Identification and management of lymphedema in patients with breast cancer

Pavankumar Tandra, Avyakta Kallam, Jairam Krishnamurthy

Research output: Contribution to journalReview article

2 Citations (Scopus)

Abstract

Breast cancer–related lymphedema (BCRL) is a potentially debilitating and often irreversible complication of breast cancer treatment. Risk of BCRL is proportional to the extent of axillary surgery and radiation. Other risk factors include obesity and infections. Given the 5-year survival rate of 90% and its potential impact on the quality of life of survivors of breast cancer, BCRL has become a significant financial burden on the health care system. Minimizing axillary surgery and radiation has been proven to reduce the risk of BCRL. Comprehensive multidisciplinary assessment at the time of initial diagnosis; early referral to physical therapy after surgery; and patient education regarding weight loss, skin, and nail care are cornerstones of the management of early-stage lymphedema. End-stage lymphedema may benefit from referral to a plastic surgeon specializing in lymphedema surgery. In this review, we attempt to review the incidence, risk factors, staging, prevention, and management of this complication of breast cancer treatment. We also describe our multidisciplinary approach for the prevention of this complication at the time of initial diagnosis.

Original languageEnglish (US)
Pages (from-to)255-262
Number of pages8
JournalJournal of oncology practice
Volume15
Issue number5
DOIs
StatePublished - May 1 2019

Fingerprint

Lymphedema
Breast Neoplasms
Breast
Referral and Consultation
Radiation
Skin Care
Patient Education
Nails
Survivors
Weight Loss
Therapeutics
Survival Rate
Obesity
Quality of Life
Delivery of Health Care
Incidence
Infection

ASJC Scopus subject areas

  • Oncology
  • Oncology(nursing)
  • Health Policy

Cite this

Identification and management of lymphedema in patients with breast cancer. / Tandra, Pavankumar; Kallam, Avyakta; Krishnamurthy, Jairam.

In: Journal of oncology practice, Vol. 15, No. 5, 01.05.2019, p. 255-262.

Research output: Contribution to journalReview article

Tandra, Pavankumar ; Kallam, Avyakta ; Krishnamurthy, Jairam. / Identification and management of lymphedema in patients with breast cancer. In: Journal of oncology practice. 2019 ; Vol. 15, No. 5. pp. 255-262.
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