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postmastectomy lymphedema

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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/27171589/ce-late-and-long-term-sequelae-of-breast-cancer-treatment
#2
Megan Dunne, Kathleen Keenan
: More than 12% of women will be diagnosed with breast cancer at some point in their lives, and 78% of them can be expected to survive for at least 15 years. More than 2.8 million breast cancer survivors currently reside in the United States. After breast cancer treatment, as many as 90% of survivors report physical problems that can reduce functional ability, produce or exacerbate emotional problems, negatively affect body image, and diminish quality of life. Many survivors will seek care for late and long-term effects of treatment, which will not necessarily be recognized as such by health care providers and appropriately treated...
June 2016: American Journal of Nursing
https://www.readbyqxmd.com/read/27011587/acquired-lymphangiectasia-of-the-breast-after-breast-conserving-surgery
#3
Murat Özgür Kılıç, Cenap Dener
Lymphangiectasia is characterized by vesicular dilation of lymphatic vessels and is generally a complication of radiotherapy or surgery of various malignant tumors such as breast and cervical cancers. Although it is not a precancerous disease, correct diagnosis is important to rule out Stewart-Treves syndrome which is defined as lymphangiosarcoma that develops in long-standing chronic postmastectomy lymphedema. Observation alone or many therapeutic options including cryosurgery, electrocauterization, sclerotherapy, and excision have been widely used in the management...
December 2015: Indian Journal of Surgery
https://www.readbyqxmd.com/read/26824722/combining-manual-lymph-drainage-with-physical-exercise-after-modified-radical-mastectomy-effectively-prevents-upper-limb-lymphedema
#4
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/26617830/angiosarcoma-stewart-treves-syndrome-in-postmastectomy-patients-report-of-10-cases-and-review-of-literature
#5
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
#6
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/26355716/in-vitro-study-on-the-safety-of-near-infrared-laser-therapy-in-its-potential-application-as-postmastectomy-lymphedema-treatment
#7
Francesca Cialdai, Ida Landini, Sergio Capaccioli, Stefania Nobili, Enrico Mini, Matteo Lulli, Monica Monici
Clinical studies demonstrated the effectiveness of laser therapy in the management of postmastectomy lymphedema, a discomforting disease that can arise after surgery/radiotherapy and gets progressively worse and chronic. However, safety issues restrict the possibility to treat cancer patients with laser therapy, since the effects of laser radiation on cancer cell behavior are not completely known and the possibility of activating postmastectomy residual cancer cells must be considered. This paper reports the results of an in vitro study aimed to investigate the effect of a class IV, dual-wavelength (808 nm and 905 nm), NIR laser system on the behavior of two human breast adenocarcinoma cell lines (namely, MCF7 and MDA-MB361 cell lines), using human dermal fibroblasts as normal control...
October 2015: Journal of Photochemistry and Photobiology. B, Biology
https://www.readbyqxmd.com/read/26303187/complex-decongestive-lymphatic-therapy-with-or-without-vodder-ii-manual-lymph-drainage-in-more-severe-chronic-postmastectomy-upper-limb-lymphedema-a-randomized-noninferiority-prospective-study
#8
Tomasz Gradalski, Katarzyna Ochalek, Joanna Kurpiewska
CONTEXT: Complex decongestive lymphatic therapy (CDT) has been the method of choice in conservative management of lymphedema. Although effective, it is time consuming and manual lymph drainage (MLD) usually requires skilled therapists. OBJECTIVES: The purpose of this study was to compare the reduction in edema volume in more advanced (≥20% limb volume difference) postmastectomy arm lymphedema achieved by compression bandaging (CB) and physical exercises vs. the same management augmented by an additional 30 minutes of MLD (Vodder II method)...
December 2015: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/26264753/kaposi-sarcoma-following-postmastectomy-lymphedema
#9
Iria Montero Pérez, Laura Rodríguez-Pazos, Adriana Álvarez-Pérez, M Mercedes Pereiro Ferreirós, Carlos Aliste, Jose Manuel Suarez-Peñaranda, Jaime Toribio
Classical Kaposi sarcoma (KS) usually appears on lower extremities accompanied or preceded by local lymphedema. However, the development in areas of chronic lymphedema of the arms following mastectomy, mimicking a Stewart-Treves syndrome, has rarely been described. We report an 81-year-old woman who developed multiple, erythematous to purple tumors, located on areas of post mastectomy lymphedema. Histopathological examination evidenced several dermal nodules formed by spindle-shaped cells that delimitated slit-like vascular spaces with some red cell extravasation...
November 2015: Journal of Cutaneous Pathology
https://www.readbyqxmd.com/read/25893630/liposuction-in-lymphedema-treatment
#10
Håkan Brorson
BACKGROUND: Lymphedema leads to early deposition of adipose tissue. This may explain why conservative therapies such as complex decongestive therapy (CDT) and controlled compression therapy (CCT), as well as various forms of microsurgical reconstructions, cannot completely remove the excess volume in patients with a large chronic nonpitting lymphedema. Liposuction is therefore a logical and tempting treatment to reduce the adipose tissue volume excess. This article outlines the benefits of using liposuction and presents evidence to support its use...
January 2016: Journal of Reconstructive Microsurgery
https://www.readbyqxmd.com/read/25525902/five-year-assessment-of-maintenance-combined-physical-therapy-in-postmastectomy-lymphedema
#11
Katarzyna Ochalek, Tomasz Gradalski, Zbigniew Szygula
BACKGROUND: Combined physical therapy (CPT) is the treatment of choice for patients with lymphedema. Intensive stage CPT (I-CPT) results in a substantial reduction of the size of lymphedema, while the second stage CPT (M-CPT) maintains the achieved result for many years. AIM: The article analyses the outcome M-CPT for 5 years in patients with lymphedema after mastectomy. METHODS: Forty patients had regularly been attending follow-up appointments every six months for five years (Group A)...
March 2015: Lymphatic Research and Biology
https://www.readbyqxmd.com/read/25115373/simultaneous-breast-reconstruction-and-treatment-of-breast-cancer-related-upper-arm-lymphedema-with-lymphatic-lower-abdominal-flap
#12
Ru Chen, Lan Mu, Han Zhang, Minqiang Xin, Jie Luan, Dali Mu, Chunjun Liu, Kai Ji, Jiejie Hu, Jingjing Sun, Lixue Xuan, Yongying Rong, Liping Zheng, Peng Tang, Xiaojie Zhong, Huangfu Wu, Tianning Zou, Zhuangqing Yang, Corrine Becker
BACKGROUND: This study was designed to introduce the key points about the transplantation of lower abdominal flap with vascularized lymph node and to evaluate the effect of breast restoration, breast reconstruction, and lymphatic transplantation to treat upper limb lymphedema after breast cancer surgery. MATERIALS AND METHODS: The study was based on the retrospective study on 10 cases of postmastectomy lymphedema during January 2008 to March 2011. All patients, aged 36 to 50 years, have had one-side upper-limb lymphedema for 3 to 5 years...
September 2014: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/25083417/microvascular-breast-reconstruction-and-lymph-node-transfer-for-postmastectomy-lymphedema-patients
#13
Maurice Y Nahabedian
No abstract text is available yet for this article.
May 2012: Gland Surgery
https://www.readbyqxmd.com/read/25066648/complex-decongestive-therapy-and-taping-for-patients-with-postmastectomy-lymphedema-a-randomized-controlled-study
#14
RANDOMIZED CONTROLLED TRIAL
Nihan Özünlü Pekyavaş, Volga Bayrakcı Tunay, Türkan Akbayrak, Serap Kaya, Metin Karataş
PURPOSE: The purpose of our study was to investigate the effects of Kinesio Taping(®) Application with Complex Decongestive Therapy (CDT) in patients with lymphedema. MATERIALS AND METHODS: 45 patients were randomly divided into 3 groups (CDT including Bandage, CDT including Bandage + Kinesio Tape(®), CDT including Kinesio Tape(®) without bandage). Assessments included the severity of the symptoms such as pain, discomfort, heaviness, tension, stiffness and weakness...
December 2014: European Journal of Oncology Nursing: the Official Journal of European Oncology Nursing Society
https://www.readbyqxmd.com/read/25052358/-a-woman-with-purple-red-nodules-in-an-oedematous-arm
#15
Carolien H Smorenburg, Marianne B Crijns, Neeltje Steeghs
A woman with postmastectomy lymphoedema presented with purple-red nodules on the right upper arm. Histopathology of a skin biopsy showed a cutaneous angiosarcoma. Angiosarcoma arising in an oedematous arm is called the Stewart-Treves syndrome and is a rare and late complication of breast cancer treatment.
2014: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/24360839/upper-body-pain-and-functional-disorders-in-patients-with-breast-cancer
#16
REVIEW
Michael D Stubblefield, Nandita Keole
Upper body pain and dysfunction are common in survivors of breast cancer. Disorders of the upper body can result directly from breast cancer or from the surgery, chemotherapy, radiotherapy, or hormonal therapies used in its treatment. Although considerable information is available regarding impairments such as pain and restricted shoulder range of motion associated with breast cancer and its treatment, relatively little information is available about the specific neuromuscular, musculoskeletal, lymphovascular, and other diagnostic entities that underlie those impairments...
February 2014: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/24281604/vascularized-groin-lymph-node-flap-transfer-for-postmastectomy-upper-limb-lymphedema-flap-anatomy-recipient-sites-and-outcomes-correction
#17
(no author information available yet)
No abstract text is available yet for this article.
December 2013: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/23898446/evidence-based-analysis-of-lymph-node-transfer-in-postmastectomy-upper-extremity-lymphedema
#18
Stamatis Sapountzis, Fabio Nicoli, Ram Chilgar, Pedro Ciudad
No abstract text is available yet for this article.
July 2013: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/23714790/vascularized-groin-lymph-node-flap-transfer-for-postmastectomy-upper-limb-lymphedema-flap-anatomy-recipient-sites-and-outcomes
#19
Ming-Huei Cheng, Shin-Cheh Chen, Steven L Henry, Bien Keem Tan, Miffy Chia-Yu Lin, Ju-Jung Huang
BACKGROUND: Vascularized groin lymph node flap transfer is an emerging approach to the treatment of postmastectomy upper limb lymphedema. The authors describe the pertinent flap anatomy, surgical technique including different recipient sites, and outcome of this technique. METHODS: Ten cadaveric dissections were performed to clarify the vascular supply of the superficial groin lymph nodes. Ten patients underwent vascularized groin lymph node flap transfer for postmastectomy upper limb lymphedema using the wrist (n=8) or elbow (n=2) as a recipient site...
June 2013: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/23270196/angiosarcoma-in-a-patient-with-congenital-nonhereditary-lymphedema
#20
Wonwoo Shon, David A Wada, Andrew L Folpe, Mark R Pittelkow
Angiosarcoma is an uncommon but aggressive tumor of endothelial origin that may occur in the upper extremities of patients with postmastectomy lymphedema (Stewart-Treves syndrome) as well as in other regions. We present an unusual case of angiosarcoma associated with congenital nonhereditary lymphedema in an 18-year-old man. Our case underscores the need for a careful clinical examination and shows the importance of appropriate sampling and thorough pathologic examination of suspicious areas to exclude the presence of a malignant process...
November 2012: Cutis; Cutaneous Medicine for the Practitioner
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