scholarly journals Axillary web syndrome following breast cancer surgery: symptoms, complications, and management strategies

2018 ◽  
Vol Volume 11 ◽  
pp. 13-19 ◽  
Author(s):  
LA Koehler ◽  
TC Haddad ◽  
DW Hunter ◽  
TM Tuttle
2020 ◽  
Vol 63 (4) ◽  
pp. 365-367 ◽  
Author(s):  
Alessandro de Sire ◽  
Marco Invernizzi ◽  
Lorenzo Lippi ◽  
Carlo Cisari ◽  
Levent Özçakar ◽  
...  

SpringerPlus ◽  
2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Kassandra Ferreira Pessoa Fukushima ◽  
Luana Aroucha Carmo ◽  
Adriana Carvalho Borinelli ◽  
Caroline Wanderley Souto Ferreira

2021 ◽  
Vol 45 (5) ◽  
pp. 401-409
Author(s):  
Sangah Jeong ◽  
Byung Joo Song ◽  
Jiyoung Rhu ◽  
Cheolki Kim ◽  
Sun Im ◽  
...  

Objective To investigate the prevalence and risk factors of axillary web syndrome (AWS) in Korean patients.Methods This retrospective study included a total of 189 women who underwent breast cancer surgery and received physical therapy between September 2019 and August 2020. We analyzed AWS and the correlation between the patients’ demographics, underlying disease, type of surgery and chemotherapy or radiation therapy, and lymphedema.Results The prevalence of AWS was found to be 30.6%. In the univariable analysis, age, chemotherapy, and hypertension were related to AWS. Finally, the multivariable logistic regression revealed that chemotherapy (odds ratio [OR]=2.84; 95% confidence interval [CI], 1.46–5.53) and HTN (OR=2.72; 95% CI, 1.18–6.30) were the strongest risk factors of AWS.Conclusion To the best of our knowledge, this was the first study that explored the risk factors of AWS in a Korean population after breast cancer surgery. As almost one-third of patients suffer from AWS after breast cancer surgery, it is essential to closely monitor the development of AWS in patients with hypertension or undergoing chemotherapy.


2018 ◽  
Vol 16 (3) ◽  
pp. 287-293 ◽  
Author(s):  
Cintia Furlan ◽  
Carolina Nascimben Matheus ◽  
Rodrigo Menezes Jales ◽  
Sophie Derchain ◽  
Luís Otávio Sarian

2011 ◽  
Vol 131 (3) ◽  
pp. 987-992 ◽  
Author(s):  
Anke Bergmann ◽  
Valéria Vasconcellos Mendes ◽  
Ricardo de Almeida Dias ◽  
Blenda do Amaral e Silva ◽  
Maria Giseli da Costa Leite Ferreira ◽  
...  

2018 ◽  
Vol 98 (6) ◽  
pp. 518-527 ◽  
Author(s):  
Linda A Koehler ◽  
David W Hunter ◽  
Anne H Blaes ◽  
Tufia C Haddad

Abstract Background Axillary web syndrome (AWS) can develop following breast cancer surgery and presents as a tight band of tissue in the axilla with shoulder abduction. Objective The objectives were to determine the prevalence and natural history of AWS and the association between AWS and function, range of motion, pain, lymphedema, and body mass index (BMI). Design This study was a longitudinal prospective cohort study utilizing a repeated measures design. Methods Axillary web syndrome, function, shoulder range of motion, pain, and lymphedema (using circumference, bioimpedance spectroscopy, tissue dielectric constant) were assessed in women at 2, 4, and 12 weeks and 18 months following breast cancer surgery. Prevalence of AWS and the association with the measured outcomes were analyzed. Results Thirty-six women agreed to participate in the study. The cumulative prevalence of AWS was 50% (18/36) at 18 months following breast cancer surgery. AWS was identified as a risk factor for reduced function. Women with AWS had statistically reduced range of motion, lower BMI, and higher number of lymph nodes removed compared to the non-AWS group. Forty-one percent (13/32) of women had AWS at 18 months. AWS reoccurred in 6 women following resolution, and a new case developed beyond the early postoperative period. The overall prevalence of physical impairments ranged from 66% to 97% within the first 18 months following surgery regardless of AWS. Limitations Limitations include a small sample size and potential treatment effect. Conclusion AWS occurs in approximately 50% of women following breast cancer surgery. It can persist for 18 months and potentially longer, develop beyond the early postoperative time period, and reoccur after resolution. Clinicians need to be aware of the chronicity of AWS and its association with reduced range of motion and function.


2015 ◽  
Vol 95 (10) ◽  
pp. 1345-1353 ◽  
Author(s):  
Linda A. Koehler ◽  
Anne H. Blaes ◽  
Tuffia C. Haddad ◽  
David W. Hunter ◽  
Alan T. Hirsch ◽  
...  

Background Axillary web syndrome (AWS) is a condition that may develop following breast cancer surgery and that presents as a palpable axillary cord of tissue. Objective The purposes of this study were: (1) to determine the clinical characteristics of AWS related to movement, function, pain, and postoperative edema and (2) to define the incidence of and risk factors for AWS within the first 3 months following breast cancer surgery. Design This was a prospective cohort study with a repeated-measures design. Methods Women who underwent breast cancer surgery with sentinel node biopsy or axillary lymph node dissection (N=36) were assessed for AWS, shoulder range of motion, function, pain, and postoperative edema (using girth measurements, bioimpedance, and tissue dielectric constant) at 2, 4, and 12 weeks. Demographic characteristics were used for risk analysis. Results Seventeen women (47.2%) developed AWS, and AWS persisted in 10 participants (27.8%) at 12 weeks. Abduction range of motion was significantly lower in the AWS group compared with the non-AWS group at 2 and 4 weeks. There were no differences between groups in measurements of function, pain, or edema at any time point. Trunk edema measured by dielectric constant was present in both groups, with an incidence of 55%. Multivariate analysis determined lower body mass index as being significantly associated with AWS (odds ratio=0.86; 95% confidence interval=0.74, 1.00). Limitations Limitations included a short follow-up time and a small sample size. Conclusion Axillary web syndrome is prevalent following breast/axilla surgery for early-stage breast cancer and may persist beyond 12 weeks. The early consequences include movement restriction, but the long-term effects of persistent AWS cords are yet unknown. Low body mass index is considered a risk factor for AWS.


2018 ◽  
Vol 41 (10) ◽  
pp. 992-996 ◽  
Author(s):  
Patricia V.G. Figueira ◽  
Cinira A.S. Haddad ◽  
Samantha K.L. de Almeida Rizzi ◽  
Gil Facina ◽  
Afonso C.P. Nazario

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