Unilateral Extremity Swelling in Female Patients with Cancer

Samdani, Saima; Lachmann, Elisabeth; Nagler, Willibald

doi:10.1089/152460901750269634

Cited by 3 publications

(1 citation statement)

References 49 publications

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“…Because of this association, malignancy should be considered in all cases of unilateral limb swelling. 16 In a large review of 650 patients with primary and secondary lymphedema, 65 patients were found to have a malignant lesion. 17 Ovarian carcinoma and uterine carcinoma were the most common malignancies.…”

Section: Discussionmentioning

confidence: 99%

Primary Upper Limb Lymphedema: Case Report of a Rare Pathology

McFarlane¹

2017

permj

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Section: Discussionmentioning

confidence: 99%

Primary Upper Limb Lymphedema: Case Report of a Rare Pathology

McFarlane¹

2017

permj

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Lymphedema in Gynecologic Cancer Survivors

Lockwood-Rayermann

2007

Cancer Nursing

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There is a paucity of research on the incidence and impact of lower body lymphedema in the gynecologic cancer population. The cornerstone of management for gynecologic cancer is cytoreductive surgery. Depending on the site of the cancer, surgery traditionally involves removal of the ovaries, fallopian tubes, uterus and cervix, accompanied with extensive node dissection throughout the pelvic cavity, and, in the case of ovarian cancer, removal of the omentum. Resection of pelvic lymph nodes and vessels, compounded by gravitational influences on lymphatic flow, can lead to lymphatic congestion that impairs mobility, raises intra-abdominal pressure, and increases abdominal and extremity girth. Lymphedema can be an indicator of recurrence and is frequently associated with toxicities such as skin breakdown, pain, neuropathy, and myopathy. Physical changes, role changes, and psychosocial issues are common symptoms reported by breast cancer survivors with lymphedema. Assessment and management strategies for upper extremity lymphedema following treatment of breast cancer cannot be directly transferred to lower extremity lymphedema affecting women with cancer of the ovary, cervix, uterus, and vulva because of limb size, volume, and location. Clinicians have anecdotally reported the presence of lower body lymphedema in many gynecologic cancer patients. Survivors have described tightness, swelling, and heaviness. Despite these clinical findings, no systematic study of lower body lymphedema in women with gynecologic cancer has been conducted. Whether lower body lymphedema is as debilitating and long-term as post-mastectomy lymphedema is not empirically known.

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The Experience of Lower Limb Lymphedema for Women After Treatment for Gynecologic Cancer

Ryan¹,

Stainton²,

Jaconelli³

et al. 2003

Oncology Nursing Forum

121

114

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The role of nursing in acute and community care of women at risk for developing lower limb lymphedema includes (a) engaging women in protecting their legs from infection or trauma pre- and postoperatively, (b) providing nursing care and education during the pre- and postoperative phases, and (c) ensuring that women being discharged are aware of early signs and symptoms of lower limb lymphedema and how to access qualified, specialized therapists so that early and effective management can be initiated.

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Unilateral Extremity Swelling in Female Patients with Cancer

Cited by 3 publications

References 49 publications

Primary Upper Limb Lymphedema: Case Report of a Rare Pathology

Primary Upper Limb Lymphedema: Case Report of a Rare Pathology

Lymphedema in Gynecologic Cancer Survivors

The Experience of Lower Limb Lymphedema for Women After Treatment for Gynecologic Cancer

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