EFFECTS OF AXILLARY DISSECTION AND BREAST IRRADIATION ON ARM FUNCTION EVALUATION BASED ON QOL QUESTIONNAIRE SURVEY

Kenji HIGAKI; Shinsuke OKAMURA; Katsuyuki MORITA; Tomoya YOSHITAKA; Satoru OHSAKI; Tadashi ONODA; Shigehiro SHIOZAKI; Satoshi OHNO; Motoki NINOMIYA; Toshiyuki IKEDA; Naohiro KOBAYASHI; Hikaru ASAKURA

doi:10.3919/jjsa.60.2553

EFFECTS OF AXILLARY DISSECTION AND BREAST IRRADIATION ON ARM FUNCTION

EVALUATION BASED ON QOL QUESTIONNAIRE SURVEY

Kenji HIGAKI, Shinsuke OKAMURA, Katsuyuki MORITA, Tomoya YOSHITAKA, Satoru OHSAKI, Tadashi ONODA, Shigehiro SHIOZAKI, Satoshi OHNO, Motoki NINOMIYA, Toshiyuki IKEDA, Naohiro KOBAYASHI, Hikaru ASAKURA

Author information

JOURNAL FREE ACCESS

1999 Volume 60 Issue 10 Pages 2553-2560

DOI https://doi.org/10.3919/jjsa.60.2553

Details

Abstract

Complications and/or sequelae following breast cancer surgery such as arm edema on the affected side have serious deleterious effects on QOL. Methods of therapy were classified into lumpectomy with or without axillary dissection and breast irradiation, lumpectomy+axillary dissection+breast irradiation, and modified mastectomy. A questionnaire survey was conducted on level of functional disorder of the arm. Results indicated that the present standard breast conservation therapy in which axillary dissection is followed by breast irradiation unfavorably affects QOL with respect to movement, numbness, pain and edema of the affected arm. Efforts should therefore be made after selection of indications to avoid either axillary dissection or breast irradiation.

Corresponding author

Register with J-STAGE for free!