Erysipelas after surgery for breast cancer: a real-world cohort
Mastology (Online)
; 332023. ilus, tab
Article
in English
| LILACS
| ID: biblio-1443725
Responsible library:
BR2499
ABSTRACT
Erysipelas is often related to lymphedema, which can occur in up to 60% of cases, with advanced age, radiotherapy, tumor extension, surgical approach, and infections as risk factors. The aim of this study was to present and discuss a series of cases of erysipelas after breast cancer surgery treated in a private mastology clinic over the past ten years. This is a retrospective horizontal cohort study in which we selected all cases of erysipelas after breast cancer surgery from 2009 to 2019. The following were evaluated number of patients treated with a diagnosis of breast carcinoma with axillary approach, age, surgery performed, adjuvant treatment and treatment of erysipelas, presence of lymphedema, and measurement of circumferences between both arms and associated diseases. A total of 12 cases of breast cancer were treated. In 66.66% of cases, a radical axillary lymphadenectomy was performed, and in 16.66% of cases, only a sentinel lymph node investigation was performed. The average age was 67.6 years. Erysipelas appeared, on average, 43 months after cancer diagnosis. Two deaths were reported due to severe erysipelas leading to sepsis. More studies are still needed on the subject. Of the 12 cases in this study, eight (66.66%) were associated with lymphedema. Only two (16.66%) of the patients in this group who developed erysipelas were not submitted to axillary dissection. The treatment for 50% of the participants in this research was with penicillin G benzathine. There were three relapses, and two patients died during the research period
Full text:
Available
Collection:
International databases
Database:
LILACS
Main subject:
Postoperative Complications
/
Breast Neoplasms
/
Erysipelas
Type of study:
Etiology study
/
Incidence study
/
Observational study
/
Risk factors
Limits:
Adult
/
Aged
/
Aged, 80 and over
/
Female
/
Humans
/
Male
Language:
English
Journal:
Mastology (Online)
Journal subject:
Neoplasias da Mama
Year:
2023
Document type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
2 Centro Universitário UniFacid/BR
/
Oncocenter, Mastologist in Tocogynecology/BR
/
Universidade Estadual do Maranhão/BR
/
Universidade Estadual do Piauí/BR