Lymphedema Following Breast Cancer Treatment, Including Sentinel Lymph Node Biopsy

2.50
Hdl Handle:
http://hdl.handle.net/10755/164638
Category:
Abstract
Type:
Presentation
Title:
Lymphedema Following Breast Cancer Treatment, Including Sentinel Lymph Node Biopsy
Author(s):
Armer, Jane; Fu, M. R.; Williams, D.; Wipke-Tevis, D. D.; Porock, D.; Wainstock, J. M.; Zagar, E.; Jacobs, L.
Author Details:
Jane Armer, PhD, Associate Professor, University of Missouri-Columbia, Sinclair School of Nursing, Columbia, Missouri, USA, email: armer@missouri.edu; M. R. Fu; D. Williams; D. D. Wipke-Tevis; D. Porock; J. M. Wainstock; E. Zagar; L. Jacobs
Abstract:
PURPOSE/OBJECTIVES: To compare breast cancer lymphedema (LE) occurrence and signs and symptoms among those with/without LE; and those who underwent axillary lymph node dissection (ALND), sentinel lymph node biopsy (SLNB), combined SLNB and ALND (Both), or neither as part of breast cancer diagnosis. DESIGN: Concurrent descriptive-comparative cross-sectional four-group design. SAMPLE: Convenience sample of 102 women treated for breast cancer. METHODS: Sequential circumferential measurements at five selected upper extremity sites were used to determine the presence of LE (> 2 cm differences). Signs and symptoms were elicited by interview using an investigator-developed tool. Retrospective chart review was carried out to verify lymph node-related diagnostic/treatment procedures. DATA ANALYSIS: Descriptive statistics were utilized, followed by Shapiro-Wilk test; Fisher’s Exact test; signed rank test; Wilcoxan Rank Sum tests, and Chi-square tests. FINDINGS: Based on node group, LE occurred as follows: 43.3% (29 of 67) of women who underwent ALND alone; 22.2% (2 of 9) of those who underwent SLNB alone; 25.0% (3 of 12) of those with both; and 22.2% (2 of 9) with neither (p = 0.37). Ten reported signs and symptoms were related (p < 0.01) to LE occurrence. LE-related symptoms were reported by all node groups. Among the node groups, three symptoms were more common (p < 0.01): larger arm size, firmness/tightness, and numbness. Tenderness was frequently reported among all four node groups (p > 0.05). CONCLUSIONS: Although statistically non-significant, 43.3% of women who underwent ALND were found to have LE, a clinically relevant observation. Overall, the proportion of women who experienced LE-related signs and symptoms was higher among women who underwent ALND versus SLNB. However, numbness and tenderness frequently were reported by those undergoing ALND, SLNB or both; and by women without LE. These may be related to breast cancer surgery and not LE. IMPLICATIONS FOR NURSING: Findings from this study can assist nurses in educating women with breast cancer about LE risk factors as well as early detection and management of LE. Symptom assessment and sequential circumferential arm measurements are recommended to evaluate limb changes subjectively and objectively concurrent with each breast cancer survivor’s follow-up care.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2003
Conference Name:
28th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Denver, Colorado, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleLymphedema Following Breast Cancer Treatment, Including Sentinel Lymph Node Biopsyen_GB
dc.contributor.authorArmer, Janeen_US
dc.contributor.authorFu, M. R.en_US
dc.contributor.authorWilliams, D.en_US
dc.contributor.authorWipke-Tevis, D. D.en_US
dc.contributor.authorPorock, D.en_US
dc.contributor.authorWainstock, J. M.en_US
dc.contributor.authorZagar, E.en_US
dc.contributor.authorJacobs, L.en_US
dc.author.detailsJane Armer, PhD, Associate Professor, University of Missouri-Columbia, Sinclair School of Nursing, Columbia, Missouri, USA, email: armer@missouri.edu; M. R. Fu; D. Williams; D. D. Wipke-Tevis; D. Porock; J. M. Wainstock; E. Zagar; L. Jacobsen_US
dc.identifier.urihttp://hdl.handle.net/10755/164638-
dc.description.abstractPURPOSE/OBJECTIVES: To compare breast cancer lymphedema (LE) occurrence and signs and symptoms among those with/without LE; and those who underwent axillary lymph node dissection (ALND), sentinel lymph node biopsy (SLNB), combined SLNB and ALND (Both), or neither as part of breast cancer diagnosis. DESIGN: Concurrent descriptive-comparative cross-sectional four-group design. SAMPLE: Convenience sample of 102 women treated for breast cancer. METHODS: Sequential circumferential measurements at five selected upper extremity sites were used to determine the presence of LE (&gt; 2 cm differences). Signs and symptoms were elicited by interview using an investigator-developed tool. Retrospective chart review was carried out to verify lymph node-related diagnostic/treatment procedures. DATA ANALYSIS: Descriptive statistics were utilized, followed by Shapiro-Wilk test; Fisher&rsquo;s Exact test; signed rank test; Wilcoxan Rank Sum tests, and Chi-square tests. FINDINGS: Based on node group, LE occurred as follows: 43.3% (29 of 67) of women who underwent ALND alone; 22.2% (2 of 9) of those who underwent SLNB alone; 25.0% (3 of 12) of those with both; and 22.2% (2 of 9) with neither (p = 0.37). Ten reported signs and symptoms were related (p &lt; 0.01) to LE occurrence. LE-related symptoms were reported by all node groups. Among the node groups, three symptoms were more common (p &lt; 0.01): larger arm size, firmness/tightness, and numbness. Tenderness was frequently reported among all four node groups (p &gt; 0.05). CONCLUSIONS: Although statistically non-significant, 43.3% of women who underwent ALND were found to have LE, a clinically relevant observation. Overall, the proportion of women who experienced LE-related signs and symptoms was higher among women who underwent ALND versus SLNB. However, numbness and tenderness frequently were reported by those undergoing ALND, SLNB or both; and by women without LE. These may be related to breast cancer surgery and not LE. IMPLICATIONS FOR NURSING: Findings from this study can assist nurses in educating women with breast cancer about LE risk factors as well as early detection and management of LE. Symptom assessment and sequential circumferential arm measurements are recommended to evaluate limb changes subjectively and objectively concurrent with each breast cancer survivor&rsquo;s follow-up care.en_GB
dc.date.available2011-10-27T12:04:19Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:04:19Z-
dc.conference.date2003en_US
dc.conference.name28th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationDenver, Colorado, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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