Incidence, predictive factors, and prognosis for winged scapula in breast cancer patients after axillary dissection

dc.creatorTeixeira, LFN
dc.creatorLohsiriwat, V
dc.creatorSchorr, MC
dc.creatorLuini, A
dc.creatorGalimberti, V
dc.creatorRietjens, M
dc.creatorGarusi, C
dc.creatorGandini, S
dc.creatorSarian, LOZ
dc.creatorSandrin, F
dc.creatorSimoncini, MC
dc.creatorVeronesi, P
dc.date2014
dc.dateJUN
dc.date2014-07-30T14:33:01Z
dc.date2015-11-26T18:03:13Z
dc.date2014-07-30T14:33:01Z
dc.date2015-11-26T18:03:13Z
dc.date.accessioned2018-03-29T00:45:02Z
dc.date.available2018-03-29T00:45:02Z
dc.identifierSupportive Care In Cancer. Springer, v. 22, n. 6, n. 1611, n. 1617, 2014.
dc.identifier0941-4355
dc.identifier1433-7339
dc.identifierWOS:000335775000021
dc.identifier10.1007/s00520-014-2125-3
dc.identifierhttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/59973
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/59973
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1292463
dc.descriptionAxillary lymph node dissection is part of breast cancer surgery, and winged scapula is a possible sequela. Data regarding its incidence, predictive factors, and patient prognosis remains inconsistent. Ignorance of its diagnosis may lead to undertreatment with physical morbidity. Breast cancer patients with axillary lymph node dissection were prospectively recruited. Postoperative examinations by the physiotherapy staff were performed. One hundred eighty-seven patients were recruited during July-October 2012; 51 patients had a positive diagnosis (27.2 %), with 38 patients (86 %) who recovered completely from the winged scapula, while 6 patients (13 %) still had winged scapula at 6 months after surgery. One hundred thirty patients underwent mastectomy and 100 cases had immediate reconstruction. Age, BMI, previous shoulder joint morbidity, and breast surgery were not associated with winged scapula. Neoadjuvant treatment, mastectomy or conservative surgery, immediate reconstruction, tumor size, and nodal involvement also did not show any correlation. Breast reconstruction with prosthesis, even with serratus muscle dissection, does not increase the incidence of winged scapula. Winged scapula is not an uncommon incidence after breast cancer surgery. Physiotherapy is related to the complete recovery. The severity or grading of the winged scapula and the recovery time after physiotherapy should be investigated in the future studies.
dc.description22
dc.description6
dc.description1611
dc.description1617
dc.descriptionUmberto Veronesi Foundation
dc.languageen
dc.publisherSpringer
dc.publisherNew York
dc.publisherEUA
dc.relationSupportive Care In Cancer
dc.relationSupport. Care Cancer
dc.rightsfechado
dc.rightshttp://www.springer.com/open+access/authors+rights?SGWID=0-176704-12-683201-0
dc.sourceWeb of Science
dc.subjectBreast neoplasms
dc.subjectBreast reconstruction
dc.subjectLymph node dissection, physiotherapy, rehabilitation
dc.subjectLymph-node Dissection
dc.subjectLong Thoracic Nerve
dc.subjectRandomized-trial
dc.subjectRadical-mastectomy
dc.subjectFollow-up
dc.subjectManagement
dc.subjectNeuropathy
dc.subjectMorbidity
dc.subjectSurgery
dc.subjectImpact
dc.titleIncidence, predictive factors, and prognosis for winged scapula in breast cancer patients after axillary dissection
dc.typeArtículos de revistas


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