1034 Incidence of lymphoedema and impaired shoulder function after axillary dissection

Abstract

Aim To assess the occurrence of lymphoedema and impaired shoulder function after axillary dissection, and to identify factors predicting these conditions. Material 124 consecutive breast cancer patients, who had an axillary dissection a.m. Cady were invited for an examination median 17 months after the operation (range 14–20). They filled in a questionnaire about function and symptoms of the ipsilateral arm. At the day of examination circumference and function of the ipsilateral arm was compared with the contralateral arm. Results Participation rate was 77% (95-124). Objective measurements disclosed Iymfoedema in 6%, reduced flexion in 25%, reduced abduction in 21%, and reduced rotation in 16%. Symptoms from the arm included swelling in 25%, reduced motility in 40%, fatigue in 44% and pain in 32%. Significant predictors for both objective and subjective complaints were high age (> 60 years) and high number of removed lymphnodes. Conclusion Axillary dissection leaves patients with considerable arm morbidity.