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Journal article
The Effect of Groin Treatment Modality and Sequence on Clinically Significant Chronic Lymphedema in Patients With Vulvar Carcinoma
International journal of gynecological cancer, v 25(1), pp 119-124
01 Jan 2015
PMID: 25415076
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective: Chronic lymphedema (CL) after inguinal lymph node dissection (ILND) or radiotherapy (RT) is a significant problem for vulvar cancer survivors. The treatment modality or combination of therapies that poses the greatest risk is not known. The objective of this study was to describe rates of clinically significant CL conferred by different groin treatment modalities.
Methods: Medical records of vulvar cancer patients who had groin treatment with ILND, RT, or both were retrospectively reviewed. Each treated groin was considered individually, and divided into 4 treatment groups: ILND alone, ILND with adjuvant RT, neoadjuvant chemoradiation therapy (NCRT), or NCRT followed by ILND. Clinically significant CL was defined as that which required treatment and was recorded by laterality. Differences among groups were evaluated with chi(2) and Fisher exact test.
Results: Between 2000 and 2010, 146 patients with vulvar cancer who underwent therapy to 1 or both groins were identified for a total of 266 treated groins. The rates of CL for single-modality treatment, ILND or NCRT, were 10.9% and 6.7%, respectively. Multimodal treatment resulted in higher rates of CL, 13.5% for ILND followed by RT and 17.2% for NCRT followed by ILND, although differences were not significant (P = 0.37).
Conclusions: Clinically significant CL was not different between treatment modalities in this study, but is underpowered. The results provide valuable information about treatment complications that will be useful for patient-centered counseling. Prospective evaluation of CL and its impact on quality of life is warranted.
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Details
- Title
- The Effect of Groin Treatment Modality and Sequence on Clinically Significant Chronic Lymphedema in Patients With Vulvar Carcinoma
- Creators
- Jessica Berger (Corresponding Author) - Magee-Womens HospitalEirwen Scott - University of PittsburghPaniti Sukumvanich - Gynecologic Oncology GroupAshlee Smith - Gynecologic Oncology GroupAlexander Olawaiye - Gynecologic Oncology GroupJohn Comerci - Gynecologic Oncology GroupJoseph L. Kelley - Gynecologic Oncology GroupSushil Beriwal - Magee-Womens HospitalMarilyn Huang - Gynecologic Oncology Group
- Publication Details
- International journal of gynecological cancer, v 25(1), pp 119-124
- Publisher
- Bmj Publishing Group
- Number of pages
- 6
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Radiation Oncology (and Nuclear Medicine)
- Web of Science ID
- WOS:000346763500020
- Scopus ID
- 2-s2.0-84928011194
- Other Identifier
- 991021897372904721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Obstetrics & Gynecology
- Oncology