ARTICLE
TITLE

Disorders of the upper limb on the operated side of the breast in women surgically treated for breast cancer

SUMMARY

Admission: Breast cancer is a cancer whose incidence is steadily increasing in the developed countries as well as in Poland. Treatment includes surgical treatment, which is the primary method of treatment, but give complications.The goal of the work It is to present the disorders occurring limb on the operated side of the breast in women surgically treated for breast cancerMaterial and methods: The study involved 151 women surgically treated for breast cancer (T1-4 N0-3 M0) in the Oncology Center of the Lublin Region St. John of Dukla in Lublin in 2013-2015.Results Disorders manifesting various symptoms arising as a consequence of surgery limb occurred in more than half of all patients (60%). Secondary lymphedema after 6 months occurred in 29 women (19.2%). The limb on the operated breast tingling was observed in 32% of patients, numbness in 24% of patients, heaviness limbs in 15% of patients, limb sensation spreading in 15% of patients, ache in 30% of patients. Discomfort limb armpit and accompanied by 21% of respondents.Conclusions:1. The frequency of combining elderly disorders on the side of the operated breast is high.2. Disorders upper limb on the operated side breast are more common if done axillary lymph nodes dissection.3. Disorders upper limb on the operated side breast occur more frequently if there is secondary lymphedema.StreszczenieWstep: Rak piersi jest nowotworem, którego czestosc wystepowania stale zwieksza sie w krajach wysokorozwinietych a takze w Polsce. Leczenie obejmuje miedzy innymi terapie chirurgiczna, która jest podstawowa metoda leczenia, ale daje powiklania.Celem pracy jest przedstawienie zaburzen wystepujacych obrebie konczyny po stronie operowanej piersi u kobiet leczonych chirurgicznie z powodu raka piersiMaterial i metody: W badaniu udzial wzielo 151 kobiet leczonych chirurgicznie z powodu raka piersi (T1-4 N0-3 M0) w Centrum Onkologii Ziemi Lubelskiej sw. Jana z Dukli w Lublinie w latach 2013-2015. Wyniki: Zaburzenia manifestujace sie róznymi objawami powstalymi w konsekwencji zabiegu w obrebie konczyny wystapily u ponad polowy wszystkich badanych (60%). Wtórny obrzek limfatyczny po 6 miesiacach wystapil u 29 kobiet (19,2%). W obrebie konczyny po stronie operowanej piersi mrowienie zostalo zaobserwowane u 32% pacjentek, dretwienie u 24% pacjentek, uczucie ciezkosci konczyny u 15% badanych, uczucie rozpierania w konczynie u 15% badanych, ból u 30% badanych. Uczucie dyskomfortu w obrebie konczyny i dolu pachowego towarzyszylo 21% badanych. Wnioski:1. Czestosc wystepowania zaburzen w obrebie konczyny po stronie operowanej piersi jest duza.2. Zaburzen w obrebie konczyny po stronie operowanej piersi wystepuja czesciej, jesli wykonano limfadenektomie dolu pachowego.3. Zaburzen w obrebie konczyny po stronie operowanej piersi wystepuja czesciej, jesli wystepuje wtórny obrzek limfatyczny.

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