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    Breast reconstruction and risk of arm lymphedema development: A meta-analysis.
    J Plast Reconstr Aesthet Surg 2018 Feb 21. Epub 2018 Feb 21.
    Department of Plastic and Reconstructive Surgery, Johns Hopkins Hospital, 601 N. Caroline Street, Baltimore, MD, USA. Electronic address:
    Background: Lymphedema remains a significant complication following breast cancer surgery when there is axillary lymph node intervention. Previous systematic reviews have identified risk factors for breast cancer-related lymphedema, including increased BMI, number of lymph nodes dissected and radiotherapy. However, they have not examined the effect of breast reconstruction on lymphedema occurrence. Read More

    Community-based lymphedema risk reduction programs for cancer survivors: An Internet survey of public health nurses.
    Jpn J Nurs Sci 2018 Feb 22. Epub 2018 Feb 22.
    Graduate School of Nursing, Chiba University, Chiba, Japan.
    Aim: Currently, there is no provision for continuous care to monitor lymphedema risk-reduction behavior for survivors of cancer. The aim was to explore the possibility of community-based lymphedema education programs by investigating the knowledge, training needs, and intention to organize such programs and barriers among government-employed public health nurses.

    Methods: A cross-sectional Internet survey was conducted among government-employed public health nurses in Japan. Read More

    Effects of physical exercise on breast cancer-related secondary lymphedema: a systematic review.
    Breast Cancer Res Treat 2018 Feb 22. Epub 2018 Feb 22.
    Exercise Medicine Research Institute, Edith Cowan University, Joondalup, WA, Australia.
    Purpose: The aim of this systematic review is to assess the effect of different types of exercise on breast cancer-related lymphedema (BCRL) in order to elucidate the role of exercise in this patient group.

    Methods: A systematic data search was performed using PubMed (December 2016). The review is focused on the rehabilitative aspect of BCRL and undertaken according to the PRISMA statement with Levels of Evidence (LoE) assessed. Read More

    GJA4/Connexin 37 Mutations Correlate with Secondary Lymphedema Following Surgery in Breast Cancer Patients.
    Biomedicines 2018 Feb 22;6(1). Epub 2018 Feb 22.
    Department of Biological Sciences, University of Chester, Chester CH1 4BJ, UK.
    Lymphedema is a condition resulting from mutations in various genes essential for lymphatic development and function, which leads to obstruction of the lymphatic system. Secondary lymphedema is a progressive and incurable condition, most often manifesting after surgery for breast cancer. Although its causation appears complex, various lines of evidence indicate that genetic predisposition may play a role. Read More

    How elimination of lymphatic filariasis as a public health problem in the Kingdom of Cambodia was achieved.
    Infect Dis Poverty 2018 Feb 20;7(1):15. Epub 2018 Feb 20.
    National Centre for Parasitology, Entomology and Malaria Control, Ministry of Health, 477 Betong Street (Corner St.92), Village Trapangsvay, Sanakat Phnom Penh Thmey, Khan Sensok, Phnom Penh, Cambodia.
    Background: Endemicity of lymphatic filariasis (LF) in Cambodia was proven in 1956 when microfilariae were detected in mosquitos in the Kratié province. In 2001, an extensive study confirmed the presence of both Brugia malayi and Wuchereria bancrofti microfilariae. In 2003, the Ministry of Health established a national task force to develop policies and strategies for controlling and eliminating neglected tropical diseases (NTDs), with the goal of eliminating LF by 2015. Read More

    Use of compression garments by women with lymphoedema secondary to breast cancer treatment.
    Support Care Cancer 2018 Feb 19. Epub 2018 Feb 19.
    Faculty of Health Sciences, University of Sydney, PO Box 170, Lidcombe, NSW, Australia.
    Purpose: This aim of this study was to determine the use of compression garments by women with lymphoedema secondary to breast cancer treatment and factors which underpin use.

    Methods: An online survey was distributed to the Survey and Review group of the Breast Cancer Network Australia. The survey included questions related to the participants' demographics, breast cancer and lymphoedema medical history, prescription and use of compression garments and their beliefs about compression and lymphoedema. Read More

    A screening method to distinguish syndromic from sporadic spinal extradural arachnoid cyst.
    J Orthop Sci 2018 Feb 16. Epub 2018 Feb 16.
    Laboratory of Bone and Joint Diseases, RIKEN Center for Integrative Medical Sciences, Tokyo, 108-8639, Japan. Electronic address:
    Background: Spinal extradural arachnoid cyst (SEDAC) is a cystic lesion that protrudes into the epidural space from a small dural defect. Early diagnosis of SEDAC is important because its expansion causes neurological damage. Two types of SEDAC, syndromic and sporadic, are present. Read More

    Children and adolescents' experiences of primary lymphoedema: semistructured interview study.
    Arch Dis Child 2018 Feb 17. Epub 2018 Feb 17.
    Centre for Kidney Research, The Children's Hospital at Westmead, Westmead, New South Wales, Australia.
    Background: Congenital lymphoedema is a lifelong condition that has detrimental physical and psychosocial outcomes for young patients and burdensome treatment responsibilities that may hamper patients' motivation for self-management. There is limited research from the perspective of young people with primary lymphoedema. We aimed to describe the experiences and views of children and adolescents with lymphoedema to inform patient-centred practice. Read More

    Primary lymphedema and other lymphatic anomalies are associated with 22q11.2 deletion syndrome.
    Eur J Med Genet 2018 Feb 12. Epub 2018 Feb 12.
    The Children's Hospital of Philadelphia, Philadelphia, PA, USA; Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA, USA.
    Background: Lymphedema is an abnormal accumulation of interstitial fluid within the tissues. Primary lymphedema is caused by aberrant lymphangiogenesis and it has been historically classified based on age at presentation. Although most cases are sporadic, primary lymphedema may be familial or present in association with chromosomal abnormalities and syndromic disorders. Read More

    Fibrodysplasia ossificans progressiva: a current review of imaging findings.
    Skeletal Radiol 2018 Feb 14. Epub 2018 Feb 14.
    Department of Radiology and Biomedical Imaging, University of California, San Francisco, CA, USA.
    Objective: Fibrodysplasia ossificans progressiva is a rare genetic disorder characterized by congenital skeletal deformities and soft tissue masses that progress to heterotopic ossification. Deformities of the great toes are distinctive, and heterotopic ossification in the soft tissues follows an expected anatomic and temporal pattern. In addition to heterotopic ossification, osteochondromata, middle ear ossification, demyelination, lymphedema, and venous thrombosis are characteristic. Read More

    Genetic tests in lymphatic vascular malformations and lymphedema.
    J Med Genet 2018 Feb 9. Epub 2018 Feb 9.
    Research Unit, MAGI Euregio, Bolzano, Italy.
    Syndromes with lymphatic malformations show phenotypic variability within the same entity, clinical features that overlap between different conditions and allelic as well asheterogeneity. The aim of this review is to provide a comprehensive clinical genetic description of lymphatic malformations and the techniques used for their diagnosis, and to propose a flowchart for genetic testing. Literature and database searches were performed to find conditions characterised by lymphatic malformations or the predisposition to lymphedema after surgery, to identify the associated genes and to find the guidelines and genetic tests currently used for the molecular diagnosis of these disorders. Read More

    Lymphoscintigraphy of chylous anomalies: chylothorax, chyloperitoneum, chyluria and lymphangiomatosis. Fifteen year experience in a pediatric setting and review of the literature.
    J Nucl Med Technol 2018 Feb 2. Epub 2018 Feb 2.
    CHU Sainte-Justine, Canada.
    In the pediatric setting, lymphoscintigraphy is mostly used for the evaluation of lymphedema. Only a few cases of chylous anomalies and lymphatic malformations imaged with lymphoscintigraphy, have been reported in the literature. The aim of this study was to review the use of lymphoscintigraphy in those pathologies. Read More

    Quality of Life Questionnaires in Breast Cancer-Related Lymphedema Patients: Review of the Literature.
    Lymphat Res Biol 2018 Feb 13. Epub 2018 Feb 13.
    1 Department of Plastic and Reconstructive Surgery, Maastricht University Medical Center , Maastricht, The Netherlands .
    Purpose: Lymphedema of the arm is one of the most common and underestimated side effects of breast cancer treatment. It is known to negatively affect the quality of life (QoL) in breast cancer survivors. However, there are multiple questionnaires used to measure QoL in lymphedema patients. Read More

    Lymphedema in ovarian cancer survivors: Assessing diagnostic methods and the effects of physical activity.
    Cancer 2018 Feb 13. Epub 2018 Feb 13.
    Yale School of Public Health, New Haven, Connecticut.
    Background: Lymphedema is a poorly understood side effect of gynecologic cancer treatment. This study was designed to determine the prevalence of lower limb lymphedema (LLL) in a sample of ovarian cancer survivors via 3 different diagnostic methods and to assess the effect of a randomized exercise intervention.

    Methods: Physically inactive ovarian cancer survivors (n = 95) were enrolled in a 6-month randomized trial of exercise (primarily brisk walking) versus attention control. Read More

    Occupational Therapy for the Head and Neck Cancer Patient.
    Cancer Treat Res 2018 ;174:225-235
    City of Hope National Medical Center, Duarte, USA.
    Occupational therapy is a health profession concerned with promoting health and well-being through occupation. A diagnosis of head and neck cancer (HNC) often invokes fear and anxiety because of the potential negative impact of the diagnosis and/or treatment on lifestyle and well-being. Occupational therapists perform a unique and important role in addressing quality of life concerns for HNC patients through applied expertise in lifestyle management, facilitating the use of positive coping strategies and daily routine management. Read More

    Hyperplasia of Lymphoid Follicles and Lymphangiectasia in the Parietal Pleura in Bucillamine-induced Yellow Nail Syndrome.
    Intern Med 2018 Feb 9. Epub 2018 Feb 9.
    Department of Pulmonary Medicine and Clinical Immunology, Dokkyo Medical University, Japan.
    Yellow nail syndrome (YNS) pleurisy is often difficult to control, and pathological examinations have rarely been reported. We herein report a case of bucillamine-induced YNS in which histopathology of the parietal pleura revealed hyperplasia of the lymphoid follicles and lymphangiectasia. Even after the discontinuation of bucillamine, the pleurisy and lymphedema showed no change. Read More

    Community-Based Treatment for Chronic Edema: An Effective Service Model.
    Lymphat Res Biol 2018 Feb;16(1):92-99
    4 St George's, University of London , London, United Kingdom .
    Background: Chronic edema care is patchy and of variable quality internationally. This study was undertaken to develop and evaluate a system of care that would provide for patients within a geographical area of London (Wandsworth), United Kingdom.

    Methods And Results: A prospective cohort design with intervention of a new service design following a 6-month baseline period. Read More

    Evaluation of CT Changes in the Head and Neck After Cancer Treatment: Development of a Measurement Tool.
    Lymphat Res Biol 2018 Feb;16(1):69-74
    2 Department of Medicine, Vanderbilt University Medical Center , Nashville, Tennessee.
    Background: The late effect continuum of lymphedema and fibrosis (LEF) affects more than 70% of patients after treatment for head and neck cancer (HNC). LEF is associated with symptom burden and decreased function and quality of life. Although surveillance imaging is common posttreatment, objective assessment of soft tissues is not, likely due to the lack of objective evaluation methods and understanding of the significance of LEF. Read More

    Severe lower limb cellulitis: defining the epidemiology and risk factors for primary episodes in a population-based case-control study.
    Clin Microbiol Infect 2018 Feb 7. Epub 2018 Feb 7.
    Infectious Diseases Department, Fiona Stanley Hospital, Perth, Western Australia; School of Medicine and Pharmacology, University of Western Australia, Harry Perkins Research Institute, Fiona Stanley Hospital, Murdoch, Western Australia. Electronic address:
    Objective: To describe the epidemiology and risk factors for primary episodes of severe lower leg cellulitis (LLC).

    Methods: A longitudinal cohort study using state-wide data linkage of adults presenting to Western Australian (WA) hospitals with a first ever LLC from January 2002 to December 2013. To determine risk factors, medical records from the index patient, together with comparable data from controls matched by age, sex, postcode and month of admission were extracted. Read More

    Assessing Patient-reported Quality of Life Outcomes in Vulva Cancer Patients: A Systematic Literature Review.
    Int J Gynecol Cancer 2018 Feb 8. Epub 2018 Feb 8.
    Objectives: Vulva cancer (VC) treatment carries a high risk of severe late effects that may have a negative impact on quality of life (QoL). Patient-reported outcome measures (PROMs) are increasingly used when evaluating disease- and treatment-specific effects. However, the adequacy of measures used to assess sequelae and QoL in VC remains unclear. Read More

    Clinical effectiveness of decongestive treatments on excess arm volume and patient-centered outcomes in women with early breast cancer-related arm lymphedema: a systematic review.
    JBI Database System Rev Implement Rep 2018 Feb;16(2):453-506
    Faculty of Life Sciences and Medicine, King's College London, London, United Kingdom.
    Objective: To identify the effect of decongestive lymphedema treatment on excess arm volume or patient-centered outcomes in women presenting within either 12 months or a mean nine months of developing arm lymphedema following breast cancer treatment.

    Introduction: Lymphedema is a common consequence of breast cancer treatment requiring life-long treatment to reduce symptoms and prevent complications. Currently, evidence to inform the optimal decongestive lymphedema treatment package is lacking. Read More

    Novel FOXC2 Mutation and Distichiasis in a Patient With Lymphedema-Distichiasis Syndrome.
    Ophthal Plast Reconstr Surg 2018 Feb 5. Epub 2018 Feb 5.
    Medical Scientist Training Program, Department of Ophthalmology and Visual Sciences, Vanderbilt Eye Institute, and Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, U.S.A.
    A 4 year-old-boy was referred for distichiasis of the upper and lower lids of both eyes that had been present since at least 1 year of age. The patient's family history was notable for distichiasis and lymphedema affecting numerous family members. The patient was found to have a novel heterozygous variant (c. Read More

    Manual lymphatic drainage and quality of life in patients with lymphoedema and mixed oedema: a systematic review of randomised controlled trials.
    Qual Life Res 2018 Feb 5. Epub 2018 Feb 5.
    Department of Non-Communicable Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, United Kingdom.
    Purpose: To assess the impact of manual lymphatic drainage (MLD) on the health-related quality of life (HRQoL) of adults with lymphoedema or mixed oedema, through a systematic review of randomised controlled trials (RCTs).

    Methods: MEDLINE, EMBASE, PsycINFO, CENTRAL, the Cochrane Database of Systematic Reviews and were searched to identify RCTs evaluating HRQoL after a MLD intervention compared to non-MLD interventions (PROSPERO 2016:CRD42016042255). Read More

    A lymphedema surveillance program for breast cancer patients reveals the promise of surgical prevention.
    J Surg Res 2018 Feb 1. Epub 2018 Feb 1.
    Department of Surgery, Division of Plastic and Reconstructive Surgery, University of Florida School of Medicine, Gainesville, Florida; Division of Plastic and Reconstructive Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts. Electronic address:
    Background: Breast cancer-related lymphedema (BCRL) is one of the most significant survivorship issues in breast cancer management. Presently, there is no cure for BCRL. The single greatest risk factor for developing BCRL is an axillary lymph node dissection (ALND). Read More

    The incidence and risk factors of related lymphedema for breast cancer survivors post-operation: a 2-year follow-up prospective cohort study.
    Breast Cancer 2018 Feb 3. Epub 2018 Feb 3.
    Department of Radiotherapy and Oncology, The Second Affiliated Hospital of Soochow University, No. 1055 San Xiang Road, Suzhou, 215004, Jiangsu, China.
    Purpose: To investigate the incidence rate, severity and risk factors of related lymphedema in breast cancer survivors.

    Methods: A 2-year follow-up prospective study of 387 women who had operation from four hospitals from January 1, to December 31, 2014 was conducted. Limb volume was measured by circumference and symptoms were measured using questionnaires pre-treatment and 1, 3, 6, 12, 18, 24 months after surgery separately. Read More

    Predictive factors of satisfaction and quality of life after immediate breast reconstruction using the BREAST-Q©.
    J Clin Nurs 2018 Feb 3. Epub 2018 Feb 3.
    Clinical Epidemiology and Biostatistics Research Group, Instituto de Investigación Biomédica de A Coruña (INIBIC), Complexo Hospitalario Universitario de A Coruña (CHUAC), SERGAS, Universidade da Coruña, A Coruña, Spain.
    Aims And Objectives: To analyze quality of life and satisfaction after immediate breast reconstruction due to cancer and its determining factors.

    Background: Studying breast reconstruction is important because of its frequency and variability. In addition to the surgical results, it is necessary to analyze the quality of life and patient satisfaction using a specific tool. Read More

    Arm morbidity of axillary dissection with sentinel node biopsy versus delayed axillary dissection.
    ANZ J Surg 2018 Feb 2. Epub 2018 Feb 2.
    Division of Surgery, Medical School, The University of Western Australia, Perth, Western Australia, Australia.
    Background: Staging of axillary lymph nodes in breast cancer is important for prognostication and planning of adjuvant therapy. The traditional practice of proceeding to axillary lymph node dissection (ALND) if sentinel lymph node biopsy (SLNB) is positive is being challenged and clinical trials are underway. For many centres, this will mean a move away from intra-operative SLNB assessment and utilization of a second procedure to perform ALND. Read More

    Stewart-Treves syndrome: Magnetic resonance imaging data compared with pathological results from a single center.
    Oncol Lett 2018 Jan 8;15(1):1113-1118. Epub 2017 Nov 8.
    Department of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, P.R. China.
    The aim of the present study was to evaluate the magnetic resonance imaging (MRI) data of patients with Stewart-Treves Syndrome (STS), and to compare them with the corresponding pathological data. A total of 4,289 cases of secondary upper limb lymphedema (LE) from a single center, including 5 female cases of STS who underwent modified-radical post mastectomy, were included in the study. All cases were diagnosed pathologically, and by conventional and contrast-enhanced (ce)MRI scans. Read More

    The potential role of angiogenesis in the development of shoulder pain, shoulder dysfunction, and lymphedema after breast cancer treatment.
    Cancer Manag Res 2018 15;10:81-90. Epub 2018 Jan 15.
    Clinical Research Centre, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
    Shoulder morbidity is a well-documented sequela of breast cancer treatment, which includes various manifestations such as pain, reduced range of motion, and lymphedema, among others. The multifactorial nature of such morbidities has long been appreciated, and research on reliable risk predictors of development thereof still continues. Previous studies have demonstrated the potential of different types of physical therapy to treat such shoulder problems, and the integration of such interventions into routine care for breast cancer survivors is a requirement in most high-income countries. Read More

    Duration of Anti-Programmed Death-1 Therapy in Advanced Melanoma: How Much of a Good Thing Is Enough?
    J Clin Oncol 2018 Feb 1:JCO2017768275. Epub 2018 Feb 1.
    Nikhil I. Khushalani, H. Lee Moffitt Cancer Center, Tampa, FL.
    The Oncology Grand Rounds series is designed to place original reports published in the Journal into clinical context. A case presentation is followed by a description of diagnostic and management challenges, a review of the relevant literature, and a summary of the authors' suggested management approaches. The goal of this series is to help readers better understand how to apply the results of key studies, including those published in Journal of Clinical Oncology, to patients seen in their own clinical practice. Read More

    Filaria surveys in the Armed Forces: Need for a revisit.
    Med J Armed Forces India 2017 Oct 17;73(4):332-337. Epub 2016 Nov 17.
    Associate Professor, Dept of Community Medicine, Armed Forces Medical College, Pune 411040, India.
    Background: Routine annual filarial surveys are conducted amongst various categories of military personnel and their families as per policies in vogue in the Armed Forces. The neglect and inattention faced by this disease needs to be addressed in terms of policy, provisioning and processes while dealing with filariasis in the Armed Forces.

    Methods: Routine annual filarial survey was conducted in a garrison during the months of Nov and Dec in 2013 and 2014. Read More

    Head and neck lymphedema management: Evaluation of a therapy program.
    Head Neck 2018 Jan 31. Epub 2018 Jan 31.
    Radiation Oncology Department, Princess Alexandra Hospital, University of Queensland, Brisbane, Australia.
    Background: The purpose of this pilot study was to examine a therapeutic intervention for head and neck lymphedema. The 22-week intervention involved therapist-led care and participant self-management. Effectiveness was evaluated using a previously described lymphedema assessment tool, the Assessment of Lymphedema of the Head and Neck (ALOHA) to detect change over the course of the 22 weeks of treatment, and before and after a single treatment session. Read More

    Taking a proactive approach to mild to moderate chronic oedema: a case study.
    Br J Community Nurs 2018 Feb;23(2):64-68
    National Clinical Lead for Lymphoedema in Wales.
    This case study demonstrates the benefits of early intervention and a proactive approach for a patient with chronic oedema living in the community. These benefited the patient and also supported value-based healthcare in the NHS. The patient's health and wellbeing significantly improved with an assessment of his chronic oedema and a management plan consisting of skincare, an exercise and movement programme and the introduction of a class 1 British standard compression garment. Read More

    Assessing the feasibility of integration of self-care for filarial lymphoedema into existing community leprosy self-help groups in Nepal.
    BMC Public Health 2018 01 30;18(1):201. Epub 2018 Jan 30.
    American Leprosy Missions, Greenville, USA.
    Background: Lymphatic filariasis (LF) and leprosy are disabling infectious diseases endemic in Nepal. LF infection can lead to lymphoedema and hydrocoele, while secondary effects of leprosy infection include impairments to hands, eyes and feet. The disabling effects of both conditions can be managed through self-care and the supportive effects of self-help groups (SHGs). Read More

    Lymph drainage of the upper limb and mammary region to the axilla: anatomical study in stillborns.
    Breast Cancer Res Treat 2018 Jan 29. Epub 2018 Jan 29.
    Discipline of Human Structural Topography, Department of Surgery, University of São Paulo Faculty of Medicine, Laboratory of Medical Investigation 02 (LIM 02), 455 Doutor Arnaldo Avenue - 1st Floor - Rooms 1302 and 1305 - Cerqueira César, São Paulo, 01246-903, Brazil.
    Purpose: We studied the lymphatic drainage of the upper limb and mammary region directing to the axilla to investigate whether independent pathways can be observed or whether anastomoses and shared drainage occur between them. This analysis aimed to assess the safety of axillary reverse mapping (ARM) in breast cancer treatment and to understand the development of lymphedema after sentinel lymph node biopsy (SLNB) alone.

    Methods: Seven unfixed stillborn fetuses were injected with a modified Gerota mass in the peri-areolar area, palm and dorsum of the hands, formalin fixed, and then submerged in 10% hydrogen peroxide solution. Read More

    Lipoedema in patients after bariatric surgery: report of two cases and review of literature.
    Clin Obes 2018 Jan 25. Epub 2018 Jan 25.
    Department of Surgery, Catharina Hospital, Eindhoven, The Netherlands.
    Lipoedema is a disorder of adipose tissue that is characterized by abnormal subcutaneous fat deposition, leading to swelling and enlargement of the lower limbs as well as the trunk. This entity is often misdiagnosed as lymphoedema or obesity and, therefore, may be overlooked and missed in patients scheduled for bariatric surgery. Patients with lipoedema who undergo bariatric surgery may have to continue to have extensive lower extremity and trunk adiposity despite adequate weight loss. Read More

    Consumer credit as a novel marker for economic burden and health after cancer in a diverse population of breast cancer survivors in the USA.
    J Cancer Surviv 2018 Jan 25. Epub 2018 Jan 25.
    Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, 615 N Wolfe St, E6650, Baltimore, MD, 21205, USA.
    Background: Consumer credit may reflect financial hardship that patients face due to cancer treatment, which in turn may impact ability to manage health after cancer; however, credit's relationship to economic burden and health after cancer has not been evaluated.

    Methods: From May to September 2015, 123 women with a history of breast cancer residing in Pennsylvania or New Jersey completed a cross-sectional survey of demographics, socioeconomic position, comorbidities, SF-12 self-rated health, economic burden since cancer diagnosis, psychosocial stress, and self-reported (poor to excellent) credit quality. Ordinal logistic regression evaluated credit's contribution to economic burden and self-rated health. Read More

    The development of a 'wet leg' pathway for chronic oedema.
    Int J Palliat Nurs 2018 Jan;24(1):40-46
    National Lymphoedema Clinical Lead, Lymphoedema Network Wales, Cimla Health and Social Care Centre, Neath, Wales, UK.
    Chronic oedema and leaking lymphorrhoea can be distressing and challenging for patients to live with. This article introduces the Chronic Oedema 'Wet Leg' Pathway, which became an output from the Lymphoedema Network Wales 'On the Ground Education Project' ( Thomas et al, 2017 ). The evidence-based pathway provides nurses and therapists with clear guidelines to support prompt, efficient and effective management of all patients with chronic oedema and wet legs. Read More

    Morbihan disease: a therapeutic challenge.
    An Bras Dermatol 2017 Nov-Dec;92(6):847-850
    Dermatology Service at Hospital Universitário Pedro Ernesto, Universidade do Estado do Rio de Janeiro (HUPE-UERJ) - Rio de Janeiro (RJ), Brazil.
    Morbihan disease is a rare condition characterized by chronic and persistent erythematous solid edema localized on the face. It is believed to be a complication of rosacea and may occur at any stage of the disease. Features of this condition include variable therapeutic response and great refractoriness. Read More

    Hand Edema in Patients at Risk of Breast Cancer-Related Lymphedema (BCRL): Health Professionals Should Take Notice.
    Phys Ther 2018 Jan 18. Epub 2018 Jan 18.
    Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114 (USA).
    Background: There is little research on hand edema in the population at risk for breast cancer-related lymphedema (BCRL).

    Objectives: Study aims included reporting potential importance of hand edema (HE) as a risk factor for progression of edema in patients treated for breast cancer at risk for BCRL, reporting risk factors for BCRL, and reporting treatment of HE.

    Design/methods: This was a retrospective analysis of 9 patients treated for breast cancer in Massachusetts General Hospital's lymphedema screening program who presented with isolated HE. Read More

    Function, Shoulder Motion, Pain, and Lymphedema in Breast Cancer With and Without Axillary Web Syndrome: An 18-Month Follow-Up.
    Phys Ther 2018 Jan 18. Epub 2018 Jan 18.
    Division of Medical Oncology, Department of Oncology, Mayo Clinic, Rochester, MN.
    Background: Axillary web syndrome (AWS) can develop following breast cancer surgery and presents as a tight band of tissue in the axilla with shoulder abduction.

    Objective: The objectives were to determine the prevalence and natural history of AWS, and the association between AWS and function, range of motion, pain, lymphedema, and body mass index (BMI).

    Design: This study was a longitudinal prospective cohort study utilizing a repeated measures design. Read More

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