-term and long-term morbidities, including lymphedema, shoulder restriction, numbness, weakness, and pain syndromes which impact on the quality of life of the estimated 2 million breast cancer survivors living in the United States today. They occur with both sentinel node biopsy and axillary dissection, though less frequently with the former. The incidence and etiology of these complications are investigated as are the risk factors, and methods of prevention and treatment. Recommendations for avoiding these morbidities for postoperative rehabilitation are discussed. © 2008 by Lippincott Williams & Wilkins.
Keywords: cancer chemotherapy; treatment outcome; shoulder; clinical trial; paresthesia; review; side effect; united states; pathophysiology; antineoplastic agent; lymph node dissection; lymph node excision; sentinel lymph node biopsy; lymphadenectomy; quality of life; pain; breast cancer; breast; mastectomy; incidence; exercise; breast neoplasms; breast reconstruction; mammaplasty; cancer survivor; risk assessment; postoperative complication; postoperative complications; lymphedema; axillary lymph node; syndrome; breast tumor; surgical risk; weakness; chronic pain; sensory dysfunction; axilla; rehabilitation; massage; lymphatic drainage; postoperative pain; thorax wall; thoracic wall; surgical patient; weight gain; decompression; arm; shoulder disease; biopsy sentinel lymph node
Journal Title: The Cancer Journal
Volume: 14
Issue: 4
ISSN: 1528-9117
Publisher: Lippincott Williams & Wilkins  
Date Published: 2008-07-01
Start Page: 216
End Page: 222
Language: English
DOI: 10.1097/PPO.0b013e31817fbe5e
PUBMED: 18677128
PROVIDER: scopus
DOI/URL:
Notes: --- - "Cited By (since 1996): 6" - "Export Date: 17 November 2011" - "CODEN: CAJOC" - "Source: Scopus"
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  1. Roberta H Baron
    24 Baron