Navegando por Palavras-chave "Axillary Web Syndrome"

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    Síndrome da rede axilar no câncer de mama: epidemiologia, fatores de risco e características clínicas
    (Universidade Federal de São Paulo (UNIFESP), 2018-06-28) Figueira, Patricia Vieira Guedes [UNIFESP]; Nazario, Afonso Celso Pinto [UNIFESP]; http://lattes.cnpq.br/0266384667983727; http://lattes.cnpq.br/6915170763436707; Universidade Federal de São Paulo (UNIFESP)
    Background: Axillary web syndrome (AWS) is a common complication after breast cancer surgery with axillary approach, characterized by the presence of axillary cord, pain and reduced range of motion (ROM). The main objective of this study is to describe cord frequency, characteristics and risk factors. Methods: Prospective cohort study of 173 women performed at the Breast Diseases division of Universidade Federal de São Paulo between July 2014 and September 2015. The data concerning socio-demographic status, anthropometric values, ROM, comorbidities, pain, cord frequency and characteristics (localization, number, thickness, if palpable and/or visible) in preoperative and 7, 15, 30, 60, 90 and 180 days after surgery, were collected. Results: Most cords appeared on the 7th postoperative day (66.1%) with a total incidence of 90.9% at the final evaluation (180 days). More than 70% of the cords occurred were palpable and 80% occur only in the axilla in any evaluation time. A correlation was observed between cord occurrence and reduced flexion and abduction shoulder ROM (p<0.001 and p<0.001, respectively). Hypertension (p=0.003) and axillary lymphadenectomy (p=0.029) increased the risk of developing cords. Diabetes decreased the risk to less than 30% (p=0.022). Conclusions: The first week after breast cancer surgery showed more frequent presence of AWS. The cords were palpable, thicker and more frequent in the axilla. Limited shoulder ROM was also associated with the cords. Axillary lymphadenectomy and hypertension were the main risk factors for development the AWS; diabetes lowered the risk. A careful and specific AWS evaluation seen in this study should explain its high incidence. The association and significance of hypertension (positive) and diabetes (negative) with AWS should be evaluated in future researches.