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...
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Veröffentlicht in: | International journal of gynecological cancer 2016-09, Vol.26 (7), p.1327-1332 |
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container_title | International journal of gynecological cancer |
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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 |
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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.</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 < 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.</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 & 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 & Medical Complete (Alumni)</collection><collection>Health & 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 < 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.</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> |
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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 |
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