CORRELATION BETWEEN AXILLARY LYMPHADENECTOMY AND RANGE OF MOTION IN PATIENTS WHO UNDERWENT SURGICAL TREATMENT FOR BREAST CANCER
Introduction: Breast cancer represents one of the leading causes of death in the world. In Brazil, it is the second most common cancer among women. More than 66,000 cases are expected this year. Surgical treatment is the most prevalent, consisting of total or partial removal of the tumor. In this context, several complications may arise in the shoulder ipsilateral to the surgery, such as: reduced range of motion, lymphedema, seroma and others. Objective: To evaluate the repercussions of axillary lymphadenectomy for the treatment of breast cancer on the range of motion of the shoulder ipsilateral to surgery. Methodology: A cross-sectional, descriptive, quantitative study was carried out with women treated in the mastology sectors of UPAE-Arcoverde and Hospital Memorial Arcoverde. To carry out this study, the sociodemographic and clinical characteristics of the patients were collected. Assessments of lymphedema and range of motion were obtained through physical examination. Results: Participated in the study 11 women with a mean age of 54,2 (±9,37) years old. Among the surgical techniques used, radical mastectomy prevailed. (72,7%), followed by serectomia (27,3%). He was observed Association statistically significant in between lymphadenectomy and reduction of ADM in bending movements (p= 0,012) and abduction (p= 0,003).In the perimetry of the arm and forearm, there was no relationship between lymphadenectomy and the development of lymphedema. Conclusion: Regardless of the surgical modality performed, when associated with axillary lymphadenectomy, reductions in the range of motion for flexion and abduction of the shoulder ipsilateral to the surgery occur, even if lymphedema has not developed.
CORRELATION BETWEEN AXILLARY LYMPHADENECTOMY AND RANGE OF MOTION IN PATIENTS WHO UNDERWENT SURGICAL TREATMENT FOR BREAST CANCER
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DOI: 10.22533/at.ed.1592272205061
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Palavras-chave: Breast cancer. Mastectomy. Range of joint motion. Lymphadenectomy. Lymphedema.
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Keywords: Breast cancer. Mastectomy. Range of joint motion. Lymphadenectomy. Lymphedema.
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Abstract:
Introduction: Breast cancer represents one of the leading causes of death in the world. In Brazil, it is the second most common cancer among women. More than 66,000 cases are expected this year. Surgical treatment is the most prevalent, consisting of total or partial removal of the tumor. In this context, several complications may arise in the shoulder ipsilateral to the surgery, such as: reduced range of motion, lymphedema, seroma and others. Objective: To evaluate the repercussions of axillary lymphadenectomy for the treatment of breast cancer on the range of motion of the shoulder ipsilateral to surgery. Methodology: A cross-sectional, descriptive, quantitative study was carried out with women treated in the mastology sectors of UPAE-Arcoverde and Hospital Memorial Arcoverde. To carry out this study, the sociodemographic and clinical characteristics of the patients were collected. Assessments of lymphedema and range of motion were obtained through physical examination. Results: Participated in the study 11 women with a mean age of 54,2 (±9,37) years old. Among the surgical techniques used, radical mastectomy prevailed. (72,7%), followed by serectomia (27,3%). He was observed Association statistically significant in between lymphadenectomy and reduction of ADM in bending movements (p= 0,012) and abduction (p= 0,003).In the perimetry of the arm and forearm, there was no relationship between lymphadenectomy and the development of lymphedema. Conclusion: Regardless of the surgical modality performed, when associated with axillary lymphadenectomy, reductions in the range of motion for flexion and abduction of the shoulder ipsilateral to the surgery occur, even if lymphedema has not developed.
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Número de páginas: 13
- Maria Joanna Siqueira Freire
- Jarbas Maciel de Oliveira
- João Luiz Quirino da Silva Filho
