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Lymphedema cancer

Giuseppe Visconti, Girolamo Tartaglione, Roberto Bartoletti, Marzia Salgarello
BACKGROUND: We report our clinical experience of a supraclavicular lymph node flap (LNF) using a novel method of harvesting based on the compartimental lymphatic and vascular anatomy of the right posterior neck triangle, which allows to harvest two independent LNFs from the same donor site. PATIENTS AND METHODS: We report a case series of 10 consecutive patients affected by cancer-related lower extremity lymphedema, who underwent compartimental dual LNF transfer from the right supraclavicular area to the affected lower limb, from August 2015 to March 2017...
November 19, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Francesco Iovino, Gianluca Gatta, Pasquale Pio Auriemma, Luca Dani, Giulio Antoniol, Alfonso Barbarisi
BACKGROUND: We aimed to assess whether the use of the harmonic scalpel (HS) in axillary dissection would reduce long-term shoulder-arm morbidity compared to traditional instruments (TIs). MATERIALS AND METHODS: A retrospective analysis on 180 patients who underwent standard axillary dissection for breast cancer between 2007 and 2015 was carried out. All patients were evaluated for postoperative pain, impairment of shoulder-arm mobility, seroma formation in axilla, frozen shoulder, and lymphedema...
January 2019: Journal of Surgical Research
Freerk T Baumann, Alexandra Reike, Michael Hallek, Joachim Wiskemann, Vanessa Reimer
Background: Secondary lymphedema (SL) is a possible side effect of breast cancer treatment. Current data describe a positive influence of exercise on upper lymphedema. This systematic review evaluates studies examining a potential preventive effect of exercise on SL incidence. Methods: A systematic literature search of PubMed, LIVIVO, and the Cochrane Library was performed. Results: 8 randomized controlled trials were included in the review...
October 2018: Breast Care
Cecilia Malmsten, Pär Hellberg, Karin Bergmark, Pernilla Dahm-Kähler
PURPOSE: Our aim was to evaluate fertility-sparing surgery of early stage cervical cancer after the introduction of vaginal trachelectomy (VT) and pelvic lymph node dissection (PLND). The objectives were to assess surgical, long-term oncological, fertility, and obstetric outcomes together with self-assessed quality of life (QoL). METHODS: All women ≤ 40 years diagnosed with early stage cervical cancers IA1-IB1 and ≤ 2 cm treated by VT and PLND between 2000 and 2014 were included...
November 28, 2018: Archives of Gynecology and Obstetrics
Sheila H Ridner, Mary S Dietrich, Stephen T Sonis, Barbara Murphy
BACKGROUND: This study examined interrelationships of selected interleukins (ILs), tumor growth factors, matrix metalloproteinases (MMPs), and C-reactive protein, interferon-gamma (IFN-γ), and tumor necrosis factor α (TNF-α) with lymphedema/fibrosis in patients with head and neck cancer (HNC). METHODS AND RESULTS: Patients newly diagnosed with ≥Stage II HNC (N = 100) were assessed for external/internal lymphedema and/or fibrosis before treatment, end-of-treatment, and at regularly established intervals through 72 weeks posttreatment and blood was drawn...
November 28, 2018: Lymphatic Research and Biology
Fabíola Cristina Brandini da Silva, Jonathas José da Silva, Almir José Sarri, Carlos Eduardo Paiva, René Aloisio da Costa Vieira
INTRODUCTION: When evaluating a quality-of-life questionnaire (QLQ), many validation studies do not correlate quality-of-life scores with objective measurements of complications associated with treatment. PATIENTS AND METHODS: We performed a cross-sectional observational study with 300 patients submitted to breast-conserving therapy. The patients answered the European Organization for Research and Treatment of Cancer (EORTC) QLQs C-30 and BR23, as well as the Brazilian Portuguese version of the Breast Cancer Treatment Outcome Scale (BCTOS) questionnaire...
October 27, 2018: Clinical Breast Cancer
Hin-Lun Liu, Suet-Ying Pang, Chung-Ching Lee
INTRODUCTION: Vascularized lymph node transfer is an established treatment for secondary lymphedema. Different donor sites of lymph node flap have been described. In our institute, vascularized groin lymph node (VGLN) flap is the workhorse flap for treating breast cancer-related lymphedema (BCRL). Potential complications of VGLN flap harvesting include seroma formation, thigh dysaesthesia, and iatrogenic lymphedema. METHODS: Between August 2013 and June 2016, 30 consecutive patients with a mean age of 60 years underwent VGLN transfer for BCRL...
November 3, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Seung Hyun Chung, Kwang Gi Kim
The secondary lymphedema is mostly caused due to injury of lymphatic system during cancer treatment and its psychological and cosmetic issues are very critical for patients since it can cause severe thickening and swelling of lesions, mostly upper and lower limbs. Therefore, early diagnosis of the secondary lymphedema is more important to treat the symptoms in advance. The amplitude-mode (A-mode) ultrasound is suggested as an early diagnostic modality because it is relatively more cost-effective, portable, and easy to use than other previous diagnostic modalities...
November 2018: Physica Medica: PM
Ju Sang Lee
[Purpose] This study aimed to determine the effect of scrambler therapy on upper extremity pain in patient who had undergone breast cancer related lymphedema. [Participant and Methods] The patient was a 39-year-old woman who developed pain and lymphedema in the right upper extremity after mastectomy. Scrambler therapy was administered once a day every 45 minutes for 10 days to patient. [Results] After 10 sessions of scrambler therapy, pain was reduced 6 points. Bioimpedence and circumference was not increased after 10 treatment sessions...
November 2018: Journal of Physical Therapy Science
Ragnhild J Tveit Sekse, Gail Dunberger, Mette Linnet Olesen, Maria Østerbye, Lene Seibaek
AIM AND OBJECTIVES: To review the literature on Nordic women's lived experiences and quality of life (QoL) after gynaecological cancer treatment. BACKGROUND: While incidence and survival are increasing in all groups of gynaecological cancers in the Nordic countries, inpatient hospitalization has become shorter in relation to treatment. This has increased the need for follow-up and rehabilitation. DESIGN: Integrative literature review using the Equator PRISMA guidelines...
November 21, 2018: Journal of Clinical Nursing
An-Ti Chiang, Qi Chen, Yao Wang, Mei R Fu
Using Kinect sensors to monitor and provide feedback to patients performing intervention or rehabilitation exercises is an upcoming trend in healthcare. However, the joint positions measured by the Kinect sensor are often unreliable, especially for joints that are occluded by other parts of the body. Also, users' motion sequences differ significantly even when doing the same exercise and are not temporally aligned, making the evaluation of the correctness of their movement challenging. This paper aims to develop a Kinect-based intervention system, which can guide the users to perform the exercises more effectively...
2018: IEEE Journal of Translational Engineering in Health and Medicine
Rogério Mendonça de Carvalho, Fausto Miranda
BACKGROUND: The traditional overflow method for measuring limb volume remains the gold standard, but many disadvantages still inhibit its routine use in clinical practice. OBJECTIVE: To assess the intra-rater and inter-rater reliability and criterion validity of the 'communicating vessels volumeter' (CVV) for volume measurement of lymphedematous upper extremities (LUE) by using the overflow volumeter (OV) as the reference standard. METHODS: Twelve LUE of 12 women undergoing mastectomy for breast cancer were measured three times each by three raters using both methods, totaling 216 volume measurements...
November 12, 2018: Brazilian Journal of Physical Therapy
An-Ti Chiang, Qi Chen, Yao Wang, Mei R Fu
Using Kinect sensors to monitor and provide feedback to patients performing intervention or rehabilitation exercises is an upcoming trend in healthcare. However, the users' motion sequences differ significantly even when doing the same exercise and are not temporally aligned, making the evaluation of the correctness of their movement challenging. We have developed a method to divide the long motion sequence for each exercise into multiple subsequences, each corresponding to the transition of one key pose to another...
July 2018: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Stanley G Rockson
New England Journal of Medicine, Volume 379, Issue 20, Page 1937-1944, November 2018.
November 15, 2018: New England Journal of Medicine
Linda A Koehler, Harvey N Mayrovitz
BACKGROUND: Tissue dielectric constant (TDC), as an index of local tissue water, and girth measurements are quantitative methods to measure and characterize lymphedema. OBJECTIVE: To describe the spatial and temporal variability in arm girth and TDC values in women surgically treated for breast cancer and to describe the relationship between these measures. METHODS AND RESULTS: This was a prospective longitudinal study that observed 36 women for 78 weeks after breast cancer surgery with lymph node removal...
November 14, 2018: Lymphatic Research and Biology
James M Economides, Michael V DeFazio, Kenneth L Fan, David H Song
No abstract text is available yet for this article.
October 4, 2018: Plastic and Reconstructive Surgery
T I Grushina
The author selected the set of ICF (International Classification of Functioning, Disability and Health) categories selected for breast cancer patients presenting with the major late complications of the surgical treatment, such as upper limp lymphedema, pain syndrome, and mobility limitation in the shoulder joint on the side of the intervention. The problems associated with each component of ICF are described including the body functions - 26 categories, body structures - 15, activities and participation - 49, environmental factors - 31 categories...
2018: Voprosy Kurortologii, Fizioterapii, i Lechebnoĭ Fizicheskoĭ Kultury
Farzana Khan, Nezamuddin Ahmad, Fazle Noor Biswas
Background: Breast cancer (BC) patients may experience multiple symptoms due to the disease itself, cancer treatment or combination of both. Aim: The aim of the present study was to express multiple symptoms experienced by the patients with BC as clusters. Methods: This was a retrospective study. We examined symptom profiles of 120 patients with BC who attended the Centre for Palliative Care, Bangabandhu Sheikh Mujib Medical University in Dhaka, Bangladesh, from January 2009 to December 2013...
October 2018: Indian Journal of Palliative Care
Sarah J Skuli, Jennifer Y Sheng, Elissa T Bantug, Nelli Zafman, Carol Riley, Jessica M Ruck, Katherine C Smith, Claire F Snyder, Karen L Smith, Vered Stearns, Antonio C Wolff
PURPOSE: Breast cancer survivors face numerous challenges after diagnosis and treatment. Several models have been developed to attempt to improve quality of care. Here, we describe characteristics and outcomes of patients who participated in survivorship visits (SV) at Johns Hopkins (JH). METHODS: We retrospectively reviewed charts of breast cancer patients who participated in an optional SV 1-3 months after completing locoregional therapy and initial systemic therapy...
November 7, 2018: Breast Cancer Research and Treatment
Aileen Y Chang, Rakhi Karwa, Naftali Busakhala, Sara L Fletcher, Edith C Tonui, Paul Wasike, Michael A Kohn, Fredrick Chite Asirwa, Samson K Kiprono, Toby Maurer, Suzanne Goodrich, Sonak D Pastakia
Background: HIV-associated Kaposi sarcoma (KS), among the most frequent cancers seen in sub-Saharan Africa, is associated with a high prevalence of lymphedema. Lymphedema causes progressive functional impairment marked by swelling, physical discomfort, disfiguring changes, skin hardening from fibrosis, poor wound healing, and recurrent skin infection. While compression therapy is considered a major component of lymphedema management, this intervention has never been evaluated in HIV-associated KS lymphedema...
December 2018: Contemporary Clinical Trials Communications
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