PMID: 11319294Apr 25, 2001Paper

Shoulder and arm problems after radiotherapy for primary breast cancer

American Journal of Clinical Oncology
Melvin Deutsch, John C Flickinger

Abstract

There is little, if any, difference in disease-free or overall survival for patients with stage I and II breast cancer treated by either breast conservation therapy or mastectomy. With either treatment, there may be cosmetic and functional problems related to arm edema, limited shoulder motion, and shoulder pain. The extent to which factors such as surgery, radiotherapy, systemic therapy, and patient characteristics affect development of arm edema, limited shoulder motion, and shoulder pain is not well documented. We undertook a prospective study of arm edema, limited shoulder motion, and shoulder pain in every patient (N = 331) seen during a 6-month period for follow-up after radiotherapy postlumpectomy or mastectomy for primary breast cancer. Local treatment included lumpectomy and breast irradiation with (n = 232) or without (n = 97) axillary dissection. Ten other women underwent mastectomy and postoperative radiotherapy. Doses to each region treated were 50 Gy in 25 fractions. The operative area was treated with an additional 1,000 Gy in approximately 60% of patients. Twelve patients received axillary irradiation without axillary dissection, and 11 patients received supraclavicular irradiation. Chemotherapy with or without ...Continue Reading

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Citations

May 12, 2007·Breast Cancer Research and Treatment·Jean YoonKatherine L Kahn
Oct 28, 2009·Journal of Cancer Survivorship : Research and Practice·Olivia S FuDawn L Hershman
Jun 11, 2003·American Journal of Clinical Oncology·Melvin Deutsch, John C Flickinger
Feb 4, 2014·European Journal of Oncology Nursing : the Official Journal of European Oncology Nursing Society·Christine MiaskowskiBradley E Aouizerat
Aug 7, 2007·Physical Medicine and Rehabilitation Clinics of North America·Julie K Silver
Aug 7, 2004·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·G DubernardR Rouzier
Oct 19, 2010·Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology·Indra J DasLawrence J Solin
Apr 22, 2003·American Journal of Human Biology : the Official Journal of the Human Biology Council·Zbigniew KopanskiTomasz Kosciuk
Jan 17, 2015·Journal of Women's Health Physical Therapy·Ann Marie Flores, Kathleen Dwyer

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