Lymphedema following axillary lymph node dissection for breast cancer

Sakorafas, George H.; Peros, George; Cataliotti, Luigi; Vlastos, George

doi:10.1016/j.suronc.2006.11.003

Cited by 215 publications

(194 citation statements)

References 74 publications

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“…Lymphedema is a chronic, debilitating complication that breast cancer survivors face after breast cancer treatment [1][2][3][4][5][6][7][8]. Incidence of secondary arm lymphedema varies from 5 to 56 percent [4,[7][8][9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

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Effect of home-based exercise program on lymphedema and quality of life in female postmastectomy patients: Pre-post intervention study

Gautam¹,

Maiya²,

Vidyasagar³

2011

JRRD

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Abstract-Lymphedema is a debilitating complication following mastectomy, affecting the arm functions and quality of life (QOL) of breast cancer patients. Studies have shown the beneficial effects of upper-limb exercises on lymphedema in clinical settings. However, there is a dearth of evidence regarding the effect of home-based exercises on lymphedema; therefore, we examined the effect of a home-based exercise program on lymphedema and QOL in postmastectomy patients. Thirty-two female postmastectomy lymphedema patients participated in an individualized home-based exercise program for 8 weeks. Arm circumference, arm volume, and QOL (36-Item Short Form Health Survey) were measured before and after the program. Data were analyzed with the use of paired t-tests for circumferential and volumetric measures and Wilcoxon signed ranks tests for QOL. Significance level was set at p < 0.01 with Bonferroni correction (alpha/n = 0.05/5 = 0.01). Analysis showed a statistically significant improvement in the affected upper-limb circumference and volume (~122 mL reduction, p < 0.001) and in the QOL scores (p < 0.001) at the end of the home-based exercise program. The individualized home-based exercise program led to improvement in affected upper-limb volume and circumference and QOL of postmastectomy lymphedema patients.

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Section: Introductionmentioning

confidence: 99%

“…The hemodynamic factors at the site of lymphedema may also play a role in its development [1]. Affected women can experience pain, swelling, arm tightness, heaviness of the arm, and recurrent skin infections.…”

Section: Introductionmentioning

confidence: 99%

Effect of home-based exercise program on lymphedema and quality of life in female postmastectomy patients: Pre-post intervention study

Gautam¹,

Maiya²,

Vidyasagar³

2011

JRRD

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“…In the literature, even cases without surgical intervention with RT to the axilla showed increased lymphedema incidence; moreover, with the combination of AD, it is reported to increase the lymphedema risk even more by showing a synergistic effect. 39 In similar studies, the lymphedema incidence in patients to whom RT was applied in addition to surgery was 41%, while this ratio was 17% in patients in whom surgery was performed alone. 40,41 It is reported in the literature that infection and seroma development with adjuvant CT treatment do not increase the lymphedema incidence.…”

Section: Resultsmentioning

confidence: 86%

Distribution of Early-Stage Lymphedema and Risk Factors in Postoperative Patients with Breast Cancer: A Hospital Based Study

Mohanty¹

2016

jmscr

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“…Isso também condiz com a literatura, que cita as cirurgias menos conservadoras e a radioterapia axilar, por exemplo, como fatores que predispõem ao linfedema. 17 [ …”

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Construção do conhecimento necessário ao desenvolvimento de um manual didático-instrucional na prevenção do linfedema pós-mastectomia

Panobianco

Souza

Prado³

et al. 2009

Texto contexto - enferm.

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RESUMO:O objetivo deste estudo foi a construção do conhecimento científico e empírico, necessários para o desenvolvimento de um manual didático-instrucional, destinado às mulheres mastectomizadas, para capacitá-las à prevenção do linfedema de braço. Fundamentou-se na teoria pedagógica de Paulo Freire da educação problematizadora. Os sujeitos do estudo foram 33 mulheres mastectomizadas que frequentavam um núcleo de reabilitação e 16 membros da equipe multiprofissional deste serviço. Foram realizados círculos de discussão para coleta de dados, separadamente, para mulheres e profissionais. A análise de conteúdo proposta por Bardin foi utilizada para analisar os dados. Na visão dos profissionais o manual deve contemplar a caracterização do sistema linfático e linfedema; ações de detecção e controle; fatores de risco; terapias e suas repercussões; explicitar o porquê de cada orientação usando linguagem acessível. Para as mulheres mastectomizadas é importante constar a fisiopatologia do linfedema; dados sobre cirurgia e tratamentos; fatores predisponentes ao linfedema e importância do autocuidado. DESCRITORES:Linfedema. Neoplasias mamárias. Educação em saúde. Mastectomia. KNOWLEDGE CONSTRUCTION NECESSARY FOR THE DEVELOPMENT OF A DIDACTIC-INSTRUCTIVE MANUAL FOR POST MASTECTOMY LYMPHEDEMA PREVENTIONABSTRACT: This study aimed to construct the scientific and empirical knowledge necessary for the development of a didacticinstructive manual addressed to women with mastectomies in order to empower them towards arm lymphedema prevention. The study was based on Paulo Freire's pedagogical theory of problematizing education. The subjects of the study were 33 women with mastectomies who attend a rehabilitation center and 16 members of the center's multiprofesional team. Discussion circles were used for data collection, separately for women and the team members. Content analysis proposed by Bardin was used in data analysis. According to the team, educational material must cover the characterization of the lymphatic system and the lymphedema; detection and control actions; risk factors; and therapies and their repercussions. It should also explain the reasons for each orientation and use understandable language. For women it is important to regard the physiopathology of lymphedema; data about the surgery and treatment; predisposing factors for the development of lymphedema; and the importance of self care. DESCRIPTORS:Lymphedema. Breast neoplasms. Health education. Mastectomy.

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Lymphedema following axillary lymph node dissection for breast cancer

Cited by 215 publications

References 74 publications

Effect of home-based exercise program on lymphedema and quality of life in female postmastectomy patients: Pre-post intervention study

Effect of home-based exercise program on lymphedema and quality of life in female postmastectomy patients: Pre-post intervention study

Distribution of Early-Stage Lymphedema and Risk Factors in Postoperative Patients with Breast Cancer: A Hospital Based Study

Construção do conhecimento necessário ao desenvolvimento de um manual didático-instrucional na prevenção do linfedema pós-mastectomia

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