Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/1677-5449.202201441
Jornal Vascular Brasileiro
Review Article

Ultrassonografia como instrumento de avaliação do linfedema secundário ao câncer de mama: revisão sistemática

Ultrasonography as an instrument to evaluate lymphedema secondary to breast cancer: systematic review

Laura Ferreira de Rezende; João Paulo Martins Piloni; Vitória Livorato Kempa; Júlia Franco Ramos Silva; Vanessa Fonseca Vilas Boas; Regiane Luz Carvalho; Ângela Gonçalves Marx

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Resumo

O linfedema é uma doença crônica e progressiva caracterizada pelo acúmulo de fluidos, provocando edema tecidual em decorrência de um sistema linfático comprometido. A ultrassonografia diagnóstica (USD) é um método capaz de avaliar as características dos tecidos moles, podendo ser utilizada de maneira confiável para o diagnóstico do linfedema, além de mensurar a complacência tecidual em um cenário clínico. Esta é uma revisão sistemática, objetivando avaliar artigos que fizessem o uso da USD na abordagem do linfedema secundário ao câncer de mama. Foram selecionados 565 artigos, que foram exportados para o programa de revisão Rayyan QCRI e, em seguida, triados por dois pesquisadores. Dessa busca, foram obtidos 25 artigos selecionados após consenso entre os autores e que foram catalogados quanto aos seus resultados principais. A USD foi identificada como um método vantajoso por ser seguro, pouco invasivo, de baixo custo, sem uso de radiação, além de ser útil para avaliar a eficácia de terapias no tratamento do linfedema.

Palavras-chave

ultrassonografia, linfedema relacionado a câncer de mama, neoplasias da mama

Abstract

Lymphedema is a chronic and progressive disease characterized by fluid accumulation, causing tissue edema as a result of a compromised lymphatic system. Diagnostic ultrasound (DUS) is a method capable of assessing soft tissue characteristics that can be used reliably to diagnose lymphedema as well as for measuring tissue compliance in a clinical setting. This is a systematic review, aiming to evaluate articles that made use of DUS in management of lymphedema secondary to breast cancer. A total of 570 articles were selected, exported to the Rayyan QCRI review program, and then screened by two researchers. From this search, 25 articles were selected after the authors reached consensus and were catalogued as to their main results. Diagnostic ultrasound was identified as an advantageous method that is safe, minimally invasive, low cost, and radiation free and is useful for evaluating the efficacy of therapies used in lymphedema treatment.

Keywords

ultrasonography; breast cancer lymphedema; breast neoplasms

References

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Submitted date:
06/16/2023

Accepted date:
10/02/2023

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
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