Change of upper limb function in breast cancer patients after lymph node dissection and mastectomy

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  • Kikuuchi Masato
    Department of Rehabilitation Medicine, National Hospital Organization Shikoku Cancer Center
  • Akezaki Yoshiteru
    Department of Rehabilitation Medicine, National Hospital Organization Shikoku Cancer Center
  • Tanaka Eiji
    Department of Orthopaedic surgery, Okayama University Hospital
  • Tominaga Ritsuko
    Department of Rehabilitation Medicine, National Hospital Organization Shikoku Cancer Center
  • Kurokawa Hideaki
    Department of Rehabilitation Medicine, National Hospital Organization Shikoku Cancer Center
  • Hamada Makiko
    Department of Rehabilitation Medicine, National Hospital Organization Shikoku Cancer Center
  • Aogi Kenjiro
    Department of Breast Surgery, National Hospital Organization Shikoku Cancer Center
  • Ohsumi Shozo
    Department of Breast Surgery, National Hospital Organization Shikoku Cancer Center
  • Sugihara Shinsuke
    Department of Rehabilitation Medicine, National Hospital Organization Shikoku Cancer Center Department of Orthopaedic Oncology, National Hospital Organization Shikoku Cancer Center

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Other Title
  • リンパ節郭清を伴う乳房切除術後の乳がん患者 の上肢機能の推移
  • -A short-term observation-
  • －短期間での観察－

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<p>In this study, we investigated the short-term change of upper limb function in 114 consecutive breast cancer patients who underwent lymph node dissection and mastectomy. Rehabilitation was performed both before and after surgery. Disabilities of the Arm, Shoulder and Hand (DASH) was used to evaluate the disabilities. Measurements were performed prior to and three months after surgery. Three months after surgery, there were more difficulties in 18 of 23 items (disability) than before surgery, and more symptoms with 5 of 7 items (symptoms) (p<0.05). Therefore, postoperative breast cancer patients need routine upper limb function evaluation and rehabilitation, even after discharge.</p>

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