Identification and Management of Lymphedema in Patients With Breast Cancer.

Authors:
Pavankumar Tandra
Pavankumar Tandra
University of Nebraska Medical Center
United States
Avyakta Kallam
Avyakta Kallam
Creighton University Medical Center
Omaha | United States
Jairam Krishnamurthy
Jairam Krishnamurthy
University of Nebraska Medical Center
United States

J Oncol Pract 2019 May 22;15(5):255-262. Epub 2019 Apr 22.

1 Nebraska Medical Center, Omaha, NE.

Breast cancer-related lymphedema (BCRL) is a potentially debilitating and often irreversible complication of breast cancer treatment. Risk of BCRL is proportional to the extent of axillary surgery and radiation. Other risk factors include obesity and infections. Given the 5-year survival rate of 90% and its potential impact on the quality of life of survivors of breast cancer, BCRL has become a significant financial burden on the health care system. Minimizing axillary surgery and radiation has been proven to reduce the risk of BCRL. Comprehensive multidisciplinary assessment at the time of initial diagnosis; early referral to physical therapy after surgery; and patient education regarding weight loss, skin, and nail care are cornerstones of the management of early-stage lymphedema. End-stage lymphedema may benefit from referral to a plastic surgeon specializing in lymphedema surgery. In this review, we attempt to review the incidence, risk factors, staging, prevention, and management of this complication of breast cancer treatment. We also describe our multidisciplinary approach for the prevention of this complication at the time of initial diagnosis.

Download full-text PDF

Source
http://dx.doi.org/10.1200/JOP.18.00141DOI Listing

Still can't find the full text of the article?

We can help you send a request to the authors directly.
May 2019

Publication Analysis

Top Keywords

breast cancer
16
risk bcrl
8
complication breast
8
cancer treatment
8
risk factors
8
surgery radiation
8
axillary surgery
8
initial diagnosis
8
time initial
8
lymphedema
5
breast
5
care system
4
system minimizing
4
specializing lymphedema
4
minimizing axillary
4
health care
4
lymphedema surgery
4
financial burden
4
attempt review
4
life survivors
4

Similar Publications