{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T06:01:07Z","timestamp":1773295267350,"version":"3.50.1"},"reference-count":34,"publisher":"FapUNIFESP (SciELO)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"published-print":{"date-parts":[[2015,4]]},"abstract":"<jats:p>OBJECTIVE: To determine the prevalence of sonographic abnormalities (SA) in the axillary vein of patients with and without post-mastectomy lymphedema. METHODS: We studied a sample of 80 women, divided into two equal groups, with and without lymphedema, with B mode ultrasound, color and pulsed Doppler. The primary variable, SA, is defined as change in the venous diameter, parietal thickening, intraluminal images, compressibility, parietal collapse at inspiration and feature of the axillary venous flow on the operated side. Secondary variables were: stage of lymphedema, surgical technique, number of radio and chemotherapy sessions, limb volume, weight and age. The differences between the proportions in the groups were determined using the Chi-square test and \/ or Fisher's test. For continuous variables, we used the Mann-Whitney Test. To estimate the magnitude of the associations, we used the prevalence rate of SA in both groups as a measure of frequency, and as a measure of association, the prevalence ratio (PR) obtained as a function of relative risk (RR) and estimated by the test Mantel-Haenszel homogeneity test. We adopted the statistical significance level of 5% (p &lt; 0.05). RESULTS: only the criterion \"parietal thickening\" was strongly associated with the lymphedema group (p = 0.001). The prevalence of SA was 55% in patients with lymphedema and 17.5% in the group without it, with difference in prevalence of 37.5%. CONCLUSION: the prevalence of SA was higher in patients undergoing mastectomy with lymphedema than in those without lymphedema.<\/jats:p>","DOI":"10.1590\/0100-69912015002004","type":"journal-article","created":{"date-parts":[[2015,7,8]],"date-time":"2015-07-08T23:35:07Z","timestamp":1436398507000},"page":"81-92","source":"Crossref","is-referenced-by-count":15,"title":["Ultrasonografic changes in the axillary vein of patients with lymphedema after mastectomy"],"prefix":"10.1590","volume":"42","author":[{"given":"Gilberto Ferreira de","family":"Abreu Junior","sequence":"first","affiliation":[{"name":"Escola Bahiana de Medicina e Sa\u00fade P\u00fablica, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guilherme Benjamin Brand\u00e3o","family":"Pitta","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Ci\u00eancias da Sa\u00fade de Alagoas, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcelo","family":"Ara\u00fajo","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Santa Cruz, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aldemar de Ara\u00fajo","family":"Castro","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Ci\u00eancias da Sa\u00fade de Alagoas, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Walter Ferreira de","family":"Azevedo Junior","sequence":"additional","affiliation":[{"name":"Universidade Estadual do Sudoeste da Bahia, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fausto","family":"Miranda Junior","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"issue":"4","key":"ref1","first-page":"609","article-title":"Iatrogenic venous pathology and post-radiosurgery swollen arm. Apropos of 100 cases","volume":"38","author":"Megret G","year":"1985","journal-title":"Phlebologie."},{"issue":"3","key":"ref2","first-page":"517","article-title":"Venous component in lymphedema in the upper extremity after radio-surgical therapy of cancer of the breast","volume":"39","author":"Gruffaz J","year":"1986","journal-title":"Phlebologie."},{"issue":"4","key":"ref3","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1016\/S0009-9260(78)80111-1","article-title":"The investigation of postmastectomy oedema of the arm by lymphography and venography","volume":"29","author":"McIvor J","year":"1978","journal-title":"Clin Radiol."},{"issue":"12","key":"ref4","first-page":"1053","article-title":"Role of venous injury in the origin of post-mastectomy lymphedema of the arm. Results of 150 measurements of the venous pressure of the homo- and counter-lateral arm in mastectomy","volume":"42","author":"Tarquini A","year":"1987","journal-title":"Minerva Chir."},{"issue":"5","key":"ref5","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1016\/0959-8049(94)90539-8","article-title":"Colour Doppler demonstrates venous flow abnormalities in breast cancer patients with chronic arm swelling","volume":"30A","author":"Svensson WE","year":"1994","journal-title":"Eur J Cancer."},{"issue":"4","key":"ref6","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/S0009-9260(05)80189-8","article-title":"The use of colour Doppler to define venous abnormalities in the swollen arm following therapy for breast carcinoma","volume":"44","author":"Svensson WE","year":"1991","journal-title":"Clin Radiol."},{"issue":"8","key":"ref7","doi-asserted-by":"crossref","first-page":"799","DOI":"10.1016\/S1051-0443(07)61988-5","article-title":"Diagnosis and treatment of concomitant venous obstruction in patients with secondary lymphedema","volume":"13","author":"Szuba A","year":"2002","journal-title":"J Vasc Interv Radiol."},{"issue":"3","key":"ref8","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1002\/bjs.4835","article-title":"Axillary vein abnormalities contribute to development of lymphoedema after surgery for breast cancer","volume":"92","author":"Pain SJ","year":"2005","journal-title":"Br J Surg."},{"issue":"2","key":"ref9","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1093\/jnci\/93.2.96","article-title":"Arm edema in breast cancer patients","volume":"93","author":"Erickson VS","year":"2001","journal-title":"J Natl Cancer Inst."},{"issue":"3","key":"ref10","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1016\/0899-7071(94)90076-0","article-title":"Color Doppler imaging in the subclavian-axillary region and upper extremity","volume":"18","author":"Gooding GA","year":"1994","journal-title":"Clin Imaging."},{"issue":"6","key":"ref11","doi-asserted-by":"crossref","first-page":"1357","DOI":"10.1148\/radiographics.15.6.8577962","article-title":"Color Doppler sonography of the thoracic inlet veins","volume":"15","author":"Nazarian GK","year":"1995","journal-title":"Radiographics."},{"issue":"2","key":"ref12","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1148\/radiology.211.2.r99ma08579","article-title":"Subclavian and internal jugular veins at Doppler US: abnormal cardiac pulsatility and respiratory phasicity as a predictor of complete central occlusion","volume":"211","author":"Patel MC","year":"1999","journal-title":"Radiology."},{"issue":"2","key":"ref13","first-page":"51","article-title":"The diagnosis and treatment of peripheral lymphedema. 2009 Concensus Document of the International Society of Lymphology","volume":"42","year":"2009","journal-title":"Lymphology."},{"issue":"12","key":"ref14","doi-asserted-by":"crossref","first-page":"1201","DOI":"10.1093\/ptj\/82.12.1201","article-title":"Upper-extremity volume measurements in women with lymphedema: a comparison of measurements obtained via water displacement with geometrically determined volume","volume":"82","author":"Sander AP","year":"2002","journal-title":"Phys Ther."},{"issue":"2","key":"ref15","first-page":"205","article-title":"Jayasinghe UW, Koelmeyer L, Ung O, Boyages J","volume":"86","author":"Taylor R","year":"2006","journal-title":"Reliability and validity of arm volume measurements for assessment of lymphedema. Phys Ther."},{"issue":"3","key":"ref16","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1148\/radiology.175.3.2188295","article-title":"Axillary and subclavian venous thrombosis: follow-up evaluation with color Doppler flow US and venography","volume":"175","author":"Grassi CJ","year":"1990","journal-title":"Radiology."},{"issue":"12","key":"ref17","doi-asserted-by":"crossref","first-page":"865","DOI":"10.7326\/0003-4819-136-12-200206180-00007","article-title":"Prospective study of color duplex ultrasography compared with contrast venography in patients suspected of having deep venous thrombosis of the upper extremities","volume":"136","author":"Baarslag HJ","year":"2002","journal-title":"Ann Intern Med."},{"issue":"3","key":"ref18","doi-asserted-by":"crossref","first-page":"245","DOI":"10.3109\/02844319109020627","article-title":"Decompression of the axillary vein for oedema of the arm caused by axillary dissection and irradiation","volume":"25","author":"Segerstr\u00f6m K","year":"1991","journal-title":"Scand J Plast Reconstr Surg Hand Surg."},{"issue":"1","key":"ref19","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1016\/S0009-9260(87)80425-7","article-title":"Subclavian and axillary vein thrombosis following radiotherapy for carcinoma of the breast","volume":"38","author":"Wilson CB","year":"1987","journal-title":"Clin Radiol."},{"issue":"2","key":"ref20","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1590\/S1677-54492010000200011","article-title":"Vol\u00fametro com c\u00e2maras comunicantes: apresenta\u00e7\u00e3o de um prot\u00f3tipo de dimens\u00f5es reduzidas desenvolvido para a avalia\u00e7\u00e3o objetiva do volume de m\u00e3o","volume":"9","author":"Carvalho RM","year":"2010","journal-title":"J vasc bras."},{"key":"ref21","series-title":"Gray Anatomia","first-page":"558","author":"Warwick R","year":"1979"},{"issue":"2","key":"ref22","first-page":"80","article-title":"Estudo biom\u00e9trico de veia axilar em seres humanos","volume":"11","author":"Rivello T","year":"2002","journal-title":"Rev Angiol Cir Vasc."},{"issue":"5","key":"ref23","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1093\/bja\/aeg094","article-title":"Ultrasound imaging of the axillary vein-anatomical basis for central venous access","volume":"90","author":"Galloway S","year":"2003","journal-title":"Br J Anaesth."},{"issue":"3","key":"ref24","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1080\/028418600750013168","article-title":"Risk factors of arm lymphedema in breast cancer patients","volume":"39","author":"Kocak Z","year":"2000","journal-title":"Acta Oncol."},{"issue":"3","key":"ref25","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1080\/028418600750013113","article-title":"Morbidity related to axillary irradiation in the treatment of breast cancer","volume":"39","author":"Bentzen SM","year":"2000","journal-title":"Acta Oncol."},{"issue":"4","key":"ref26","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1590\/S1677-54492008005000002","article-title":"Avalia\u00e7\u00e3o das compensa\u00e7\u00f5es linf\u00e1ticas no p\u00f3s-operat\u00f3rio de c\u00e2ncer de mama com dissec\u00e7\u00e3o axilar atrav\u00e9s da linfocintilografia","volume":"7","author":"Rezende LF","year":"2008","journal-title":"J vasc bras."},{"issue":"4","key":"ref27","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1590\/S0100-72032001000400002","article-title":"Linfedema em pacientes submetidas \u00e0 mastectomia radical modificada","volume":"23","author":"Freitas R","year":"2001","journal-title":"Rev Bras Ginecol Obstet."},{"issue":"1","key":"ref28","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1200\/JCO.1999.17.1.143","article-title":"Physical and psychological morbidity after axillary lymph node dissection for breast cancer","volume":"17","author":"Hack TF","year":"1999","journal-title":"J Clin Oncol."},{"issue":"6","key":"ref29","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1097\/00000637-198906000-00007","article-title":"The lymphedema chaos: a lancet","volume":"22","author":"F\u00f6ldi E","year":"1989","journal-title":"Ann Plast Surg."},{"issue":"4","key":"ref30","doi-asserted-by":"crossref","first-page":"982","DOI":"10.1097\/01.prs.0000277995.25009.3e","article-title":"Changes in the lymph structure of the upper limb after axillary dissection: radiographic and anatomical study in a human cadaver","volume":"120","author":"Suami H","year":"2007","journal-title":"Plast Reconstr Surg."},{"issue":"3","key":"ref31","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1097\/RUQ.0b013e31822a2138","article-title":"Elastography: current status, future prospects, and making it work for you","volume":"27","author":"Garra BS","year":"2011","journal-title":"Ultrasound Q."},{"issue":"11","key":"ref32","first-page":"1128","article-title":"Regional diagnosis of lymphoedema and selection of sites for lymphaticovenular anastomosis using elastography","volume":"67","author":"Mihara M","year":"2012","journal-title":"Clin Radiol. 2011;66(8):715-9. 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