Incidence and Risk Factors of Lower Extremity Lymphedema After Gynecologic Surgery in Ovarian Cancer

OBJECTIVEThere is no standard method to establish an early diagnosis of lower extremity lymphedema (LEL). Lower extremity lymphedema can be diagnosed by physical examination and laboratory tests when patients complain of typical clinical symptoms. The objective of this study was to investigate the i...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:International journal of gynecological cancer 2016-09, Vol.26 (7), p.1327-1332
Hauptverfasser: Ki, Eun Young, Park, Jong Sup, Lee, Keun Ho, Hur, Soo Young
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 1332
container_issue 7
container_start_page 1327
container_title International journal of gynecological cancer
container_volume 26
creator Ki, Eun Young
Park, Jong Sup
Lee, Keun Ho
Hur, Soo Young
description OBJECTIVEThere is no standard method to establish an early diagnosis of lower extremity lymphedema (LEL). Lower extremity lymphedema can be diagnosed by physical examination and laboratory tests when patients complain of typical clinical symptoms. The objective of this study was to investigate the incidence and risk factors of LEL in patients with ovarian cancer. METHODSThe medical records were reviewed retrospectively in patients with ovarian cancer treated at Seoul St. Mary’s Hospital from January 2000 to July 2014. RESULTSA total of 413 patients with epithelial ovarian cancer were analyzed. Forty-six patients (11.1%) developed LEL, and 67.4% of these patients had LEL within 1 year after surgery. The mean number of resected lymph nodes (LNs) was larger in patients with LEL (43.1 ± 16.7; range, 12–80) than in those without (32.3 ± 19.8; range, 0–99) (P < 0.0001). The number of resected LNs was significantly associated with the occurrence of LEL (odds ratio, 1.025; 95% confidence interval, 1.005–1.045; P < 0.05). CONCLUSIONA significant proportion of patients with ovarian cancer could develop LEL after surgery. This study suggests that the occurrence of LEL is associated with the number of resected LNs.
doi_str_mv 10.1097/IGC.0000000000000757
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1822115538</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2579081771</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4507-4ac0cfe7803933f77c9155526674e1ec18c9da655358c138e9ec368ad0046ba33</originalsourceid><addsrcrecordid>eNp9kV1LwzAUhoMozq9_IBLwxptq0jRNcilD52Aw8AO8CzE93aptM5NW7b83MhXZhblJIM95OLwvQseUnFOixMV0Mj4nf4_gYgvtUZ7yhGZMbsc3yWQiFX0cof0QniOjUqJ20SgVGSGMqj1UTFtbFdBawKYt8G0VXvC1sZ3zAbsSz9w7eHz10Xloqm7As6FZLaGAxuDLsotfk6EF62q3qCy-6_0C_ICrFs_fjK9Mi8cmmv0h2ilNHeDo-z5AD9dX9-ObZDafTMeXs8RmnIgkM5bYEoQkTDFWCmEV5ZyneS4yoGCptKowOeeMS0uZBAWW5dIUhGT5k2HsAJ2tvSvvXnsInW6qYKGuTQuuD5rKNKVRyWRETzfQZ9f7Nm6nUy4UkVQIGqlsTVnvQvBQ6pWvGuMHTYn-akHHFvRmC3Hs5FvePzVQ_A79xB4BuQbeXR1TDC91H3PWSzB1t_zf_QkiJJHX</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2579081771</pqid></control><display><type>article</type><title>Incidence and Risk Factors of Lower Extremity Lymphedema After Gynecologic Surgery in Ovarian Cancer</title><source>MEDLINE</source><source>Journals@Ovid Ovid Autoload</source><creator>Ki, Eun Young ; Park, Jong Sup ; Lee, Keun Ho ; Hur, Soo Young</creator><creatorcontrib>Ki, Eun Young ; Park, Jong Sup ; Lee, Keun Ho ; Hur, Soo Young</creatorcontrib><description>OBJECTIVEThere is no standard method to establish an early diagnosis of lower extremity lymphedema (LEL). Lower extremity lymphedema can be diagnosed by physical examination and laboratory tests when patients complain of typical clinical symptoms. The objective of this study was to investigate the incidence and risk factors of LEL in patients with ovarian cancer. METHODSThe medical records were reviewed retrospectively in patients with ovarian cancer treated at Seoul St. Mary’s Hospital from January 2000 to July 2014. RESULTSA total of 413 patients with epithelial ovarian cancer were analyzed. Forty-six patients (11.1%) developed LEL, and 67.4% of these patients had LEL within 1 year after surgery. The mean number of resected lymph nodes (LNs) was larger in patients with LEL (43.1 ± 16.7; range, 12–80) than in those without (32.3 ± 19.8; range, 0–99) (P &lt; 0.0001). The number of resected LNs was significantly associated with the occurrence of LEL (odds ratio, 1.025; 95% confidence interval, 1.005–1.045; P &lt; 0.05). CONCLUSIONA significant proportion of patients with ovarian cancer could develop LEL after surgery. This study suggests that the occurrence of LEL is associated with the number of resected LNs.</description><identifier>ISSN: 1048-891X</identifier><identifier>EISSN: 1525-1438</identifier><identifier>DOI: 10.1097/IGC.0000000000000757</identifier><identifier>PMID: 27400319</identifier><language>eng</language><publisher>England: by the International Gynecologic Cancer Society and the European Society of Gynaecological Oncology</publisher><subject>Adult ; Carcinoma, Ovarian Epithelial ; Female ; Gynecologic Surgical Procedures - adverse effects ; Humans ; Lower Extremity ; Lymphedema ; Lymphedema - epidemiology ; Lymphedema - etiology ; Middle Aged ; Neoplasms, Glandular and Epithelial - surgery ; Ovarian cancer ; Ovarian Neoplasms - surgery ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Prevalence ; Republic of Korea - epidemiology ; Retrospective Studies ; Risk Factors ; Surgery</subject><ispartof>International journal of gynecological cancer, 2016-09, Vol.26 (7), p.1327-1332</ispartof><rights>2016 by the International Gynecologic Cancer Society and the European Society of Gynaecological Oncology.</rights><rights>Copyright © 2016 by IGCS and ESGO2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4507-4ac0cfe7803933f77c9155526674e1ec18c9da655358c138e9ec368ad0046ba33</citedby><cites>FETCH-LOGICAL-c4507-4ac0cfe7803933f77c9155526674e1ec18c9da655358c138e9ec368ad0046ba33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27400319$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ki, Eun Young</creatorcontrib><creatorcontrib>Park, Jong Sup</creatorcontrib><creatorcontrib>Lee, Keun Ho</creatorcontrib><creatorcontrib>Hur, Soo Young</creatorcontrib><title>Incidence and Risk Factors of Lower Extremity Lymphedema After Gynecologic Surgery in Ovarian Cancer</title><title>International journal of gynecological cancer</title><addtitle>Int J Gynecol Cancer</addtitle><description>OBJECTIVEThere is no standard method to establish an early diagnosis of lower extremity lymphedema (LEL). Lower extremity lymphedema can be diagnosed by physical examination and laboratory tests when patients complain of typical clinical symptoms. The objective of this study was to investigate the incidence and risk factors of LEL in patients with ovarian cancer. METHODSThe medical records were reviewed retrospectively in patients with ovarian cancer treated at Seoul St. Mary’s Hospital from January 2000 to July 2014. RESULTSA total of 413 patients with epithelial ovarian cancer were analyzed. Forty-six patients (11.1%) developed LEL, and 67.4% of these patients had LEL within 1 year after surgery. The mean number of resected lymph nodes (LNs) was larger in patients with LEL (43.1 ± 16.7; range, 12–80) than in those without (32.3 ± 19.8; range, 0–99) (P &lt; 0.0001). The number of resected LNs was significantly associated with the occurrence of LEL (odds ratio, 1.025; 95% confidence interval, 1.005–1.045; P &lt; 0.05). CONCLUSIONA significant proportion of patients with ovarian cancer could develop LEL after surgery. This study suggests that the occurrence of LEL is associated with the number of resected LNs.</description><subject>Adult</subject><subject>Carcinoma, Ovarian Epithelial</subject><subject>Female</subject><subject>Gynecologic Surgical Procedures - adverse effects</subject><subject>Humans</subject><subject>Lower Extremity</subject><subject>Lymphedema</subject><subject>Lymphedema - epidemiology</subject><subject>Lymphedema - etiology</subject><subject>Middle Aged</subject><subject>Neoplasms, Glandular and Epithelial - surgery</subject><subject>Ovarian cancer</subject><subject>Ovarian Neoplasms - surgery</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Prevalence</subject><subject>Republic of Korea - epidemiology</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Surgery</subject><issn>1048-891X</issn><issn>1525-1438</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kV1LwzAUhoMozq9_IBLwxptq0jRNcilD52Aw8AO8CzE93aptM5NW7b83MhXZhblJIM95OLwvQseUnFOixMV0Mj4nf4_gYgvtUZ7yhGZMbsc3yWQiFX0cof0QniOjUqJ20SgVGSGMqj1UTFtbFdBawKYt8G0VXvC1sZ3zAbsSz9w7eHz10Xloqm7As6FZLaGAxuDLsotfk6EF62q3qCy-6_0C_ICrFs_fjK9Mi8cmmv0h2ilNHeDo-z5AD9dX9-ObZDafTMeXs8RmnIgkM5bYEoQkTDFWCmEV5ZyneS4yoGCptKowOeeMS0uZBAWW5dIUhGT5k2HsAJ2tvSvvXnsInW6qYKGuTQuuD5rKNKVRyWRETzfQZ9f7Nm6nUy4UkVQIGqlsTVnvQvBQ6pWvGuMHTYn-akHHFvRmC3Hs5FvePzVQ_A79xB4BuQbeXR1TDC91H3PWSzB1t_zf_QkiJJHX</recordid><startdate>201609</startdate><enddate>201609</enddate><creator>Ki, Eun Young</creator><creator>Park, Jong Sup</creator><creator>Lee, Keun Ho</creator><creator>Hur, Soo Young</creator><general>by the International Gynecologic Cancer Society and the European Society of Gynaecological Oncology</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>201609</creationdate><title>Incidence and Risk Factors of Lower Extremity Lymphedema After Gynecologic Surgery in Ovarian Cancer</title><author>Ki, Eun Young ; Park, Jong Sup ; Lee, Keun Ho ; Hur, Soo Young</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4507-4ac0cfe7803933f77c9155526674e1ec18c9da655358c138e9ec368ad0046ba33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Carcinoma, Ovarian Epithelial</topic><topic>Female</topic><topic>Gynecologic Surgical Procedures - adverse effects</topic><topic>Humans</topic><topic>Lower Extremity</topic><topic>Lymphedema</topic><topic>Lymphedema - epidemiology</topic><topic>Lymphedema - etiology</topic><topic>Middle Aged</topic><topic>Neoplasms, Glandular and Epithelial - surgery</topic><topic>Ovarian cancer</topic><topic>Ovarian Neoplasms - surgery</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Prevalence</topic><topic>Republic of Korea - epidemiology</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ki, Eun Young</creatorcontrib><creatorcontrib>Park, Jong Sup</creatorcontrib><creatorcontrib>Lee, Keun Ho</creatorcontrib><creatorcontrib>Hur, Soo Young</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of gynecological cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ki, Eun Young</au><au>Park, Jong Sup</au><au>Lee, Keun Ho</au><au>Hur, Soo Young</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Incidence and Risk Factors of Lower Extremity Lymphedema After Gynecologic Surgery in Ovarian Cancer</atitle><jtitle>International journal of gynecological cancer</jtitle><addtitle>Int J Gynecol Cancer</addtitle><date>2016-09</date><risdate>2016</risdate><volume>26</volume><issue>7</issue><spage>1327</spage><epage>1332</epage><pages>1327-1332</pages><issn>1048-891X</issn><eissn>1525-1438</eissn><abstract>OBJECTIVEThere is no standard method to establish an early diagnosis of lower extremity lymphedema (LEL). Lower extremity lymphedema can be diagnosed by physical examination and laboratory tests when patients complain of typical clinical symptoms. The objective of this study was to investigate the incidence and risk factors of LEL in patients with ovarian cancer. METHODSThe medical records were reviewed retrospectively in patients with ovarian cancer treated at Seoul St. Mary’s Hospital from January 2000 to July 2014. RESULTSA total of 413 patients with epithelial ovarian cancer were analyzed. Forty-six patients (11.1%) developed LEL, and 67.4% of these patients had LEL within 1 year after surgery. The mean number of resected lymph nodes (LNs) was larger in patients with LEL (43.1 ± 16.7; range, 12–80) than in those without (32.3 ± 19.8; range, 0–99) (P &lt; 0.0001). The number of resected LNs was significantly associated with the occurrence of LEL (odds ratio, 1.025; 95% confidence interval, 1.005–1.045; P &lt; 0.05). CONCLUSIONA significant proportion of patients with ovarian cancer could develop LEL after surgery. This study suggests that the occurrence of LEL is associated with the number of resected LNs.</abstract><cop>England</cop><pub>by the International Gynecologic Cancer Society and the European Society of Gynaecological Oncology</pub><pmid>27400319</pmid><doi>10.1097/IGC.0000000000000757</doi><tpages>6</tpages></addata></record>
fulltext fulltext
identifier ISSN: 1048-891X
ispartof International journal of gynecological cancer, 2016-09, Vol.26 (7), p.1327-1332
issn 1048-891X
1525-1438
language eng
recordid cdi_proquest_miscellaneous_1822115538
source MEDLINE; Journals@Ovid Ovid Autoload
subjects Adult
Carcinoma, Ovarian Epithelial
Female
Gynecologic Surgical Procedures - adverse effects
Humans
Lower Extremity
Lymphedema
Lymphedema - epidemiology
Lymphedema - etiology
Middle Aged
Neoplasms, Glandular and Epithelial - surgery
Ovarian cancer
Ovarian Neoplasms - surgery
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Prevalence
Republic of Korea - epidemiology
Retrospective Studies
Risk Factors
Surgery
title Incidence and Risk Factors of Lower Extremity Lymphedema After Gynecologic Surgery in Ovarian Cancer
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-23T09%3A34%3A28IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Incidence%20and%20Risk%20Factors%20of%20Lower%20Extremity%20Lymphedema%20After%20Gynecologic%20Surgery%20in%20Ovarian%20Cancer&rft.jtitle=International%20journal%20of%20gynecological%20cancer&rft.au=Ki,%20Eun%20Young&rft.date=2016-09&rft.volume=26&rft.issue=7&rft.spage=1327&rft.epage=1332&rft.pages=1327-1332&rft.issn=1048-891X&rft.eissn=1525-1438&rft_id=info:doi/10.1097/IGC.0000000000000757&rft_dat=%3Cproquest_cross%3E2579081771%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2579081771&rft_id=info:pmid/27400319&rfr_iscdi=true