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Lymphoedema

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https://www.readbyqxmd.com/read/28984676/advances-in-understanding-and-management-of-lymphoedema-cancer-primary
#1
Vaughan Keeley
PURPOSE OF REVIEW: Despite being neglected both clinically and in research in the past, primary lymphoedema, and lymphoedema secondary to cancer treatment have been the subject of an increasing number of studies in recent years. This review will focus on new developments relevant to clinical practice. RECENT FINDINGS: The main themes covered by the review include the incidence and prevalence of lymphoedema, early detection and intervention in cancer-related lymphoedema, risk reduction for the development of cancer-related lymphoedema, surgical treatment, palliative care for lymphoedema in advanced cancer and developments in the genetics of primary lymphoedema...
October 3, 2017: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/28969188/primary-intestinal-lymphangiectasia-waldmann-s-disease-presenting-with-chylous-effusions-in-a-15-year-old
#2
Vijay Surampalli, Srinath Ramaswamy, Deepanjali Surendran, Chanaveerappa Bammigatti, Rathinam Palamalai Swaminathan
Primary Intestinal Lymphangiectasia (PIL) is a rare disease of unknown aetiology which presents in the paediatric age group with anasarca, diarrhoea, hypoproteinaemia, lymphoedema and chylous effusions. Tuberculosis, filariasis, chest trauma, malignancies and haematological disorders usually contribute to most cases of secondary lymphangiectasia and chylous effusions. We hereby describe a case of PIL presenting with chylous effusions which remained undiagnosed for eight years.
August 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28968482/lymphadenectomy-for-the-management-of-endometrial-cancer
#3
REVIEW
Jonathan A Frost, Katie E Webster, Andrew Bryant, Jo Morrison
BACKGROUND: This is an update of a previous Cochrane review published in Issue 1, 2010 and updated in Issue 9, 2015. The role of lymphadenectomy in surgical management of endometrial cancer remains controversial. Lymph node metastases can be found in approximately 10% of women who before surgery are thought to have cancer confined to the womb. Removal of all pelvic and para-aortic lymph nodes (lymphadenectomy) at initial surgery has been widely advocated, and pelvic and para-aortic lymphadenectomy remains part of the FIGO (International Federation of Gynaecology and Obstetrics) staging system for endometrial cancer...
October 2, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28961055/managing-upper-limb-lymphoedema-with-use-of-a-combined-armsleeve-compression-garment
#4
Stacy Pugh, Charlotte Stubbs, Ali Batchelor
This article will detail the findings of 4 case studies following a product evaluation of a JOBST Bella Lite combined armsleeve for mild to moderate lymphoedema, while discussing the assessment and management of upper limb lymphoedema. Holistic assessment and consideration of psychosocial impact on the patient will be discussed briefly along with guidance on how to determine those 'at risk' of developing the condition.
October 1, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/28961054/how-is-lymphofluoroscopy-mapping-altering-lymphoedema-management
#5
Jane Wigg, Garry Cooper
Lymphoedema management has evolved over many decades, but the core components of treatment remain largely unaltered, such as skin care, compression and self-lymphatic drainage. Near-infrared fluorescence lymphatic imaging (NIRFLI) offers an opportunity to enhance patient outcomes by evaluating and increasing the effectiveness of these treatment options. This is relevant when we consider the impact of this chronic condition and its endemic proportions ( Mortimer, 2014 ), while Moffatt et al (2017) suggests it is one of the biggest health risks in the Western world, due to the multiple causes, such as cancer, obesity and as a complication of an ageing population...
October 1, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/28961053/living-with-lymphoedema
#6
Andy Wilson
No abstract text is available yet for this article.
October 1, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/28961052/impact-of-jobst-%C3%A2-elvarex-%C3%A2-knee-and-elbow-functional-zones-on-quality-of-life
#7
Rebecca Elwell, Dawn Heal, Lindsey Lister
Lymphoedema results from a failure of the lymphatic system. The consequences are swelling, skin and tissue changes and predisposition to infection. Lipoedema, however, results from the predisposition of an excessive number of fat cells in the lower limbs, typically from the ankle to the waist. Management for lymphoedema consists of volume reduction, reduction in shape distortion and improvement of skin condition. Treatment consists of a two-phase approach including an intensive and maintenance phase. The maintenance stage of treatment or self-care consists of skin care, exercise and compression garments...
October 1, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/28961051/impact-of-seamless-compression-garments-on-limb-functionality-comfort-and-quality-of-life
#8
Anya Miller
Lymphoedema is a chronic disease affecting the patients' quality of life (QoL) especially with regard to mobility and daily activities. Lymphoedema cannot be cured but symptoms can effectively be improved by a comprehensive approach and the continuous use of compression therapy. An appropriate fitted compression garment is essential for compliance and thus a prerequisite for successful lymphoedema management. Compression garments with bulky seams are not only uncomfortable they also can lead to severe pressure marks or even reduce the mobility and function of the affected limb, which may negatively impact the already reduced QoL of lymphoedema patients...
October 1, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/28961050/case-study-obesity-genital-oedema-and-lower-limb-compression-bandaging
#9
Lindsey Lister, Rhian Noble-Jones
The purpose of this article is to present an evidence-based rationale for lymphoedema compression bandaging, one aspect of treatment for a patient with complex lower limb lymphoedema. The current health care climate requires treatment decisions to be transparent, based on the best available evidence. The challenge faced by community nurses is to formulate treatment plans which incorporate patients' preferences and best use limited resources provided by clinical environments. The article appraises research in order to formulate a suitable treatment plan and provides discussion and reflection regarding the challenges faced by the nursing profession in achieving evidence-based practice...
October 1, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/28961047/approaches-to-the-application-and-removal-of-compression-therapy-a-literature-review
#10
Lauren Balcombe, Charne Miller, William McGuiness
Compression therapy is used in the treatment of venous disorders, lymphoedema and burns. Adherence to compression therapy is reported to be poor, due to a number of factors, including difficulty in applying and removing the compression garments. A literature review was conducted to identify aids, equipment and other approaches to ease the application and removal of compression therapy garments. Some 12 studies were identified. Most studies focused on chronic venous insufficiency and venous ulcers. Four methods of easing compression garment application and removal were identified: (1) devices to assist in application and removal; (2) altered compression stocking design; (3) adjustable compression wrap devices; and (4) education...
October 1, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/28961046/the-lymphoedema-support-network-goes-digital
#11
(no author information available yet)
No abstract text is available yet for this article.
October 1, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/28961045/haddenham-easywrap-as-part-of-self-management-in-lymphoedema-and-lipoedema-the-patient-perspective
#12
Natalie Lee, Stacy Pugh, Robin Cooper
Self-management and the use of adjustable velcro compression wraps are not new concepts and quite often both can form part of the maintenance phase of treatment in those with lymphoedema or lipoedema, as well as those diseases in which compression therapy is advised as long-term management. The aim of this article is to identify some aspects that contribute to effective self-management and how the use of easywrap adjustable velcro compression wraps have improved quality of life for those with lymphoedema, chronic oedema and lipoedema...
October 1, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/28959174/a-novel-mutation-in-the-foxc2-gene-a-heterozygous-insertion-of-adenosine-c-867insa-in-a-family-with-lymphoedema-of-lower-limbs-without-distichiasis
#13
Tanja Planinsek Rucigaj, Matija Rijavec, Jovan Miljkovic, Julij Selb, Peter Korosec
BACKGROUND: Primary lymphoedema is a rare genetic disorder characterized by swelling of different parts of the body and highly heterogenic clinical presentation. Mutations in several causative genes characterize specific forms of the disease. FOXC2 mutations are associated with lymphoedema of lower extremities, usually distichiasis and late onset. PATIENTS AND METHODS: Subjects from three generations of a family with lymphoedema of lower limbs without distichiasis were searched for mutations in the FOXC2 gene...
September 2017: Radiology and Oncology
https://www.readbyqxmd.com/read/28945489/management-of-the-axilla-in-t1-2-breast-cancer-patients-with-macrometastatic-sentinel-node-involvement-who-underwent-breast-conserving-therapy
#14
Bekir Kuru, Savas Yuruker, Yurdanur Sullu, Bilge Gursel, Necati Ozen
PURPOSE: The aims of our study were to determine the incidence of axillary recurrence and arm morbidity in T1-2 invasive breast cancer patients with macrometastases on the sentinel lymph node (SLN) who underwent breast-conserving therapy (BCT), with or without axillary lymph node dissection (ALND). METHODS: One hundred and nine T1-2 invasive breast cancer patients with macrometastases on the SLN who underwent BCT in our institution were included in the study. Patients with 1-2 positive SLN and without extra nodal extension (ENE) on the SLN did not undergo ALND (SLN-only group) and patients with ENE or patients who had >2 metastatic nodes underwent level I, II ALND (ALND group)...
September 25, 2017: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
https://www.readbyqxmd.com/read/28944146/filarial-huge-splenomegaly-dramatically-regressed-by-anti-filarial-medication-a-rare-clinical-scenario
#15
Ayan Basu, Arvind Kumar, Smita Manchanda, Naveet Wig
Lymphatic filariasis is caused by nematodes Wuchereria bancrofti, Brugia malayi and Brugia timori. Lymphatic filariasis is a spectrum of illness and can manifest as, asymptomatic microfilaraemia, acute lymphatic filariasis (lymphangitis and lymphoedema), chronic lymphoedema, elephantiasis, hydrocele, tropical pulmonary eosinophilia and some systemic manifestations which involves joint, heart, kidney, nerve, etc. We here present a case of huge splenomegaly caused by lymphatic filariasis which is a rare presentation and only few cases had been reported in the world literature so far...
August 2017: Intractable & Rare Diseases Research
https://www.readbyqxmd.com/read/28935890/demonstration-and-analysis-of-the-suction-effect-for-pumping-lymph-from-tissue-beds-at-subatmospheric-pressure
#16
Samira Jamalian, Mohammad Jafarnejad, Scott D Zawieja, Christopher D Bertram, Anatoliy A Gashev, David C Zawieja, Michael J Davis, James E Moore
Many tissues exhibit subatmospheric interstitial pressures under normal physiologic conditions. The mechanisms by which the lymphatic system extracts fluid from these tissues against the overall pressure gradient are unknown. We address this important physiologic issue by combining experimental measurements of contractile function and pressure generation with a previously validated mathematical model. We provide definitive evidence for the existence of 'suction pressure' in collecting lymphatic vessels, which manifests as a transient drop in pressure downstream of the inlet valve following contraction...
September 21, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28933995/identification-assessment-and-management-of-breast-oedema-after-treatment-for-cancer
#17
Marie Todd
Advances in breast cancer management, including breast-conserving surgery, have resulted in an increase in the incidence of breast oedema. However, this is addressed by professionals less often than arm lymphoedema. Breast oedema results in significant physical and psychological morbidity, makes finding a comfortably fitting bra very difficult, and can act as a reminder of the initial breast cancer diagnosis. Psychological difficulties can be compounded by clinicians' failure to acknowledge the impact. Assessing and managing breast oedema requires a sensitive, skilled approach to ensure all the relevant issues are identified and addressed in a comprehensive care plan; taking time to listen to patients and acknowledging the impact can be very therapeutic...
September 2, 2017: International Journal of Palliative Nursing
https://www.readbyqxmd.com/read/28932994/investigation-of-shape-with-patients-suffering-from-unilateral-lymphoedema
#18
Kevork Karakashian, Lawrence Shaban, Cheryl Pike, Raoul van Loon
This study investigates the use of a 3D depth sensing camera for analysing the shape of lymphoedematous arms, and seeks to identify suitable metrics for monitoring lymphoedema clinically. A fast, simple protocol was developed for scanning upper limb lymphoedema, after which a robust data pre- and post-processing framework was built that consistently and quickly identifies arm shape and volume. The framework was then tested on 24 patients with mild unilateral lymphoedema, who were also assessed using tape measurements...
September 20, 2017: Annals of Biomedical Engineering
https://www.readbyqxmd.com/read/28918186/health-related-quality-of-life-in-melanoma-patients-impact-of-melanoma-related-limb-lymphoedema
#19
Caroline A Gjorup, Mogens Groenvold, Helle W Hendel, Karin Dahlstroem, Krzysztof T Drzewiecki, Tobias W Klausen, Lisbet R Hölmich
AIM: To explore health-related quality of life (HRQoL) in recurrence-free melanoma patients, with a focus on the association between melanoma-related limb lymphoedema and HRQoL. METHODS: HRQoL was evaluated using the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30), the breast cancer module (EORTC QLQ-BR23) subscales body image and future perspective, the Functional Assessment for Cancer Therapy-General subscale social/family well-being and the Hospital Anxiety and Depression Scale...
November 2017: European Journal of Cancer
https://www.readbyqxmd.com/read/28892182/health-related-quality-of-life-in-patients-with-lymphoedema-a-cross-sectional-study
#20
Pia Klernäs, Aina Johnsson, Vibeke Horstmann, Karin Johansson
INTRODUCTION: Lymphoedema may cause complex problems that can strongly influence patients' health-related quality of life (HRQoL). The main purpose of this study was to investigate the impact of lymphoedema on HRQoL in patients with varying forms of lymphoedema. METHODS: The Lymphoedema Quality of Life Inventory (LyQLI), measuring three domains, physical, psychosocial and practical, and the Short Form 36 Health Survey Questionnaire (SF-36), measuring eight health domains, were sent to 200 lymphoedema patients...
September 11, 2017: Scandinavian Journal of Caring Sciences
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