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Lymphedema mastectomy

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https://www.readbyqxmd.com/read/27745890/reliable-prediction-of-postmastectomy-lymphedema-the-risk-assessment-tool-evaluating-lymphedema
#1
Marten N Basta, Liza C Wu, Suhail K Kanchwala, Joseph M Serletti, Julia C Tchou, Stephen J Kovach, Joshua Fosnot, John P Fischer
BACKGROUND: Breast cancer-related lymphedema remains a significant complication post mastectomy. Identifying patients at highest risk may better inform targeted healthcare resource allocation and improve outcomes. This study aims to identify lymphedema predictors after mastectomy to develop a simple, accurate risk assessment tool. METHODS: An institutional retrospective review identified all women with breast cancer undergoing mastectomy between January 2000 and July 2013 with postmastectomy lymphedema as the primary outcome...
September 7, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27563563/breast-reconstruction-at-the-md-anderson-cancer-center
#2
REVIEW
Peirong Yu
The introduction of the transverse rectus abdominis myocutaneous flap in the 1970s marks the beginning of modern breast reconstruction although implants were available even earlier mainly for breast augmentation. Mastectomy techniques have evolved from the early Halsted radical mastectomy to the modern skin sparing mastectomy. The latter made possible using implants for breast reconstruction. Although prosthetic reconstruction provides a simpler procedure with quick recovery, autologous reconstruction offers more natural and long-lasting results especially in the setting of radiotherapy...
August 2016: Gland Surgery
https://www.readbyqxmd.com/read/27445465/relevance-of-low-pressure-compression-corsets-in-physiotherapeutic-treatment-of-patients-after-mastectomy-and-lymphadenectomy
#3
Rita Hansdorfer-Korzon, Jacek Teodorczyk, Agnieszka Gruszecka, Jacek Wydra, Piotr Lass
There is no fully effective treatment for secondary lymphedema. In patients with breast cancer, lymphedema may present immediately after axillary dissection or years later. It typically occurs in a limb (such as an arm), but it can also occur in the torso, especially in breast cancer patients. It is, therefore, essential to prevent or minimize the condition. The currently used compression therapy has varying efficiency. Thus, researchers are still looking for better solutions, especially for primary prevention...
2016: Patient Preference and Adherence
https://www.readbyqxmd.com/read/27375223/update-on-post-mastectomy-lymphedema-management
#4
Matthew E Doscher, Jillian E Schreiber, Katie E Weichman, Evan S Garfein
Lymphedema is a chronic, progressive condition caused by an imbalance of lymphatic flow. Upper extremity lymphedema has been reported in 16-40% of breast cancer patients following axillary lymph node dissection. Furthermore, lymphedema following sentinel lymph node biopsy alone has been reported in 3.5% of patients. While the disease process is not new, there has been significant progress in the surgical care of lymphedema that can offer alternatives and improvements in management. The purpose of this review is to provide a comprehensive update and overview of the current advances and surgical treatment options for upper extremity lymphedema...
September 2016: Breast Journal
https://www.readbyqxmd.com/read/27373492/breast-reconstruction-and-risk-of-lymphedema-after-mastectomy-a-prospective-cohort-study-with-10-years-of-follow-up
#5
Monique M Menezes, Marcelo A Bello, Eduardo Millen, Frederico A S Lucas, Flávia N Carvalho, Mauro F C Andrade, Ana Carolina P R Pereira, Rosalina J Koifman, Anke Bergmann
OBJECTIVE: The aim of this study is to assess the incidence and risk factors for lymphedema in women submitted to mastectomy, with or without breast reconstruction. METHODS: A cohort study was performed on women submitted to mastectomy with axillary lymphadenectomy in a single center. The follow-up included clinical evaluation and arm column measurements before surgery, at 30 days, 6 months, 5 years, and 10 years after surgery. For women subjected to late reconstruction, the time of occurrence of lymphedema (before or after reconstruction) was observed...
September 2016: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/27365080/axillary-evaluation-and-lymphedema-in-women-with-ductal-carcinoma-in-situ
#6
Ellie J Coromilas, Jason D Wright, Yongmei Huang, Sheldon Feldman, Alfred I Neugut, Grace Clarke Hillyer, Ling Chen, Dawn L Hershman
Axillary evaluation in women with ductal carcinoma in situ (DCIS) is increasing; however, this may introduce additional morbidity with unclear benefit. Our objective was to examine the morbidity and mortality associated with axillary evaluation in DCIS. We conducted a retrospective cohort study of 10,504 women aged 65-90 years with DCIS who underwent breast conserving surgery between 2002 and 2012 using SEER-Medicare database. Patients were categorized by receipt of axillary evaluation with either sentinel lymph node biopsy (SLNB) or axillary node dissection (ALND)...
July 2016: Breast Cancer Research and Treatment
https://www.readbyqxmd.com/read/27318169/chemotherapy-port-related-lymphedema-after-axillary-lymph-node-dissection
#7
Zaahir Turfe, Jane Pettinga, Olivier Leduc, Albert Leduc, Ewa Komorowska-Timek
UNLABELLED: The Mascagni lymphatic pathway comprises superficial channels along the clavicle that drain upper extremity lymph. A 65 year-old woman with recurrent left breast cancer presented with a non-functioning chemotherapy port in the right deltopectoral groove. She had undergone right mastectomy with axillary lymph node dissection (ALND). After port removal and wound closure she developed right upper extremity lymphedema. Patients who have undergone ALND may depend solely on this pathway for upper extremity lymphatic drainage...
August 2016: Breast: Official Journal of the European Society of Mastology
https://www.readbyqxmd.com/read/27281361/breast-sarcoma-a-case-report-and-review-of-literature
#8
Nuria Li, Maria Teresa Cusidó, Beatriz Navarro, Francesc Tresserra, Sonia Baulies, Carmen Ara, Rafael Fabregas
INTRODUCTION: Breast sarcomas are rare with an annual incidence of 4.6 cases/1,000,000 women. They can appear as primary forms or secondary to radiation therapy or chronic lymphedema. PRESENTATION OF CASE: A 41 year old woman attended our hospital after having noticed an increase in the size of her fibroadenoma. The examination revealed a 7cm retroareolar nodule. Breast sonography described a hypoechoic bilobulated lesion and MRI showed a large size polinodular image, suggesting a Phyllodes tumor...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27165213/correlates-of-lymphedema-in-women-with-breast-cancer-a-case-control-study-in-shiraz-southern-iran
#9
Behnam Honarvar, Negin Sayar, Sedigheh Tahmasebi, Zeinab Zakeri, Asra Talei, Sara Rostami, Sahar Khademi, Amene Sabzi Sarvestani, Eghbal Sekhavati
Globally, the burden of breast cancer (BC) continues to increase. BC related lymphedema (BCRL) is currently non curable and as a life time risk it affects at least 25% of BC patients. Knowing more about BCRL and appropriate control of its modifiable risk factors can improve quality of life (QOL) of the affected patients. In this case control study to detect factors, 400 women with BCRL (as the case group) and 283 patients with BC without lymphedema (as the control group) that were referred to Shiraz University of Medical Sciences affiliated BC clinic center were assessed...
2016: Asian Pacific Journal of Cancer Prevention: APJCP
https://www.readbyqxmd.com/read/27145867/effect-of-complete-decongestive-therapy-and-home-program-on-health-related-quality-of-life-in-post-mastectomy-lymphedema-patients
#10
Ganeswara Rao Melam, Syamala Buragadda, Adel A Alhusaini, Nisha Arora
BACKGROUND: Secondary lymphedema is common in women treated for breast cancer. It may be a result of surgery or radiotherapy. Edema commonly affects the arm, leading to discomfort, reduced arm movements, pain and diminished quality of life. Therefore, the relationship between post mastectomy lymphedema and quality of life has evolved as an important criteria in treatment of breast cancer survivors. METHODS: Sixty breast cancer survivors who developed post mastectomy lymphedema were recruited...
2016: BMC Women's Health
https://www.readbyqxmd.com/read/27103835/are-compression-corsets-beneficial-for-the-treatment-of-breast-cancer-related-lymphedema-new-opportunities-in-physiotherapy-treatment-a-preliminary-report
#11
Rita Hansdorfer-Korzon, Jacek Teodorczyk, Agnieszka Gruszecka, Piotr Lass
INTRODUCTION: Treatment of secondary lymphedema still remains an important medical issue. Treatment response is characterized by periodic remission rather than complete recovery. Compression methods currently used as part of complete decongestive therapy vary considerably in efficacy. Manual drainage, bandaging, and compression pumps are ineffective in everyday practice. Positive results have increasingly been reported where compression garments have been used as part of the treatment...
2016: OncoTargets and Therapy
https://www.readbyqxmd.com/read/27099208/lymphedema-associated-neutrophilic-dermatosis-two-cases-of-localized-sweet-syndrome-on-the-lymphedematous-lower-limbs
#12
Chien-Ho Chu, Yu-Ping Cheng, Hua-Lin Kao, Cher-Wei Liang, Jung-Yi Chan, Yu Yu
Neutrophilic dermatosis on the site of lymphedema is a rare condition and considered as a localized and less severe variant of Sweet syndrome. Only 13 cases of this variant have been reported after mastectomy for breast cancer in the English-language published work. However, this condition has never been described on the lower limbs or from other causes of lymphedema. Herein, we report two cases of localized Sweet syndrome on the lymphedematous lower limbs: one occurred after radical hysterectomy, bilateral pelvic lymph node dissection and radiotherapy for cervical cancer; the other developed after radiotherapy for malignant melanoma on the right groin...
September 2016: Journal of Dermatology
https://www.readbyqxmd.com/read/27051396/risk-factors-for-arm-lymphedema-in-a-cohort-of-breast-cancer-patients-followed-up-for-10-years
#13
René Aloisio da Costa Vieira, Allini Mafra da Costa, Josue Lopes de Souza, Rafael Richieri Coelho, Cleyton Zanardo de Oliveira, Almir José Sarri, Renato José Affonso Junior, Gustavo Zucca-Matthes
BACKGROUND: The etiology of lymphedema is multifactorial, and definition criteria of lymphedema, its limitation, and follow-up must be considered in studies related to risk factors. The aim of this study is to evaluate risk factors related to arm lymphedema in a cohort study with a long follow-up. PATIENTS AND METHODS: The study was performed in 622 breast cancer patients. The main endpoint reported was the presence of clinical lymphedema reported in medical records...
February 2016: Breast Care
https://www.readbyqxmd.com/read/26919383/quality-of-life-in-patients-with-breast-cancer-related-lymphedema-and-reconstructive-breast-surgery
#14
Tiara R Lopez Penha, Bente Botter, Esther M Heuts, Adri C Voogd, Maarten F von Meyenfeldt, René R van der Hulst
Background To evaluate the quality of life (QOL) of breast cancer survivors who have undergone breast reconstruction and have breast cancer-related lymphedema (BCRL). Methods Patients with a unilateral mastectomy with or without breast reconstruction were evaluated for BCRL and their QOL. Patients were divided into a non-BCRL and a BCRL group. Patients with subjective complaints of arm swelling and/or an interlimb volume difference of >200 mL, or undergoing treatment for arm lymphedema were defined as having BCRL...
July 2016: Journal of Reconstructive Microsurgery
https://www.readbyqxmd.com/read/26824722/combining-manual-lymph-drainage-with-physical-exercise-after-modified-radical-mastectomy-effectively-prevents-upper-limb-lymphedema
#15
Lijuan Zhang, Aiqun Fan, Jun Yan, Yan He, Huiting Zhang, Huizhen Zhang, Qiaoling Zhong, Feng Liu, Qinghua Luo, Liping Zhang, Hailin Tang, Mingzhu Xin
OBJECTIVE: Upper limb lymphedema is a common complication after radical mastectomy in patients with breast cancer. In this study, we examined the efficacy of self-manual lymph drainage (MLD) after modified radical mastectomy for the prevention of upper limb lymphedema, scar formation, or shoulder joint dysfunction in breast cancer patients. METHODS: Breast cancer patients scheduled for modified radical mastectomy were randomly apportioned to undergo physical exercise only (PE group, the control; n = 500) or self-MLD as well as exercise (MLD group; n = 500) after surgery...
June 2016: Lymphatic Research and Biology
https://www.readbyqxmd.com/read/26714943/sentinel-lymph-node-mapping-in-post-mastectomy-chest-wall-recurrences-influence-on-radiation-treatment-fields-and-outcome
#16
Julian Johnson, Laura Esserman, Cheryl Ewing, Michael Alvarado, Catherine Park, Barbara Fowble
BACKGROUND AND OBJECTIVES: Invasive chest wall recurrences (CWR) following mastectomy are typically treated with surgical excision, radiation therapy (RT) to the chest wall and supraclavicular (SCV) region, and appropriate systemic therapy. Repeat axillary surgery is not routinely performed if the axilla is clinically negative. We evaluated sentinel node biopsy (SNB) in patients with an isolated invasive CWR, for identification and biopsy rates, non-axillary drainage, and clinical implications for radiation fields and outcome...
March 2016: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/26632799/c-myc-positive-angiosarcoma-of-skin-and-breast-following-mammosite%C3%A2-treatment
#17
W James Tidwell, Jim Haq, Kamila F Kozlowski, Paul B Googe
Angiosarcoma of the skin and breast is a known complication of chronic lymphedema following mastectomy or external radiation therapy for breast cancer. We report a 68-year-old woman who presented with a 2.5 cm violaceous plaque on the skin of the right breast and a 3 cm mixed mass of the same breast by ultrasound 9 years after MammoSite® balloon brachytherapy.  Biopsy of the skin lesion and the breast mass showed an infiltrating high grade angiosarcoma.  The tumor cells in the skin and breast showed immunohistochemical reactivity for C-MYC...
October 2015: Dermatology Online Journal
https://www.readbyqxmd.com/read/26617830/angiosarcoma-stewart-treves-syndrome-in-postmastectomy-patients-report-of-10-cases-and-review-of-literature
#18
REVIEW
Lifang Cui, Jixin Zhang, Xinmin Zhang, Hong Chang, Congling Qu, Jiangying Zhang, Dingrong Zhong
AIMS: To study the clinicopathologic features of Stewart-Treves syndrome (STS) in postmastectomy patients including the epidemiology, presentation, morphology, differentiation, pathogenesis and therapeutic options. METHODS AND RESULTS: Ten cases of STS in postmastectomy patients were retrospectively identified in our archives, and immunohistochemistry for CD34, CD31, D2-40, HHV-8, CK, EMA and Ki-67 was performed. All ten patients presented with lymphedema after mastectomy as the first sign...
2015: International Journal of Clinical and Experimental Pathology
https://www.readbyqxmd.com/read/26603434/treatment-of-postmastectomy-lymphedema-by-bypassing-the-armpit-with-implanted-silicone-tubings
#19
W L Olszewski, M Zaleska
OBJECTIVES: Women treated for breast cancer are facing a life-time risk of developing lymphedema in up to 40% of this population. In advanced cases of lymphedema main lymphatics are obstructed and tissue fluid accumulates in the interstitial spaces forming fluid "lakes"and "channels". The only solution for fluid drainage would be creating artificial channel for flow away to the non-obstructed regions. AIM: To form artificial pathways for edema fluid flow by subcutaneous implantation of silicone tubes into the swollen limb...
November 23, 2015: International Angiology: a Journal of the International Union of Angiology
https://www.readbyqxmd.com/read/26584023/lymphangiosarcoma-is-stewart-treves-syndrome-a-preventable-condition
#20
Gunther Felmerer, A S Dowlatshahi, G Bjoern Stark, Ethelka Földi, Martha Földi, Maria G Ahls, Philipp Ströbel, Thiha Aung
BACKGROUND: Stewart-Treves syndrome is a rare complication of breast cancer treatment, representing a lymphangiosarcoma commonly associated with lymphedema and severely impacting patient's outcome. The tumor typically develops in the atrophic, pachydermatous, hyperkeratotic skin of limbs affected by long-standing lymphedema. Clinical data associated with Stewart-Treves syndrome and lymphedema management have rarely been published. METHODS AND RESULTS: In the period between 1980 and 2009, ten patients with Stewart-Treves syndrome were diagnosed and treated at the Foeldiklinik, Hinterzarten, Germany...
March 2016: Lymphatic Research and Biology
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