title: [Detection of postoperative lymphoedema in patients with breast cancer].
abstract: OBJECTIVE
  Lymphoedema is a severe postoperative complication after treatment of many malignancies. It is a pathological accumulation of extracellular water (ECW). Early diagnostic tool is needed. Multifrequency bioimpedance analysis (MFBIA) is a method for detection of changes in ECW.
  
  
  METHODS
  Prospective study.
  
  
  METHODS
  Dept. of Obstetrics and Gynaecology of the 2nd Medical Faculty, Charles University, Prague.
  
  
  METHODS
  We measured a control group of 72 women and a group of 74 patients undergoing a breast cancer surgery during 18 month after the surgery by MFBIA and circumferency. Characteristics of the patients were recorded. The detection of lymphoedema was done using MFBIA, circumferency measurement and upon the symptoms of the patients.
  
  
  RESULTS
  The average age in the controll and tested group was 40,1 and 58,9 years. The average size of the tumour, grade and positivity if oestrogen receptors was 15,1 mm, 2,04 and 43%. In 23 patients (21%) complete lymphadenectomy was performed, in 51 patients (79%) a detection of sentinel lymph node was performed. Lymphoedema was detected in 8 women (11%). In these patients MFBIA detected lymphoedema 9 month earlier in total than other methods.
  
  
  CONCLUSIONS
  MFBIA is a low-cost and precise method for the detection od early stage postoperative lymphoedema. We recommend to incorporate MFBIA into standard dispensatory plan of every patient combined with circumferency measurement.
authors.affiliation: Gynekologicko-porodnická klinika 2. LF UK a FN Motol, Praha. mhalaska@centrum.cz
authors.forename: M
authors.initials: M
authors.lastname: Halaska
authors.forename: P
authors.initials: P
authors.lastname: Strnad
authors.forename: J
authors.initials: J
authors.lastname: Chod
authors.forename: I
authors.initials: I
authors.lastname: Malá
authors.forename: M
authors.initials: M
authors.lastname: Nováková
authors.forename: H
authors.initials: H
authors.lastname: Stankusová
authors.forename: D
authors.initials: D
authors.lastname: Kolarík
authors.forename: P
authors.initials: P
authors.lastname: Feldmár
authors.forename: L
authors.initials: L
authors.lastname: Rob
mesh_terms: D000328:Adult; D000368:Aged; D000886:Anthropometry; D001132:Arm; D001823:Body Composition; D001943:Breast Neoplasms / Q000601:surgery*; D017097:Electric Impedance; D005260:Female; D006801:Humans; D008209:Lymphedema / Q000175:diagnosis* / Q000209:etiology; D015411:Mastectomy, Modified Radical / Q000009:adverse effects*; D015412:Mastectomy, Segmental / Q000009:adverse effects*; D008875:Middle Aged