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Axillary web syndrome

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https://www.readbyqxmd.com/read/29887791/axillary-web-syndrome-in-breast-cancer-a-prevalent-but-under-recognized-postoperative-complication
#1
REVIEW
Susan R Harris
The purpose of this review is to define axillary web syndrome (AWS) and describe its diagnosis and management. The following databases were searched through July 2017: PubMed, EMBASE (OvidSP), Cumulative Index for Nursing and Allied Health Literature, Physiotherapy Evidence Database, and Cochrane Database of Systematic Reviews. Search terms included 'axillary web syndrome', 'axillary cording', and 'lymphatic cording'. 49 articles were identified; 8 did not relate to breast cancer, and 3 were not in English...
April 2018: Breast Care
https://www.readbyqxmd.com/read/29780120/mondor-s-disease-a-review-of-the-literature
#2
Masayuki Amano, Taro Shimizu
Mondor's disease (MD) is a rare disease that manifests with a palpable cord-like induration on the body surface. In general, MD is a self-limited, benign thrombophlebitis that resolves in four to eight weeks without any specific treatment. Cases of MD can be roughly categorized into three different groups based on the site of the lesion as follows: original MD of the anterolateral thoracoabdominal wall, penile MD with dorsum and dorsolateral aspects of the penis, and axillary web syndrome with mid-upper arm after axillary surgery...
May 18, 2018: Internal Medicine
https://www.readbyqxmd.com/read/29508139/axillary-web-syndrome-assessment-using-a-self-assessment-questionnaire-a-prospective-cohort-study
#3
F Baggi, Luiz Felipe Nevola Teixeira, S Gandini, M C Simoncini, E Bonacossa, F Sandrin, M Sciotto Marotta, G Lanni, P Dadda, D Colpani, A Luini
BACKGROUND: Surgical procedure for breast cancer is not without its side effects and one such side effect is axillary web syndrome (AWS), characterized by palpable fibrotic-like cords in the operated arm. As physical evaluation is the only gold standard method used, our study aims to assess the incidence and early detection of AWS with a self-assessment questionnaire. METHODS: From July 2013 to July 2014, 370 breast cancer patients were enrolled. AWS incidence was 51...
August 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/29361075/function-shoulder-motion-pain-and-lymphedema-in-breast-cancer-with-and-without-axillary-web-syndrome-an-18-month-follow-up
#4
Linda A Koehler, David W Hunter, Anne H Blaes, Tufia C Haddad
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...
June 1, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29045263/diagnosis-of-axillary-web-syndrome-in-patients-after-breast-cancer-surgery-epidemiology-risk-factors-and-clinical-aspects-a-prospective-study
#5
Patricia V G Figueira, Cinira A S Haddad, Samantha K L de Almeida Rizzi, Gil Facina, Afonso C P Nazario
OBJECTIVES: Axillary web syndrome (AWS) is a complication after breast cancer surgery associated with the axillary approach. We defined a diagnosis tool as well as evaluated cord frequency, characteristics, and risk factors. METHODS: A prospective cohort study of 173 women followed-up at Breast Diseases Division of Universidade Federal de São Paulo between July 2014 and September 2015 was established as an evaluation protocol to diagnose AWS. Sociodemographic status, anthropometric values, range of motion, comorbidities, pain, cord frequency, and characteristics (localization, number, palpable, and/or visible) among other data were collected at different time points before and after surgery...
October 17, 2017: American Journal of Clinical Oncology
https://www.readbyqxmd.com/read/28961070/vascular-alterations-in-axillary-and-brachial-vessels-in-patients-with-axillary-web-syndrome-after-breast-cancer-surgery
#6
Cintia Furlan, Carolina Nascimben Matheus, Rodrigo Menezes Jales, Sophie Derchain, Luís Otávio Sarian
BACKGROUND: Surgical manipulations of the axilla may cause a condition known as Axillary Web Syndrome (AWS). The systems compromised and the sequence of events leading to this syndrome remains unknown. This study evaluated clinical, surgical, and vascular factors associated with onset and duration of AWS after breast cancer surgery. METHODS AND RESULTS: In this prospective study, 155 women were included. They were submitted to a physical examination that consisted of ultrasound Doppler of axillary and brachial vessels and the evaluation of AWS in 1, 3, and 6 months after breast cancer surgery...
June 2018: Lymphatic Research and Biology
https://www.readbyqxmd.com/read/28854081/treatment-of-axillary-web-syndrome-using-instrument-assisted-soft-tissue-mobilization-and-thoracic-manipulation-for-associated-thoracic-rotation-dysfunction
#7
Patricia Crane, Jaclyn Ladden, Danielle Monica
PURPOSE: There is a paucity of research that investigates physical therapy management for patients with axillary web syndrome (AWS) and thoracic rotation dysfunction. The purpose of this case report is to describe the management of a patient with AWS and thoracic rotation dysfunction using an impairment-based approach that includes instrument assisted soft tissue mobilization (IASTM), thoracic manipulation, and stretching. CASE DESCRIPTION: The patient was a 48-year-old female with a past medical history of bilateral breast cancer with a bilateral latissimus dorsi flap reconstruction...
January 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/28701024/management-of-axillary-web-syndrome-after-breast-cancer-evidence-based-practice
#8
Clarissa Medeiros da Luz, Julia Deitos, Thais Cristina Siqueira, Marina Palú, Ailime Perito Feiber Heck
Axillary web syndrome is characterized as a physical-functional complication that impacts the quality of life of women who have undergone treatment for breast cancer. The present study aims to verify the physiotherapy treatment available for axillary web syndrome after surgery for breast cancer in the context of evidence-based practice. The selection criteria included papers discussing treatment protocols used for axillary web syndrome after treatment for breast cancer. The search was performed in the MEDLINE, Scopus, PEDro and LILACS databases using the terms axillary web syndrome, lymphadenectomy and breast cancer, focusing on women with a previous diagnosis of breast cancer who underwent surgery with lymphadenectomy as part of their treatment...
November 2017: Revista Brasileira de Ginecologia e Obstetrícia
https://www.readbyqxmd.com/read/28249666/venturing-out-on-a-limb-axillary-web-syndrome
#9
LETTER
Heather A Thompson Buum, Linda Koehler, Todd M Tuttle
No abstract text is available yet for this article.
May 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28181311/the-upper-limb-volumetric-changes-in-breast-cancer-survivors-with-axillary-web-syndrome
#10
H-C Huang, H-H Liu, L-Y Yin, C-H Yeh, C-W Tu, C-S Yang
Whether upper-limb swelling is associated with axillary web syndrome (AWS) is unknown. We recruited unilateral breast cancer (BC) patients who were scheduled for surgical intervention and lymph node dissection. The pre-operative assessment and post-operative assessment 3-4 weeks after surgery evaluated the upper-limb circumferential measurements, segmental limb volume, pain scores, grasp, shoulder range of motion (ROM), shoulder muscle power and quality-of-life scores. In the control group, the peri-elbow volume and upper-arm volume were significantly higher post-operatively than pre-operatively...
March 2017: European Journal of Cancer Care
https://www.readbyqxmd.com/read/28065989/atypical-presentation-of-axillary-web-syndrome-aws-in-a-male-squash-player-a-case-report
#11
Patrick Welsh, David Gryfe
Axillary Web Syndrome (AWS), also known as lymphatic cording, refers to a condition in which a rope-like soft-tissue density develops in the axilla. It usually appears in the 5 to 8 week period following breast cancer surgery and can lead to shoulder pain and restricted motion. We present a case of AWS in a male squash player with no history of breast cancer or surgery following a period of intense exercise. This case highlights the rare presentation of AWS in a male patient and raises awareness for the health care practitioner who may not suspect this condition in this population...
December 2016: Journal of the Canadian Chiropractic Association
https://www.readbyqxmd.com/read/27704260/axillary-web-syndrome-is-not-a-risk-factor-for-lymphoedema-after-10-years-of-follow-up
#12
Bárbara Reis Wariss, Rejane Medeiros Costa, Ana Carolina Padula Ribeiro Pereira, Rosalina Jorge Koifman, Anke Bergmann
OBJECTIVE: The objective of this study was to evaluate the association between axillary web syndrome and the development of lymphoedema after 10 years of follow-up. METHODOLOGY: A prospective observational study in a hospital cohort of women diagnosed with breast cancer and treated at a referral centre for cancer. Patients were followed according to the routine of the hospital's physical therapy service. In addition, a review of medical records was conducted for the period between 5 and 10 years of follow-up...
February 2017: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/27637691/axillary-web-syndrome-after-transaxillary-robotic-thyroidectomy
#13
Jeong Hwan Kim, Jin Woo Park, Hyun Sik Gong
Axillary web syndrome is a self-limiting and frequently overlooked complication in the early postoperative period of axillary surgery. This entity has been described in breast cancer patients after axillary lymph node dissection. Robot-assisted transaxillary thyroidectomy is now becoming increasingly popular in part owing to the desire to avoid an obvious cervical scar. This procedure is a kind of axillary surgery, but there has been no report about axillary web syndrome after robotic transaxillary thyroidectomy...
September 2014: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/27257446/dynamic-angular-petrissage-as-treatment-for-axillary-web-syndrome-occurring-after-surgery-for-breast-cancer-a-case-report
#14
Paul A Lewis, Joan E Cunningham
BACKGROUND: In the context of breast cancer, axillary web syndrome (AWS), also called lymphatic cording, typically presents in the weeks after axillary surgery. This painful condition, likely lymphofibrotic in origin, restricts upper extremity range of motion (ROM). There is no established treatment, although physical therapy and other approaches have been used to variable effect. This report describes treatment of a female client with AWS, who had recently undergone a unilateral simple mastectomy with sentinel node biopsy plus axillary dissection...
June 2016: International Journal of Therapeutic Massage & Bodywork
https://www.readbyqxmd.com/read/27246290/axillary-web-syndrome-following-sentinel-node-biopsy-for-breast-cancer
#15
S M Nieves Maldonado, V Pubul Núñez, S Argibay Vázquez, M Macías Cortiñas, Á Ruibal Morell
A 49 year-old woman diagnosed with infiltrating lobular breast carcinoma, underwent a right mastectomy and sentinel node biopsy (SLNB). The resected sentinel lymph nodes were negative for malignancy, with an axillary lymphadenectomy not being performed. In the early post-operative period, the patient reported an axillary skin tension sensation, associated with a painful palpable cord. These are typical manifestations of axillary web syndrome (AWS), a poorly known axillary surgery complication, from both invasive and conservative interventions...
September 2016: Revista Española de Medicina Nuclear e Imagen Molecular
https://www.readbyqxmd.com/read/27193074/axillary-web-syndrome-following-granulomatous-inflammation-after-folliculitis
#16
Qi Zhang, Cheng Tan
No abstract text is available yet for this article.
June 1, 2016: European Journal of Dermatology: EJD
https://www.readbyqxmd.com/read/27171589/ce-late-and-long-term-sequelae-of-breast-cancer-treatment
#17
Megan Dunne, Kathleen Keenan
: More than 12% of women will be diagnosed with breast cancer at some point in their lives, and 78% of them can be expected to survive for at least 15 years. More than 2.8 million breast cancer survivors currently reside in the United States. After breast cancer treatment, as many as 90% of survivors report physical problems that can reduce functional ability, produce or exacerbate emotional problems, negatively affect body image, and diminish quality of life. Many survivors will seek care for late and long-term effects of treatment, which will not necessarily be recognized as such by health care providers and appropriately treated...
June 2016: American Journal of Nursing
https://www.readbyqxmd.com/read/27070684/axillary-web-syndrome-current-understanding-and-new-directions-for-treatment
#18
Merisa Piper, Isabella Guajardo, Keith Denkler, Hani Sbitany
BACKGROUND: Axillary web syndrome (AWS) is a poorly understood but common cause of significant morbidity after axillary lymph node dissection for breast cancer. It is characterized by painful scar tissue formation and contracture extending from the axilla down the medial arm which limits shoulder and arm mobility. We sought to gain a better understanding of its pathophysiology and available treatments. Additionally, we present our preliminary experience with 2 novel treatment methods: (1) percutaneous needle cord disruption with fat grafting, (2) Xiaflex injection to the cording...
May 2016: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/26995594/axillary-web-syndrome-an-underappreciated-complication-of-sentinel-node-biopsy-in-melanoma
#19
COMPARATIVE STUDY
Darryl Schuitevoerder, Ian White, Jeanine Fortino, John Vetto
OBJECTIVE: Axillary web syndrome (AWS) is known to occur after axillary dissection and has been reported after axillary sentinel lymph node biopsy (ASLNB) for breast cancer. However, the incidence and outcomes of AWS after ASLNB for melanoma are unknown. METHODS: A retrospective review of prospectively collected, clinically node-negative patients undergoing ASLNB for melanoma at a single institution during a 14-year period was conducted to determine the incidence of AWS...
May 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/26542271/effects-of-a-physical-therapy-program-combined-with-manual-lymphatic-drainage-on-shoulder-function-quality-of-life-lymphedema-incidence-and-pain-in-breast-cancer-patients-with-axillary-web-syndrome-following-axillary-dissection
#20
RANDOMIZED CONTROLLED TRIAL
Youngki Cho, Junghwa Do, Sunyoung Jung, Ohyun Kwon, Jae Yong Jeon
PURPOSE: The aim of this study was to evaluate the effects of physical therapy (PT) combined with manual lymphatic drainage (MLD) on shoulder function, pain, lymphedema, visible cords, and quality of life (QOL) in breast cancer patients with axillary web syndrome (AWS). METHODS: In this prospective, randomized trial, 41 breast cancer patients with visible and palpable cords on the arm and axilla and a numeric rating scale (NRS) pain score of >3 were randomly assigned to PT (3 times/week for 4 weeks; n = 20) and PT combined with MLD (5 times/week for 4 weeks; PTMLD; n = 21) groups...
May 2016: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
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