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Sentinel lymph node mapping in breast cancer
Published in Charles F. Levenback, Ate G.J. van der Zee, Robert L. Coleman, Clinical Lymphatic Mapping in Gynecologic Cancers, 2022
Angelena Crown, Mary L. Gemignani
Studies demonstrate a lower rate of lymphedema in women who undergo SLNB compared to those who undergo ALND. McLaughlin et al. reported a series of 936 women who underwent axillary surgery at MSKCC; women who required ALND had a 16% rate of lymphedema at 5 years follow-up compared to 5% in women who required SLNB alone.79 Risk factors associated with the development of lymphedema included higher body mass index and infection or injury of the ipsilateral arm. Studies exploring the incidence and management of lymphedema are ongoing, with additional work focusing on prevention and early detection.
Lymphoscintigraphy
Published in Michael Ljungberg, Handbook of Nuclear Medicine and Molecular Imaging for Physicists, 2022
Rimma Axelsson, Maria Holstensson, Ulrika Estenberg
Early diagnosis is essential in preventing progressive lymphedema. However, the diagnosis of lymphedema is not easy and is often missed or confused with other conditions with swollen limbs, such as venous insufficiency or lipedema. Lymphedema diagnosis requires careful attention to the patient’s history, risk factors, specific findings on physical examination, and use of different diagnostic techniques.
Open central and peripheral venous reconstructionComplications and strategies for managing these complications
Published in Sachinder Singh Hans, Mark F. Conrad, Vascular and Endovascular Complications, 2021
Gloria Y. Kim, Dawn M. Coleman, Thomas W. Wakefield
Graft occlusion, when associated with bilateral lower extremity edema, is often managed nonoperatively. Manual lymphatic massage and inelastic bandaging followed by elastic compression after the condition stabilizes offer symptomatic relief to patients without preoperative lymphedema.5 Patients with significant morbidity associated with the thrombosed iliocaval reconstruction may benefit from catheter-directed thrombolysis or mechanical thrombectomy.20,21
Impact on Health-Related quality of life after wearing compression garment or not for six months in women with mild breast cancer-related arm lymphedema. A cross-sectional study
Published in Acta Oncologica, 2023
Katarina Y. Blom, Karin I. Johansson, Lena B. Nilsson-Wikmar, Pia E. Klernäs, Christina B. Brogårdh
In the practical domain, more participants in the CG rated a negative impact on HRQOL regarding employment activities compared to the NCG, which indicates that it may be a problem for some patients. In many occupations, of hygienic reasons, it is difficult to wear a compression sleeve and even more difficult to use a glove. Individualized counseling about strategies on how to use the compression garment during work/household activities may be helpful and could probably improve HRQOL. For example, the use of night compression [20] can compensate for part of the day when the patient finds it difficult to use compression. To improve adherence and optimize compression treatment it is important to apply a person-centered approach and ask about the patient’s own experience and consider the possible negative impact on HRQOL in relation to the preventive effect. The compression treatment should also be evaluated regularly to ensure that the lymphedema is not over-or under-treated.
An important tool in lymphedema management: validation of Turkish version of the lymphedema breast cancer questionnaire
Published in Disability and Rehabilitation, 2022
Hanife Doğan, Hanife Abakay, Ayşe Güç, Halit Karaca
In the diagnosis of lymphedema, the concepts of heaviness and swelling are especially focused on [9]. Each question in the LBCQ reflects a separate symptom. When looking at symptom percentages, patients with lymphedema reported higher rates of symptoms compared to those without lymphedema. In the literature, it has been reported that 10–60% of the patients experience at least one upper extremity problem (pain, numbness, tingling, stiffness, edema, weakness, or reduction in joint range) within a period of 6 months to 3 years after surgery [26]. In our study, the most common symptoms encountered by individuals with lymphedema were a heaviness, swelling, increased temperature, stiffness, and the development of fluid buildup. These results contribute to clinical and empirical studies regarding the symptoms researchers should focus on most in detecting lymphedema.
Filling the Gap: APP Utilization to Meet Care Needs in Oncology
Published in Oncology Issues, 2022
Ellen R. Miller, Anne Rajkumar-Calkins, Mahmoud Ahmed, Evan C. Osmundson, Heather J. Jackson
A 47-year-old female presented for routine follow-up after breast cancer treatment. In discussion of potential side effects following treatment, the NP identified lymphedema as negatively affecting her quality of life. Additionally, the patient reported pain in her breast after radiation due to formation of significant scar tissue. The NP referred the patient for lymphedema physical therapy, and she was fitted for a compression bra, sleeve, and gauntlet. In the NP’s next visit with the patient, there was noted improvement in the patient’s lymphedema and scar tissue in her breast that led to better quality of life and less pain in her breast, without the use of medications. Before the lymphedema physical therapy, the patient had been unable to perform a self-breast exam because the breast was too tender for palpation, but, with the reduction in pain, she had begun performing monthly breast exams herself.