Prevalência de linfedema após tratamento de câncer de mama em pacientes com sobrepeso

Autores

  • Carina Batista de Paiva o Hospital de Câncer de Pernambuco (HCP) – Recife (PE), Brasil.
  • Cintia Maria da Silva Dutra o Hospital de Câncer de Pernambuco (HCP) – Recife (PE), Brasil.

DOI:

https://doi.org/10.1590/1809-2950/15214123032016

Resumo

O câncer de mama é a neoplasia de maior ocorrência no mundo, e o linfedema é uma das complicações mais frequentes do tratamento. O aumento do índice de massa corporal é um dos fatores de risco para linfedema após o tratamento do câncer de mama. O objetivo deste estudo foi verificar a incidência de linfedema em mulheres mastectomizadas com sobrepeso e obesidade. Os resultados mostraram que o risco de linfedema em mulheres com sobrepeso e obesidade foi quatro vezes maior (Odds Ratio, OR=3,887). Quanto maior o índice de massa corporal, maior a probabilidade de linfedema, com aumento do risco relativo de 40% para obesidade II.

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Referências

Dieli-Conwright CM, Mortimer JE, Schroeder ET, Courneya

K, Demark-Wahnefried W, Buchanan TA, et al. Randomized

controlled trial to evaluate the effects of combined

progressive exercise on metabolic syndrome in breast cancer

survivors: rationale, design, and methods. BMC Cancer.

;14(238):1-12.

Instituto Nacional de Câncer. Estimativa 2016: incidência de

câncer no Brasil. Rio de Janeiro: INCA; 2016.

Kulie T, Slattengren A, Redmer J, Counts H, Eglasb A, Schrager

S. Obesity and women’s health: an evidence – based review. J

Am Board Fam Med. 2011;24(1):75-85.

DeSantis C, Siegel R, Bandi P, Jemal A. Breast cancer

statistics. CA Cancer J Clin. 2011;61(6):409-18.

American Cancer Society. Breast cancer facts and figures

Atlanta: ACS; 2016.

Ahmed RL, Thomas W, Yee D, Schmitz KH. Randomized

controlled trial of weight training and lymphedema in breast

cancer survivors. J Clin Oncol. 2006;24(18):2765-72.

World Health Organization. BMI classification [acesso em 4

jul. 2013]. Disponível em: http://bit.ly/KuIJLK

Buchholz TA, Avritscher R, Yu TK. Identifying the “sentinel

lymph nodes” for arm drainage as a strategy for minimizing

the lymphedema risk after breast cancer therapy. Breast

Cancer Res Treat. 2009;116(3):539-41.

Camargo MC, Marx AG. Reabilitação física no câncer de

mama. São Paulo: ROCA; 2000.

Demark-Wahnefried W, Campbell LK, Hayes SC. Weight

management and its role in breast cancer rehabilitation.

Cancer. 2012;118(80):1-26.

Garther R, Jensen MB, Kronborg L, Ewertz M, Kehlet H,

Kroman N. Self-reported arm-lymphedema and functional

impairment after breast cancer treatment: a nationwide

study of prevalence and association factors. Breast J.

;19(6):506-15.

Helyer LK, Varnic M, Le LW, McCready D. Obesity is a risk

factor for developing postoperative lymphedema in breast

cancer patients. Breast J. 2012;16(1):48-54.

Banin Hirata BK, Oda JMM, Losi Guembarovski R, Ariza CB,

de Oliveira CEC, Watanabe MAE. Molecular markers for

breast cancer: prediction on tumor behavior. Dis Markers.

; 2014(513158):1-12.

Lee HD, Ahn SG, Lee AS, Lee HM, Jeong J. Prospective

evaluation of the feasibility of sentinel lymph node biopsy

in breast cancer patients with negative axillary conversion

after neoadjuvant chemotherapy. Cancer Res Treat.

;47(1):26-33.

Honnor A. Classification, aetiology and nursing management

of lymphoedema. Br J Nurs. 2008;17(9):576-86.

Kwan ML, Darbinian J, Schmitz KH, Citron R, Partee P, Kutner

SE, Kushi LH. Risk factors for lymphedema in a prospective

breast cancer survivorship study: the pathways study. Arch

Surg. 2010;145(11):1055-63.

Mahamaneerat WK, Chi-Ren S, Stewart BR, Armer JM. Breast

cancer treatment, BMI, post-op swelling/lymphodema. J

Lymphoedema. 2008;3(2):38-44.

Martín, ML, Hernãndez MA, Avendaño C, Rodríguez F,

Martínez H. Manual lymphatic drainage therapy in patients

with breast cancer related lymphedema. BMC Cancer.

;11(94):1471-76.

Meeske KA, Sulliva-Halley J, Smith AW, McTiernan A,

Baemgartner KB, Harlan LC, et al. Risk factors for arm

lymphedema following breast cancer diagnosis in Black

women and White women. Breast Cancer Res Treat.

;113(2):383-91.

Mansel RE, Fallowfield L, Kissin M, Goyal A, Newcombe

RG, Dixon JM, et al. Randomized multicenter trial sentinel

lymph node biopsy versus standard axillary treatment in

operable breast cancer: the almanac trial. J Natl Cancer Inst.

;98(9):599-609.

Pereira AC, Freitas-Júnior R, Martins KA, Pereira AC,

Pereira CE, Martins E. Alterações venosas e linfáticas em

mulheres com linfedema após linfadenectomia axilar no

tratamento do câncer de mama. Rev Bras Ginecol Obstet.

;35(4):171-7.

Pérez-Hernández AI, Catalán V, Gómez-Ambrosi J,

Rodríguez A, Frunbeck G. et al. Mechanisms linking excess

adiposity and carcinogenesis promotion. Front Endocrinol.

;5(65):1-17.

Petrek JÁ, Heelan MC. Incidence of breast carcinoma-related

lymphedema. Cancer. 1998;83(15):2776-81.

Paskett ED, Dean JÁ, Oliveri JM, Harrosp P. Cancer-related

lymphedema risk factors, diagnosis, treatment, and impact:

a review. J Clin Oncol. 2012;30(30):3726-33.

Rezende LF, Pedras FV, Ramos CD, Gurgel, MSC. Avaliação

das compensações linfáticas no pós-operatório de câncer

de mama com dissecção axilar através da linfocintilografia.

J Vasc Bras. 2008;7(4):370-5.

Ridner SH, Diefrich MS, Stewart BR, Armer JM. Body mass

index and breast cancer treatment-related lymphedema.

Support Care Cancer. 2011;19(6):853-7.

Shaw C, Mortimer P, Judd PA. A randomized controlled trial

of weight reduction as a treatment for breast cancer-related

lymphedema. Cancer. 2007;110(8):1868-74.

Thomson CA, Thompson PA, Wright-Bea J, Nardi E,

Frey GR, Stopeck A. Metabolic syndrome and elevated

C-reactive protein in breast cancer survivors on

adjuvant hormone therapy. J Womens Health (Larcmt).

;18(12):2041-7.

Ahmed RL, Schmitz KH, Prizment AE, Folsom AR. Risk

factors for lymphedema in breast cancer survivors, the

low a women’s health study. Breast Cancer Res Treat.

;130(3):981-91.

Shih YC, Xu Y, Cormier JN, Giordano S, Ridner SH, Buchholz

TA, et al. Incidence, treatment costs, and complications

of lymphedema after breast cancer among women of

working age: a 2-year follow-up study. J Clin Oncol.

;27(12):2001-14.

Ugur S, Arıcı C, Yaprak M, Mescı A, Arıcı GA, Dolay K, et al.

Risk Factors of breast cancer-related lymphedema. Lymphat

Res Biol. 2013;11(2):72-5.

Zhu YQ, Xiu YH, Liu FH, Guo Q, Shen PP, Tian Y. Systemic

analysis on risk factors breast cancer related lymphedema.

Asian Pac J Cancer Prev. 2014;15(6):6535-41.

Publicado

2016-09-09

Edição

Seção

Pesquisa Original

Como Citar

Prevalência de linfedema após tratamento de câncer de mama em pacientes com sobrepeso . (2016). Fisioterapia E Pesquisa, 23(3), 263-267. https://doi.org/10.1590/1809-2950/15214123032016