TY - JOUR
T1 - Surgical Strategies for Prevention and Treatment of Lymphedema in Breast Cancer Patients
AU - Ochoa, Daniela
AU - Klimberg, V. Suzanne
N1 - Publisher Copyright:
© 2015, Springer Science+Business Media New York.
PY - 2015/3/28
Y1 - 2015/3/28
N2 - The evidence available for risk reduction of lymphedema after breast cancer treatment is sparse and inconsistent. It is limited by confounding factors such as axillary disease burden, number of lymph nodes harvested, and radiation treatment. However, there are several strategies for prevention and risk reduction prior to the onset of lymphedema. Techniques such as sentinel lymph node biopsy, axillary reverse mapping, lymphatic anastomosis, and lymphovenular anastomosis are aimed at preventing or minimizing the disruption of lymphatic flow from the upper extremity. Few surgical procedures, such as the historical Charles procedure, as well as newer techniques including distal lymphaticovenular anastomosis, lymph node transfer, suction-assisted protein lipectomy, and low-level laser therapy exist. Nonsurgical treatments include complete decongestive therapy, pneumatic compression, Kinesio tape, and exercise. These have varying degrees of effectiveness but have limitations in patient compliance or availability of certified therapists.
AB - The evidence available for risk reduction of lymphedema after breast cancer treatment is sparse and inconsistent. It is limited by confounding factors such as axillary disease burden, number of lymph nodes harvested, and radiation treatment. However, there are several strategies for prevention and risk reduction prior to the onset of lymphedema. Techniques such as sentinel lymph node biopsy, axillary reverse mapping, lymphatic anastomosis, and lymphovenular anastomosis are aimed at preventing or minimizing the disruption of lymphatic flow from the upper extremity. Few surgical procedures, such as the historical Charles procedure, as well as newer techniques including distal lymphaticovenular anastomosis, lymph node transfer, suction-assisted protein lipectomy, and low-level laser therapy exist. Nonsurgical treatments include complete decongestive therapy, pneumatic compression, Kinesio tape, and exercise. These have varying degrees of effectiveness but have limitations in patient compliance or availability of certified therapists.
KW - Axillary dissection
KW - Axillary reverse mapping
KW - Breast cancer
KW - Lymph nodes
KW - Lymphadenectomy
KW - Lymphedema
KW - Sentinel
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U2 - 10.1007/s12609-014-0172-x
DO - 10.1007/s12609-014-0172-x
M3 - Review article
AN - SCOPUS:84938951430
SN - 1943-4588
VL - 7
JO - Current Breast Cancer Reports
JF - Current Breast Cancer Reports
IS - 1
ER -