Lymphedema in women treated for breast cancer

被引:35
作者
Loudon, L
Petrek, J
机构
[1] Mem Sloan Kettering Canc Ctr, Dept Surg, Breast Serv, New York, NY 10021 USA
[2] Mem Sloan Kettering Canc Ctr, Dept Surg, Breast Serv,Surg Program, Evelyn H Lauder Breast Ctr, New York, NY 10021 USA
关键词
complete decongestive physiotherapy; lymphedema; lymphoscintigraphy; pneumatic pump; sentinel-node biopsy;
D O I
10.1046/j.1523-5394.2000.82004.x
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
PURPOSE: The purpose of this report is to discuss the etiologic factors, prevention, and current treatment options for lymphedema, which may occur after breast cancer. OVERVIEW: Lymphedema can develop in the breast cancer patient as a result of the interruption of lymphatic flow from postsurgical, postradition, and infectious causes. It can present at various points after breast cancer treatment and may range from mild to a seriously disabling enlargement. Because lymphedema is permanent, the goal of treatment options is the control of edema, and a multidimensional approach to care is often needed. CLINICAL IMPLICATIONS: In the past, there has been limited research in this area. Because lymphedema is essentially an incurable condition healthcare providers should be aware of techniques such as sentinel-node biopsy that could significantly decrease its incidence. In addition, it is important that each patient's treatment include education and prevention precautions.
引用
收藏
页码:65 / 71
页数:7
相关论文
共 72 条
[61]  
2-4
[62]   FACTORS THAT INFLUENCE THE INCIDENCE OF BRACHIAL EDEMA AFTER TREATMENT OF BREAST-CANCER [J].
SEGERSTROM, K ;
BJERLE, P ;
GRAFFMAN, S ;
NYSTROM, A .
SCANDINAVIAN JOURNAL OF PLASTIC AND RECONSTRUCTIVE SURGERY AND HAND SURGERY, 1992, 26 (02) :223-227
[63]  
Stanton AWB, 1997, LYMPHOLOGY, V30, P77
[64]  
STEWART G, 1988, IMMUNOL HEMATOL RES, V2, P241
[65]  
TAYLOR HM, 1993, PHLEBOLOGY, V8, P22
[66]  
Thiadens SRJ, 1998, CANCER, V83, P2864, DOI 10.1002/(SICI)1097-0142(19981215)83:12B+<2864::AID-CNCR40>3.0.CO
[67]  
2-B
[68]   ARM EDEMA IN CONSERVATIVELY MANAGED BREAST-CANCER - OBESITY IS A MAJOR PREDICTIVE FACTOR [J].
WERNER, RS ;
MCCORMICK, B ;
PETREK, J ;
COX, L ;
CIRRINCIONE, C ;
GRAY, JR ;
YAHALOM, J .
RADIOLOGY, 1991, 180 (01) :177-184
[69]  
WOODWARD AH, 1972, CANCER-AM CANCER SOC, V30, P562, DOI 10.1002/1097-0142(197208)30:2<562::AID-CNCR2820300237>3.0.CO
[70]  
2-V