Morbidity from Complete Axillary Dissection in Breast Cancer
Author Information
Author(s): D. Ivens, A.L. Hoe, T.J. Podd, C.R. Hamilton, I. Taylor, G.T. Royle
Primary Institution: Wessex Radiotherapy Centre, Royal South Hants Hospital
Hypothesis
What is the degree of morbidity experienced by women after complete axillary dissection?
Conclusion
The side effects of full axillary dissection are common but usually mild and should be communicated to patients prior to surgery.
Supporting Evidence
- 70% of women reported numbness after surgery.
- 33% experienced pain, while 25% reported weakness.
- 39% of women said their symptoms affected their daily lives.
- 81% showed decreased sensation in the treated arm.
- Swelling was more common in patients who had surgery on their dominant side.
Takeaway
When women have surgery to remove lymph nodes from their armpits for breast cancer, they often feel some numbness or pain, but it's usually not too bad.
Methodology
The study involved 126 women who completed a questionnaire and underwent objective measurements of arm function and sensation after full axillary dissection.
Potential Biases
Potential bias in self-reported symptoms and the lack of a randomized control group.
Limitations
The study may not have accounted for all variables affecting morbidity, and the sample size may limit generalizability.
Participant Demographics
Mean age of participants was 56 years, with 70% postmenopausal.
Statistical Information
P-Value
0.028
Statistical Significance
p<0.05
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