Materiały źródłowe

• #1 Preventative measures for lymphedema: Separating fact from fiction

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3652571/

  Lymphedema is the accumulation of protein rich fluid that occurs when the ability of the lymphatic system to transport interstitial fluid is exceeded. […] Although lymphedema occurs most commonly as a complication of breast cancer management, it is also seen frequently in patients treated for other solid malignancies. […] Treatment for lymphedema remains suboptimal and is, in most cases palliative with a goal of preventing disease progression rather than a cure. […] In fact, many of the current recommendations for prevention of lymphedema are anecdotal with scant scientific evidence. […] The current recommendation from the National Cancer Institute, The Royal Marsden Hospital (UK) and The National Lymphedema Network (NLN) are presented in table 1. […] However the NLN state that there is little evidence-based literature with respect to many of these recommendations and the majority of them are based on what is known through decades of clinical experience and comprehension of the pathophysiology by experts in lymphedema.

• #1 Lymphedema | American Cancer Society

  https://www.cancer.org/cancer/managing-cancer/side-effects/swelling/lymphedema.html

  Lymphedema can develop many years after cancer treatment, even if you’ve never had it before. If you have had a type of treatment that puts you at high risk of lymphedema, it’s important to continue to watch for signs and take steps to prevent lymphedema from starting, returning, or getting worse. Here are some tips for preventing and managing lymphedema. […] Skin care is one of the most important things you can do if you are at risk for lymphedema. Cuts and injuries to the skin can trigger lymphedema or make it worse. The skin around the area where there are damaged or missing lymph nodes is always at risk of infection because lymph nodes are part of the immune system that protects us. […] Protect your skin from injuries, cuts, and bites. […] Promote fluid circulation […] Body areas that have damaged or missing lymph nodes can’t move and drain lymph fluid through the area as well. But there are things you can do to promote drainage of lymph fluid:

• #1

  https://www.nhs.uk/conditions/lymphoedema/prevention/

  It’s not possible to completely prevent lymphoedema, but the following advice may help reduce your chances of developing it. […] If you already have lymphoedema, this advice may stop it getting worse. […] You can reduce your chances of developing skin infections by: not having injections or blood pressure readings in the affected area whenever possible, treating cuts and scratches immediately with an antiseptic cream, using insect repellents to prevent insect bites, keeping your skin clean and dry, and using an alternative to soap, such as an E45 wash, moisturising the skin daily to keep it supple a GP can prescribe a suitable cream, avoiding very hot baths and showers the heat from saunas, steam rooms and sun beds may increase the swelling, using sunscreen with a high sun protection factor (SPF) to prevent sunburn, wearing gloves for gardening and household tasks to avoid cuts if your upper limbs are affected, using anti-fungal powder to prevent fungal infections in your skin or feet if your lower limbs are affected, cutting your nails with nail clippers, seeing a chiropodist for foot and nail care make sure you tell them you have lymphoedema, wearing shoes that fit correctly and provide support on the top of your feet and avoiding going barefoot if your lower limbs are affected, using an electric razor if you need to shave to reduce the risk of cutting yourself, not wearing tight fitting clothes or jewellery, following careful mouth and dental hygiene if you have lymphoedema in your head and neck.

• #1 Lymphedema and Cancer – Side Effects – NCI

  https://www.cancer.gov/about-cancer/treatment/side-effects/lymphedema

  Although lymphedema cannot be prevented, there are ways to lower your risk or keep lymphedema from getting worse. […] Can I prevent lymphedema? […] Although there is no way to prevent lymphedema, there are things you can do to lower your risk or keep it from getting worse. Your health care team may suggest the following things you can do at home: […] Protect your skin to prevent infection. Wear gloves when cooking and gardening to protect your hands from injury. Use lotion to prevent dry skin and cracks where bacteria can enter. If you get a burn or cut, ask your doctor about an antibacterial ointment to use. Always call your doctor if you notice redness or other signs of infection. […] Wear compression garments daily when you are up and moving around and at night as advised by your CLT.

• #1 Reducing Your Risk of Lymphoedema | Cancer Council NSW

  https://www.cancercouncil.com.au/cancer-information/managing-cancer-side-effects/lymphoedema/reducing-your-risk-of-lymphoedema/

  Don’t try to protect the affected limb by limiting its movement – using the limb normally will keep the lymph fluid flowing. […] Avoid heavy lifting that may result in strain or injury, such as moving heavy boxes or furniture. This does not include exercise or strength (resistance) training. […] Avoid pressure from clothing, underwear and jewellery. […] Keep your skin clean. Wash with a pH-neutral soap and avoid scented products. […] Moisturise your skin every day. Dry and irritated skin is more likely to tear and break. […] Protect your skin and cuticles – don’t cut your cuticles during nail care; wear gloves for gardening, housework and handling pets; use insect repellent to prevent insect bites; avoid cutting or burning your skin when cooking; wear protective clothing, a broad-brimmed hat, sunglasses and sunscreen when in the sun.

• #1 Lymphedema and Cancer – Side Effects – NCI

  https://www.cancer.gov/about-cancer/treatment/side-effects/lymphedema

  Avoid extreme heat and sun. High temperatures can make lymphedema worse. Use sunscreen and wear sun protection like hats and lightweight, long-sleeved shirts when spending time in the sun. […] Stay hydrated. Drinking plenty of water will help keep lymph fluid moving through the body. […] Reduce salt in your diet. Salt can make swelling worse by causing your body to retain fluid.

• #1 Lowering your risk of lymphoedema | Coping with cancer | Cancer Research UK

  https://www.cancerresearchuk.org/about-cancer/coping/physically/lymphoedema-and-cancer/lowering-your-risk

  There are several things you can do to lower your risk of lymphoedema after cancer treatment. […] Maintaining a healthy weight is part of being fit and well. […] Exercise helps to encourage lymph flow. Research has found that exercise and movement can help to lower the risk of developing lymphoedema. […] You can help to lower your risk of lymphoedema by looking after your skin. […] People at risk of developing arm lymphoedema should also wear gloves when gardening and washing up. […] Avoid injections and blood tests, where possible, in any part of your body where you’ve had treatment to your lymph nodes. […] Where possible, avoid having blood pressure checks on an arm thats at risk of developing lymphoedema. […] Your specialist might suggest wearing a compression garment when flying. This can help to prevent further problems if you have had swelling before.

• #1 Lymphedema – Eighteen Steps To Prevention – UPPER Extremities | KSK Cancer Center of Irvine

  https://www.kskcancercenter.com/breast_education_lymphedema_prevention

  Lymphedema – Eighteen Steps To Prevention – UPPER Extremities […] With proper education and care, lymphedema can be avoided, or, if it develops, kept well under control. […] The following instructions should be reviewed carefully pre-operatively and discussed with your physician or therapist. […] Absolutely do not ignore any slight increase of swelling in the arm, hand, fingers, or chest wall (consult with your doctor immediately). […] Never allow an injection or a blood drawing in the affected arm(s). Wear a LYMPHEDEMA ALERT bracelet. […] Have blood pressure checked on the unaffected arm, or on the leg (thigh), if bilateral lymphedema/at-risk arms. […] Keep the edemic or at-risk arm(s) spotlessly clean. Use lotion (Eucerin, Lymphoderm, Curel, whatever works best for you) after bathing.

• #1 Preventative measures for lymphedema: Separating fact from fiction

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3652571/

  Keep skin and nails clean and cared for to prevent infection: Use cream or lotion to keep the skin moist. […] Avoid blocking- the flow of fluids through the body: Do not cross legs when sitting. […] Keep blood from pooling in the affected limb: Keep the limb with lymphedema raised higher than the heart when possible. […] Patients with a history of lymph node dissection are often told to avoid air travel or wear compressive garments (even if they do not have lymphedema) when flying. […] The clinical evidence supporting this recommendation is strong and derived from multiple studies including level 1 evidence. […] While it is clear that obesity is a significant risk factor for the development of lymphedema, the cellular and molecular mechanisms that are responsible for this effect remain unknown. […] The NLN and the Lymphedema Framework in the UK advise patients at risk for developing lymphedema to avoid exposure to extreme cold, which can be associated with rebound swelling, to avoid prolonged (greater than 15 minutes) exposure to heat, particularly hot tubs and saunas and avoid placing limbs in water temperatures above 102 Fahrenheit (38.9 Celsius). […] For years patients at risk for lymphedema have been admonished to avoid vigorous exercise.

• #1 Lymphedema and Cancer – Side Effects – NCI

  https://www.cancer.gov/about-cancer/treatment/side-effects/lymphedema

  Learn manual lymph drainage techniques from your CLT that you can do at home. […] Exercise. Exercise is a natural pump for the lymph system. It can improve the flow of lymph fluid and keep the heart healthy, which may help treat lymphedema. Exercising may also help lower your risk of lymphedema. Talk with your doctor to find an exercise program that you enjoy and that is safe for you. […] Elevate the affected area when possible. If you have lymphedema in your arm, try to keep it raised above the level of your heart when sitting or resting. If you have lymphedema in your leg, elevate it while lying down by resting it on a pillow or rolled-up blankets. […] Stay at or get to a healthy weight. Being at a healthy weight can keep lymphedema under control. […] Avoid putting pressure on the affected area. Wear loose jewelry and clothes without tight bands or elastic. Avoid carrying handbags or other items with an affected arm. Blood pressure and blood draws should be taken using the arm without lymphedema.

• #1 Lymphedema – Eighteen Steps To Prevention – UPPER Extremities | KSK Cancer Center of Irvine

  https://www.kskcancercenter.com/breast_education_lymphedema_prevention

  Avoid vigorous, repetitive movements against resistance with the affected arm (scrubbing, pushing, pulling). […] Avoid heavy lifting with the affected arm. Never carry heavy handbags or bags with over-the-shoulder straps on your affected side. […] Do not wear tight jewelry or elastic bands around affected fingers or arm(s). […] Avoid extreme temperature changes when bathing or washing dishes, and it is recommended that saunas and hot tubs be avoided (at least keep arm out of the hot tub). […] Try to avoid any type of trauma (bruising, cuts, sunburn or other burns, sports injuries, insect bites, cat scratches) to the arm(s). […] Wear gloves while doing housework, gardening or any type of work that could result in even a minor injury. […] Exercise is important, but consult with your therapist.

• #1 How to Prevent Lymphedema: Tips & Exercises from a PT – Cancer Rehab PTHow to Prevent Lymphedema: Tips & Exercises from a PT – Cancer Rehab PT

  https://cancerrehabpt.com/blog/how-to-prevent-lymphedema/

  Physical activity can do wonders for your health and improve lymphatic drainage. For people with an increased risk of lymphedema, low-impact exercise such as walking, swimming, or cycling is best. […] Regular exercise is one of the most effective ways to prevent lymphedema after a mastectomy. Gentle exercises, including range-of-motion activities and stretching, can improve lymphatic drainage and maintain your flexibility. […] To prevent lymphedema in legs, engage in activities that promote leg movement, such as walking or swimming. Regular exercise helps maintain muscle tone and encourages lymph flow. […] While it may not always be possible to prevent lymphedema entirely, taking proactive measures such as maintaining a healthy weight, staying active, practicing good skincare, and avoiding tight clothing can significantly reduce the risk. […] Educating yourself and equipping yourself with the right tools is the best way to prevent lymphedema from developing.

• #1 Exercise for the Prevention & Management of Lymphedema – Cancer Exercise Training Institute

  https://www.thecancerspecialist.com/2019/06/26/exercise-for-the-prevention-management-of-lymphedema/

  If you notice any signs of infection, contact your doctor immediately. […] A good exercise goal, for aerobic activity, is thirty minutes three or four times a week. […] It is important that they wear their support garment or bandage while exercising. […] Exercise, in and of itself, will help to pump the muscles, improve circulation, and move lymph from congested areas into an area where it can drain more efficiently. […] This series may be done at the beginning and/or end of each exercise session.

• #1 Lymphedema symptoms, prevention and management

  https://torontophysiotherapy.ca/lymphedema-symptoms-prevention-management/

  Emotional stress can cause generalized tightening of the neck, shoulder, and chest areas, which reduces lymphatic flow through these critical zones. […] Maintain a healthy body weight and exercise regularly (per the guidelines provided by your CDT therapist). The best research to date suggests that exercise is likely to be both safe and beneficial for lymphedema patients. […] It is also advisable to wear compression garments while exercising to further reduce your risk of swelling.

• #1 Lowering your risk of lymphoedema | Coping with cancer | Cancer Research UK

  https://www.cancerresearchuk.org/about-cancer/coping/physically/lymphoedema-and-cancer/lowering-your-risk

  A compression garment must fit properly, without being too loose or too tight. […] Evidence suggests not to wear compression garments if you’ve never had swelling before. […] When on a flight, move around as much as you can. […] Look after your skin keep it clean and moisturise it. […] Treatments to manage lymphoedema include skin care, exercise, weight management, compression therapy and manual lymphatic drainage (specialised massage).

• #1 Reducing Your Risk of Lymphoedema | Cancer Council NSW

  https://www.cancercouncil.com.au/cancer-information/managing-cancer-side-effects/lymphoedema/reducing-your-risk-of-lymphoedema/

  Seek urgent medical help if you notice redness, heat, pain or think you may have a skin infection. […] Travel – by plane, train, bus or car – has not been shown to increase the risk of lymphoedema. Even so, you may choose to take simple precautions while travelling like wearing loose-fitting clothing, moving regularly and drinking plenty of water. People with lymphoedema, or who have had lymph nodes removed as part of cancer treatment, may be advised to wear a compression garment during long-distance travel. Talk to your lymphoedema practitioner or doctor before you go.

• #1 Lymphedema Prevention and Early Intervention: A Worthy Goal

  https://www.cancernetwork.com/view/lymphedema-prevention-and-early-intervention-worthy-goal

  The etiology and risk factors of breast cancerrelated lymphedema (BCRL) are multifactorial and not fully understood. […] Therefore, patients with BCRL should be advised to adjust their daily use of upper extremities to prevent increased severity of BRCL. […] Early diagnosis of lymphedema translates to more treatment options; less edema, smaller limbs, improvement in joint aches, and reduced muscle pain and tightness; a decreased infection rate; increased patient desire to continue treatment; decreased medical costs; and an improved quality of life. Diagnosis of subclinical lymphedema facilitates early interventions such as education and preventive recommendations such as the use of over-the-counter compression sleeves, physical therapy consultation, daily exercise, and avoiding overuse of the affected arm.

• #1

  https://www.healio.com/news/hematology-oncology/20240220/consensus-recommendations-aim-to-prevent-breast-cancerrelated-lymphedema

  Multinational Association of Supportive Care in Cancer published the first set of consensus guidelines intended to prevent lymphedema among patients who underwent surgery for breast cancer. […] There is a major unmet need for strategies to prevent the condition because there are no effective strategies to eradicate it once it reaches a chronic state, Chan and colleagues wrote. […] Some strategies, including prophylactic lymphatic reconstruction and surveillance programs, have shown potential promise. […] Prospective surveillance programs should be utilized to screen for and decrease risk for breast cancer-related arm lymphedema where resources permit. […] Providers should offer prophylactic compression sleeves, axillary reverse mapping and prophylactic lymphatic reconstruction as options to patients at risk for breast cancer-related arm lymphedema.

• #1 Lymphedema Prevention Program | Reduce Risk with ImpediMed

  https://www.impedimed.com/products/programs/lymphedema-prevention-program/

  Reduce the burden of Breast Cancer-Related Lymphedema (BCRL) through early detection using bioimpedance spectroscopy (BIS) and intervention. […] The NCCN Guidelines are consistent about the importance of early detection of lymphedema and use of an objective tool, such as bioimpedance spectroscopy. […] The NAPBC Survivorship standards reference these evidence-based guidelines for lymphedema care. […] It is Well Established that Breast Cancer Related Lymphedema (BCRL) can be Resolved with Early Detection and Intervention. […] Lymphedema develops in stages, and a university of Kansas study found that when lymphedema is detected at stage 0 or stage 1 it is reversible, but in stages 2 and 3 it is not. These findings demonstrate how early conservative intervention and prospective monitoring with BIS can significantly lower rates of BCRL and persistent BCRL (pBCRL).

• #1

  https://www.healio.com/news/hematology-oncology/20240220/consensus-recommendations-aim-to-prevent-breast-cancerrelated-lymphedema

  Oncologists need to communicate the potential development and consider the risk factors for developing this condition prior to treatment, Chan said. It is paramount that patients who are at higher risk for developing this condition get prioritized for local resources, interventions and support. […] The MASCC guideline supports prospective BCRL surveillance when resources are available. […] Targeted treatment with a compression sleeve is a key clinical intervention for those requiring it (L-Dex 6.5 increase or 5-10% increase in volume) and clinically actionable. […] With regards to timing of BCRL surveillance, the guideline suggests surveillance should start within 3 months of surgery and continue for at least 24 months, an important point as clinicians should counsel patients on the need for long-term BCRL follow-up.

• #1 Lymphedema Prevention Program | Heart of Gold Physical Therapy

  https://www.heartofgoldpt.com/lymphedema-prevention

  Breast cancer-related lymphedema is a condition that can result from surgical, radiation, or taxane-based chemotherapy treatments. It can lead to abnormal swelling and discomfort in one or both arms. There is no cure for chronic breast cancer-related lymphedema. Once it develops, it requires lifelong management. […] When it is caught early, it can be treated and stopped before it gets worse and becomes a lifelong condition. Our new technology, the SOZO Digital Health Platform, provides an L-Dex score to help detect lymphedema before you feel noticeable swelling. This early alert allows us to work with you to take steps to stop lymphedema from getting worse, or to avoid getting it at all. […] Studies show that if lymphedema is detected early, it can be treated and prevented from getting worse. The opportunity to prevent lymphedema is before you experience noticeable swelling.

• #1 Comprehensive Guide to Lymphedema: Causes, Prevention, and Management Strategies

  https://www.infectioncontroltoday.com/view/comprehensive-guide-lymphedema-causes-prevention-management-strategies

  Lymphedema, a chronic condition often stemming from cancer treatments, leads to tissue swelling. Early detection through surveillance programs and proper skincare can prevent complications like infections. […] Awareness of these risk factors can aid in prevention and early detection, emphasizing the importance of proactive healthcare management for individuals susceptible to lymphedema. […] A prospective surveillance model, however, can be the key to effective early intervention of breast cancer-related lymphedema. Utilization of tools such as a Lymphedema Prevention Program, based on the concept of getting a pretreatment baseline followed by regular surveillance to detect subclinical lymphedema, can aid in identifying those with lymphedema even before symptoms become apparent. […] The best way to prevent infections due to lymphedema complications is to encourage patients to participate in prospective surveillance and treat any subclinical symptoms to decrease the likelihood of developing severe chronic lymphedema. […] It is crucial to educate patients about risk factors, early signs of lymphedema, and preventive measures.

• #1 Prophylaxis and Management of Cancer-Related Lymphedema | Medical-online-hub.com

  https://www.medical-online-hub.com/en/lymphedema/cancer-lymphedema-prophylaxis-management

  Breast-cancer related lymphoedema is a serious and concerning condition that can occur after breast cancer surgery, lymph node excision, or radiation therapy. Thus, prevention strategies are essential. […] Dr Pinar Borman reviewed the importance of preventing lymphoedema in breast cancer patients. Ideally, patient education about risk factors and prevention strategies should be initiated before breast cancer treatment. […] Literature reviews indicated the benefits of lymphoedema prevention programmes with compression garments in addition to general precautions such as education and exercise. Prophylactic compression sleeves not only prevented lymphoedema, but also increased functionality and quality of life. Thus, compression garments should be prescribed to all patients at risk of BCRL.

• #1 LYMPHEDEMA PREVENTION – Lymphatic Surgery

  https://lymphaticsurgery.it/lymphedema-prevention/

  Tertiary prevention occurs in the more advanced stages of lymphedema, preventing the accumulation of fibro-adipose tissue produced by chronic lymph stasis, which increases the risk of new infections and causes a poor quality of life. […] Therefore, in patients undergoing surgery who, due to their medical history, have a higher risk of developing lymphedema, their education is key: they must learn to examine themselves often for signs of swelling, as well as to undergo regular specialist medical checks and lymphoscintigraphies. […] Secondary Lymphedema prevention requires an interdisciplinary approach, which comprises specialist doctors of different medical and surgical disciplines (general surgeons, urologists, gynecologists, radiotherapists, oncologists, etc.). […] The secondary lymphedema prevention protocol, that includes clinical and instrumental (lymphoscintigraphy) tools, can offer a guideline with which each specialist physician (general surgeon, urologist, gynecologist, radiotherapist, oncologist, etc.), in their daily clinical activity, can work out a suitable diagnostic, clinical, and therapeutic approach aimed at preventing the onset of more or less severe lymph stasis in the affected limb/s of patients at risk who have undergone surgery or radiation therapy for a primary disease which, often, is already a serious condition (malignant tumor).

• #1 Preventing and Managing Treatment-Related Lymphedema

  https://www.oncnursingnews.com/view/preventing-and-managing-treatment-related-lymphedema

  Education can begin prior to starting cancer treatment and continue following surgery or throughout radiation therapy. […] Teaching patients how to monitor and assess for the early signs and symptoms of lymphedema will increase the chance that patients will seek medical help at the onset. […] Although there is no cure, early-stage intervention improves the likelihood of response to treatment and minimizes long-term consequences. […] The goal of treatment is to slow progression of lymphedema, provide symptom relief, maintain skin integrity and prevent complications or infection, and maintain psychosocial wellbeing. […] Oncology nurses play a major role in the prevention, early detection, and treatment of lymphedema one of the most distressing side effects of certain types of cancer and its treatment. They provide extensive education for prevention, teach patients how to use and care for compression garments, and work with the oncology team for appropriate referral for manual lymphatic drainage. […] A multidisciplinary approach to care, utilizing physical therapists, psychologists, and social workers is essential to address the impact of lymphedema on quality of life.

• #1 Novel Surgery May Prevent Lymphedema in Patients with Breast Cancer

  https://health.ucsd.edu/news/press-releases/2019-11-05-novel-surgery-to-prevent-lymphedema-in-breast-cancer/

  Of the 3.5 million current breast cancer survivors in the United States, one in five will be diagnosed with a painful swelling condition called lymphedema, which can occur as a consequence of lymph nodes under the arms being removed, also known as axillary lymph node dissection. UC San Diego Health now offers a novel surgical procedure to help prevent this debilitating condition. […] Immediate lymphatic reconstruction is a preventive procedure to restore lymphatic connections in the arm, said Frederic Kolb, MD, plastic surgeon at UC San Diego Health. […] Instead of treating patients after lymphedema presents itself, we hope to prevent the condition for patients who may be at risk. […] This microsurgical technique re-plumbs the lymphatic system to allow for the normal flow and drainage of lymphatic fluid, said Christopher Reid, MD, plastic surgeon, UC San Diego Health. It is intended to prevent the chronic limb swelling and infection associated with breast cancer-related lymphedema.

• #1 SURG.00154 Microsurgical Procedures for the Prevention or Treatment of Lymphedema

  https://www.anthem.com/dam/medpolicies/abcbs/active/policies/mp_pw_e000369.html

  The authors concluded that excellent outcomes were achieved, and the results are encouraging. […] They noted that no surgery offers a cure, and lymphedema precautions should be continued regardless of the results achieved with surgery. […] The researchers found that VLNT participants reported greater improvement and were more likely to discontinue compression garments. […] The authors concluded that VLNT shows promise in early and advanced stage lymphedema, but long-term, prospective studies are needed. […] The use of surgical techniques to prevent lymphedema, also known as Lymphatic Microsurgical Preventive Healing Approach (LYMPHA), has been proposed as a more proactive approach when damage to the lymphatic system is anticipated. […] The procedure involves connecting surgically severed lymphatic channels to nearby veins using microsurgical techniques during lymph node dissection.

• #1 Lymphedema Prevention – Breast360.org

  https://breast360.org/topic/2018/09/17/lymphedema-prevention/

  Lymphedema Prevention […] The risk of lymphedema can be decreased with less aggressive lymph node surgery. […] If you need to have an axillary lymph node dissection many surgeons will perform Axillary Reverse Mapping (ARM) at the time of your surgery. […] The risk of lymphedema is increased if you have a BMI of greater than 25 at the time of surgery. […] There are many recommendations regarding lymphedema prevention that you can do at home. […] It should be noted that these many of these recommendations are based on expert opinion without studies to support them. There is good scientific evidence to support the recommendations to maintain a normal weight and avoid weight gain. There is also good evidence to support a supervised exercise program by a physical therapist if you are at risk of developing lymphedema.

• #1 SURG.00154 Microsurgical Procedures for the Prevention or Treatment of Lymphedema

  https://www.anthem.com/dam/medpolicies/abcbs/active/policies/mp_pw_e000369.html

  The results indicate a significant reduction in breast cancer-related lymphedema incidence in the immediate lymphatic reconstruction group compared to the control group. […] This suggests immediate lymphatic reconstruction potentially improves patient outcomes by reducing lymphedema incidence and its associated symptoms. […] Overall, the responses from the surgical procedures to treat lymphedema have been variable and there is not enough evidence to determine the long-term outcomes. […] More high-quality RCTs are required to further elucidate the effectiveness of surgical interventions in the prevention and treatment of lymphoedema after breast cancer treatment.

• #1 Is immediate lymphatic reconstruction the future of lymphedema prevention? – Aristizábal – Gland Surgery

  https://gs.amegroups.org/article/view/123535/html

  As for the follow-up period, less than two years is still short-term, it is important to continue to follow the patients because it is still unclear if this procedure prevents lymphedema in the long term or if it just delays its onset, in the latter scenario it opens a debate about whether these immediate preventive interventions should be done or necessary.

• #1 Lymphedema | Canadian Cancer Society

  https://cancer.ca/en/treatments/side-effects/lymphedema

  Keeping the affected limb elevated (raised up), may help the lymph drain from the limb and lessen the swelling. […] Manual lymph drainage (MLD), also called manual lymph therapy (MLT), is a special kind of light massage. […] Complex decongestive therapy (CDT), also called complex physiotherapy (CPT), is a combination of manual lymph drainage, skin care, compression bandaging, exercises and compression garments. […] Compression devices are pumps connected to a sleeve that wraps around the arm or leg. […] Laser therapy may help to lessen lymphedema and skin hardness. […] Liposuction is a surgical procedure that sucks out fat deposits from specific areas of the body. […] A lymphovenous bypass is new surgery used to treat some people with lymphedema. […] A lymph node graft is surgery being studied in clinical trials to treat people with lymphedema.

• #1 Lymphedema | Canadian Cancer Society

  https://cancer.ca/en/treatments/side-effects/lymphedema

  Lymphedema can be caused by: […] Treatment of lymphedema depends on the cause. Your healthcare team will suggest ways to prevent lymphedema or help manage it if you do get it. […] It is important to stop lymphedema from getting worse, even when you have some permanent damage to the lymph system. […] Taking good care of your skin can help prevent an infection. […] Compression garments are also called pressure garments, compression sleeves and lymphedema sleeves or stockings. […] You may be given stretching exercises to help loosen the tissues in certain areas or move lymph out. […] Extra body weight is a risk for developing lymphedema. It can also make lymphedema harder to control. You can lower your risk by having a healthy body weight. […] Bandaging or wrapping a swollen limb helps the lymph vessels move lymph along.

• #1 Lymphedema Prevention | JOBST

  https://www.jobstcanada.com/living-with-your-condition/diagnoses/what-is-lymphedema/how-to-prevent-lymphedema

  Tight clothes, bras or waist bands impair the blood and the lymph flow and can increase your swelling. Move and stretch regularly during long travels. […] You can also learn how you can do lymphatic drainage by yourself, this is called Simple Lymphatic Drainage (SLD). Your lymph therapist can show you how to do this to relieve your symptoms. […] Manage symptoms effectively with our specialized compression solutions.

• #1

  https://www.healio.com/news/hematology-oncology/20171030/should-prophylactic-antibiotic-therapy-be-used-to-prevent-recurrent-infection-in-patients-with-lymph

  In one study, 28% of people with cancer-related lymphedema experienced cellulitis, a common complication of all types of lymphedema. […] People with lymphedema may experience recurrent episodes of cellulitis. These can cause further damage to the lymphatic system resulting in worsening lymphedema. This, in turn, leads to an increased risk for further cellulitis. So, a vicious circle may develop. […] Antibiotic prophylaxis can be helpful to reduce the risk for recurrent cellulitis of the leg. A randomized controlled trial showed that a prophylactic dose of phenoxymethylpenicillin prevented further episodes of cellulitis, but the protective effect diminished progressively following discontinuation of the antibiotic. […] Clinical experience suggests that these results can be extrapolated to lymphedema of the arm following breast cancer treatment. Therefore, antibiotic prophylaxis is recommended for women with breast cancer treatment-related lymphedema who suffer recurrent episodes of cellulitis.

• #1 Preventing lymphoedema after breast cancer treatment | Macmillan Cancer Support

  https://www.macmillan.org.uk/cancer-information-and-support/impacts-of-cancer/lymphoedema-after-breast-cancer-treatment

  Some people can develop lymphedema after treatment for breast cancer. Your cancer team will give advice on prevention and ways to manage the condition. […] There are things you can do to help reduce your chances of developing lymphoedema. It is important to protect your arm and hand, and to look after the skin in that area. […] It is important to keep your skin clean and well moisturised. This reduces the risk of inflammation and infection. […] Regular exercise and physical activity will help encourage lymph fluid to drain. […] The risk of lymphoedema is higher if you are overweight. […] If lymphoedema is diagnosed, you will be referred to a specialist lymphoedema nurse, specialist breast cancer nurse, doctor or physiotherapist for an assessment. […] Treatment aims to reduce and control swelling, relieve discomfort and prevent more build-up of fluid.

• #1 Lymphedema – Lexington Clinic

  https://lexingtonclinic.com/services/center-for-breast-care/lymphedema

  Lymphedema is the swelling of an area within your lymphatic system that can develop following some treatments of breast cancer. To manage the condition if and when it develops, Lexington Clinic’s Center for Breast Care offers lymphedema screenings and treatments as part of its Lymphedema Prevention Program. The Lymphedema Prevention Program is designed to reduce your risk of getting life-long lymphedema by testing you for early stages of lymphedema with the goal of preventing it from getting worse. […] To decrease the chances of developing lymphedema, after breast cancer treatment a patient should: Avoid trauma to the breast and arm on the affected side. Avoid needle sticks and blood pressures on the treated side while you are undergoing your initial breast cancer treatment. Avoid cuticle injuries during manicures. Avoid saunas or other extreme heat. Avoid carrying heavy shoulder strap handbags on the treated side. Limit sun exposure and minor cuts/abrasions by using sunscreen and gloves. Maintain a normal weight, which will also decrease the chances of the breast cancer’s recurrence. Avoid tight jewelry. […] For more information about the Lymphedema Prevention Program at Lexington Clinic, please call +1 (859) 258-4942.

• #1 Lymphedema – Eighteen Steps To Prevention – UPPER Extremities | KSK Cancer Center of Irvine

  https://www.kskcancercenter.com/breast_education_lymphedema_prevention

  When traveling by air, patients with lymphedema (or who are at risk) must wear a well-fitted compression sleeve. […] Patients with large breasts should wear light breast prostheses (heavy prostheses may put too much pressure on the lymph nodes above the collar bone). […] Patients with lymphedema should wear a well-fitted compression sleeve during all waking hours. […] Warning: If you notice a rash, itching, redness, pain, increase of temperature or fever, see your physician immediately. […] Maintain your ideal weight through a well-balanced, low sodium, high-fiber diet. […] Unfortunately, prevention is not a cure. But, as a cancer and/or lymphedema patient, you are in control of your ongoing cancer checkups and the continued maintenance of your lymphedema.

• #1 Reducing the Risk of Lymphedema in Patients With Cancer – The ASCO Post

  https://ascopost.com/issues/december-25-2020/reducing-the-risk-of-lymphedema-in-patients-with-cancer/

  The prospective surveillance model of care provides a strategy to educate, support, and empower patients about the risks of lymphedema before they have any type of intervention, including surgery, chemotherapy, or radiation therapy, and then we monitor them for symptoms of the condition and provide early intervention. […] If a patient has advanced cancer and we know axillary dissection and axillary radiation will be necessary, we act preemptively to get the patient referred to a lymphedema therapist for formal education regarding prevention strategies and options to reduce the risk of the condition after treatment. […] The critical piece to providing personalized care for our patients is to acknowledge that lymphedema is a serious condition that can affect patients lifelong quality of life; the responsibility is on all of us as clinicians to minimize that risk. We need to educate our patients about this potential treatment side effect, alert them to the symptoms, and be diligent about supporting them throughout cancer survivorship (including through risk stratification, monitoring for symptom burden, and early detection and intervention). […] It is critical for all clinicians treating patients with cancer to understand the available resources for lymphedema prevention and treatment, so patients can live high-quality lives following a cancer diagnosis and treatment.

• #1 Preventing and Managing Treatment-Related Lymphedema

  https://www.oncnursingnews.com/view/preventing-and-managing-treatment-related-lymphedema

  Cancer-related lymphedema can result from the cancer or its treatment. It is an accumulation of protein-rich fluid in an interstitial space which may be the result of surgical resection, lymph node dissection, or radiation therapy. […] The oncology nurse plays a major role in the prevention, detection, and management of lymphedema. Identifying patients at risk who need intensive education about self-care strategies to prevent the initial development of lymphedema is the first step in prevention. […] Nurses can teach patients who are at risk: Activities that promote lymph fluid drainage (eg, lymph drainage exercises), appropriate use of preventive compression garments, safe practices that avoid trauma to the at-risk area or limb (eg, avoiding heavy use of the extremity, phlebotomy, or blood pressure readings in the affected limb), skin care, how to identify early signs and symptoms of lymphedema for rapid intervention.

• #1 Lymphedema Treatment & Management: Approach Considerations, Compression Therapy, Manual Treatment Techniques

  https://emedicine.medscape.com/article/1087313-treatment

  Results from a randomized, single-blind, controlled trial suggested that in trying to prevent arm lymphedema, manual lymph drainage with instructional guidelines and an exercise program does not provide significantly better results than an exercise program and guidelines alone do after axillary lymph node dissection for breast cancer. According to the investigators, triple therapy (manual drainage, guidelines, exercise) was not likely to produce medium to large effects in the short-term. […] In contrast, however, a randomized, single-blind, clinical trial by Torres et al indicated that in women who have undergone breast cancer surgery, early physiotherapy may help to prevent postoperative secondary lymphedema for at least 1 year. The study included 116 women (patients who did or did not receive early physiotherapy) who had undergone breast cancer surgery involving dissection of the ancillary lymph nodes. […] One study has suggested that some patients have a genetic predisposition to develop lymphedema after breast cancer treatment. Other risk factors identified in this study were advanced cancer at the time of diagnosis, increased number of lymph nodes removed, and high body mass index.

• #1 A Study of a Comprehensive Prevention Program to Reduce Lymphedema After Axillary Lymph Node Dissection in People with Breast Cancer – NCIFacebookFollow on XInstagramYoutubeLinkedin

  https://www.cancer.gov/clinicaltrials/NCI-2023-10173

  This clinical trial tests how well a lymphedema prevention program works to reduce lymphedema after axillary lymph node dissection (ALND) surgery in women with breast cancer. […] The lymphedema prevention program was designed to reduce lymphedema and consists of performing immediate surgery to reconstruct the lymphatic drainage of the arm (immediate lymphatic reconstruction, [ILR]) after ALND and performing activities after surgery, including lymphedema physiotherapy (lymphatic massage and range of motion exercises), physical therapy, and wearing compression garments (tight sleeves that prevent fluid buildup). Completing the lymphedema prevention program may reduce lymphedema and improve quality of life in women with breast cancer. […] PRIMARY OBJECTIVE: I. Determine whether a lymphedema prevention program can decrease the cumulative incidence of breast cancer-related lymphedema (BCRL) at 24 months postoperatively by use of arm volume measurements.

• #1 A Study of a Comprehensive Prevention Program to Reduce Lymphedema After Axillary Lymph Node Dissection in People with Breast Cancer – NCIFacebookFollow on XInstagramYoutubeLinkedin

  https://www.cancer.gov/clinicaltrials/NCI-2023-10173

  OUTLINE: Within 6 weeks prior to surgery, patients undergo an education session discussing lymphedema, and prevention of it. Patients then undergo ALND surgery with ILR and ICG lymphography during the surgery. Starting within 24 to 48 hours after surgery, patients complete lymphatic massage and range of motion exercises 3 times a week and wear a compression garment daily for at least 8 hours a day for 3 months from surgery or until 3 months after completion of treatments.

• #1 Lymphedema After Breast Cancer Treatment: Causes, Symptoms and Prevention | Brown University Health

  https://www.brownhealth.org/be-well/lymphedema-after-breast-cancer-treatment-causes-symptoms-and-prevention

  Lymphedema can occur after any cancer, but is most common in those that more greatly impact the lymph system. […] Early diagnosis and education are key to good long-term management of lymphedema. […] Preventive compression therapy can promote lymphatic drainage if lymph nodes are removed during surgery. Make sure to be properly fitted for a compression sleeve to ensure optimal pressure. This sleeve should be worn when exercising or flying on an airplane, with any new strenuous activity, or if you feel a heaviness in your affected arm.

• #2

  https://www.nhs.uk/conditions/lymphoedema/prevention/

  It’s not possible to completely prevent lymphoedema, but the following advice may help reduce your chances of developing it. […] If you already have lymphoedema, this advice may stop it getting worse. […] You can reduce your chances of developing skin infections by: not having injections or blood pressure readings in the affected area whenever possible, treating cuts and scratches immediately with an antiseptic cream, using insect repellents to prevent insect bites, keeping your skin clean and dry, and using an alternative to soap, such as an E45 wash, moisturising the skin daily to keep it supple a GP can prescribe a suitable cream, avoiding very hot baths and showers the heat from saunas, steam rooms and sun beds may increase the swelling, using sunscreen with a high sun protection factor (SPF) to prevent sunburn, wearing gloves for gardening and household tasks to avoid cuts if your upper limbs are affected, using anti-fungal powder to prevent fungal infections in your skin or feet if your lower limbs are affected, cutting your nails with nail clippers, seeing a chiropodist for foot and nail care make sure you tell them you have lymphoedema, wearing shoes that fit correctly and provide support on the top of your feet and avoiding going barefoot if your lower limbs are affected, using an electric razor if you need to shave to reduce the risk of cutting yourself, not wearing tight fitting clothes or jewellery, following careful mouth and dental hygiene if you have lymphoedema in your head and neck.

• #2 How to Prevent and Manage Lymphedema | Dana-Farber Cancer Institute

  https://blog.dana-farber.org/insight/2014/02/how-to-prevent-and-manage-lymphedema/

  Following radiation treatment or surgery to remove lymph nodes (lymphadenectomy), patients can develop lymphedema, a condition that involves abnormal swelling, usually in the arms or the legs, due to an accumulation of lymphatic fluids. This fluid buildup is caused by blockage or removal of lymph nodes or lymph vessels. […] Below are some ways to prevent infection and manage lymphedema symptoms that arise: […] To prevent potential infection, try to exercise when possible. […] Be sure to keep your skin clean and moisturize daily. […] Exercise when possible. A physical therapist can help you determine what types of exercise your body can handle. […] Avoid injury (cuts, sunburns, and insect bites) and wear gloves for gardening or cleaning. […] Avoid injections and blood pressure readings in the surgery site, or in the area that is affected by lymphedema.

• #2 Lymphedema After Breast Cancer Treatment Memorial Sloan Kettering Cancer Center

  https://www.mskcc.org/cancer-conditions/breast-cancer/lymphedema-after-breast-cancer-treatment

  Lymphedema can start any time after breast cancer treatment. Most often, it starts within the first few years after surgery or radiation therapy. But it can also start months or even years later. […] We know a few things that sometimes can trigger lymphedema. They include an injury, infection, burn, or other trauma to the arm. […] Gaining weight after breast cancer treatment may be another trigger. Research shows weight gain can strain the lymphatic system. […] These steps can lower your chances of getting an infection that can lead to lymphedema. In the affected area: Avoid cuts or breaks in the skin. They can cause infection. Use a moisturizer daily to help protect the skin. Be careful when you manicure your nails. Do not cut the cuticles. Wear gloves when gardening, cleaning, or washing dishes. Use care when removing hair under your arm. Do not use a straight razor or hair removal cream. They can cause skin breaks. Use insect repellent to avoid stings. Avoid tight jewelry, clothing, or anything that can squeeze too tight. Avoid sunburn. Use sunscreen with an SPF of at least 30. Avoid using heating and hot packs.

• #2 Reducing your risk of lymphoedema | Macmillan Cancer Support

  https://www.macmillan.org.uk/cancer-information-and-support/impacts-of-cancer/lymphoedema/reducing-your-risk-of-lymphoedema

  Damage to the lymphatic system from cancer or its treatment can increase the risk of lymphoedema. You can do things to reduce your risk. […] Following the advice in this section may help to reduce your risk of lymphoedema. […] It is important to keep the area at risk of lymphoedema clean. You should also moisturise it well. This reduces the risk of the area becoming inflamed, infected or dry. […] You may be advised to avoid pressure on the area. This is because it can affect the flow of lymph fluid. […] It is important to be aware of early signs of a skin infection called cellulitis in the area at risk of lymphoedema. […] Muscle activity helps improve the flow of lymph fluid in the body. Regular exercise and keeping active encourages the fluid to drain. […] The risk of getting lymphoedema increases if you are overweight. It is important to try to keep your weight within the normal range for your height. […] Here are some tips to help reduce your risk of developing lymphoedema when travelling: Avoid sitting in the same position for the whole journey. Move around often, and do gentle stretching exercises if you are on a plane or train.

• #2 Lymphedema | Cancer Survivors | CDC

  https://www.cdc.gov/cancer-survivors/patients/lymphedema.html

  Before you have surgery or radiation treatment for cancer, ask your doctor what can be done to lower the chances that you will get lymphedema. […] The keys to managing lymphedema are preventing infections and allowing fluids to flow through the swollen area. […] Keep your skin clean and use lotion to keep it moist. […] If you get a small cut, clean it right away and apply antibacterial ointment and a bandage. […] Don’t get needle sticks (vaccines or blood tests) in the swollen area. […] Don’t wear tight clothing or jewelry. […] If you have lymphedema in one arm, have your blood pressure taken on, and blood drawn from, the other arm. […] If your arm or leg is swollen, elevate it above your heart when possible.

• #2 How to Prevent and Manage Lymphedema | Dana-Farber Cancer Institute

  https://blog.dana-farber.org/insight/2014/02/how-to-prevent-and-manage-lymphedema/

  Do not lift heavy objects with an arm affected by lymphedema and avoid continuous circular motions, like mixing. […] Elevate the limb above heart level as often as possible. […] Avoid extreme temperature changes when bathing or alternating between ice packs and heating pads. […] Avoid constriction. Wear loose clothing, do not wear tight jewelry or elastic bands around affected fingers or arms. […] Maintain ideal weight and a diet rich in protein and low in salt. […] If lymphedema is caused by infection, a doctor can prescribe antibiotics. If not, mechanical compression sleeves and stockings can prevent further accumulation of fluid in the affected limb. A trained therapist can also introduce manual lymphatic draining, if necessary.

• #2 Lymphedema – Eighteen Steps To Prevention – UPPER Extremities | KSK Cancer Center of Irvine

  https://www.kskcancercenter.com/breast_education_lymphedema_prevention

  Lymphedema – Eighteen Steps To Prevention – UPPER Extremities […] With proper education and care, lymphedema can be avoided, or, if it develops, kept well under control. […] The following instructions should be reviewed carefully pre-operatively and discussed with your physician or therapist. […] Absolutely do not ignore any slight increase of swelling in the arm, hand, fingers, or chest wall (consult with your doctor immediately). […] Never allow an injection or a blood drawing in the affected arm(s). Wear a LYMPHEDEMA ALERT bracelet. […] Have blood pressure checked on the unaffected arm, or on the leg (thigh), if bilateral lymphedema/at-risk arms. […] Keep the edemic or at-risk arm(s) spotlessly clean. Use lotion (Eucerin, Lymphoderm, Curel, whatever works best for you) after bathing.

• #2 Lowering your risk of lymphoedema | Coping with cancer | Cancer Research UK

  https://www.cancerresearchuk.org/about-cancer/coping/physically/lymphoedema-and-cancer/lowering-your-risk

  There are several things you can do to lower your risk of lymphoedema after cancer treatment. […] Maintaining a healthy weight is part of being fit and well. […] Exercise helps to encourage lymph flow. Research has found that exercise and movement can help to lower the risk of developing lymphoedema. […] You can help to lower your risk of lymphoedema by looking after your skin. […] People at risk of developing arm lymphoedema should also wear gloves when gardening and washing up. […] Avoid injections and blood tests, where possible, in any part of your body where you’ve had treatment to your lymph nodes. […] Where possible, avoid having blood pressure checks on an arm thats at risk of developing lymphoedema. […] Your specialist might suggest wearing a compression garment when flying. This can help to prevent further problems if you have had swelling before.

• #2

  https://www.nhs.uk/conditions/lymphoedema/prevention/

  Adopting a healthy lifestyle may help reduce your risk of developing lymphoedema, and may also help control the condition if you already have it. […] This includes: eating a healthy, balanced diet, maintaining a healthy weight use the BMI healthy weight calculator to work out whether you’re a healthy weight for your height, exercising regularly.

• #2 Lymphedema and Cancer – Side Effects – NCI

  https://www.cancer.gov/about-cancer/treatment/side-effects/lymphedema

  Avoid extreme heat and sun. High temperatures can make lymphedema worse. Use sunscreen and wear sun protection like hats and lightweight, long-sleeved shirts when spending time in the sun. […] Stay hydrated. Drinking plenty of water will help keep lymph fluid moving through the body. […] Reduce salt in your diet. Salt can make swelling worse by causing your body to retain fluid.

• #2 Lymphedema – Eighteen Steps To Prevention – UPPER Extremities | KSK Cancer Center of Irvine

  https://www.kskcancercenter.com/breast_education_lymphedema_prevention

  When traveling by air, patients with lymphedema (or who are at risk) must wear a well-fitted compression sleeve. […] Patients with large breasts should wear light breast prostheses (heavy prostheses may put too much pressure on the lymph nodes above the collar bone). […] Patients with lymphedema should wear a well-fitted compression sleeve during all waking hours. […] Warning: If you notice a rash, itching, redness, pain, increase of temperature or fever, see your physician immediately. […] Maintain your ideal weight through a well-balanced, low sodium, high-fiber diet. […] Unfortunately, prevention is not a cure. But, as a cancer and/or lymphedema patient, you are in control of your ongoing cancer checkups and the continued maintenance of your lymphedema.

• #2 Lymphedema Prevention Program | Reduce Risk with ImpediMed

  https://www.impedimed.com/products/programs/lymphedema-prevention-program/

  Bioimpedance Spectroscopy (BIS) is the Most Effective Method for Lymphedema Detection at the Subclinical Stage. […] Test all patients at-risk of lymphedema using SOZO with L-Dex. […] L-Dex increase of 6.5 or more from baseline indicates a likelihood of subclinical lymphedema. […] At-home treatment with compression garments. […] Enhance survivorship and maximize patient health for breast cancer patients by adopting a unified approach to the treatment of breast cancer related lymphedema (BCRL). […] 91% of patients surveyed believe cancer care teams should offer patients a Lymphedema Prevention Program. […] Successfully align with standards like the National Accreditation Program for Breast Centers (NAPBC) and the Commission on Cancer (COC), which both support lymphedema management throughout cancer treatment.

• #2 Novel Surgery May Prevent Lymphedema in Patients with Breast Cancer

  https://health.ucsd.edu/news/press-releases/2019-11-05-novel-surgery-to-prevent-lymphedema-in-breast-cancer/

  With this procedure, we can help prevent lymphedema and give the patient a better overall experience and outcome. […] The lymphedema prevention surgery represents one of several emerging microsurgical techniques being used to care for patients with breast cancer. […] Certified lymphedema therapists are also available to help patients prevent or manage the condition through exercise and massage. […] Data shows that both early assessment and treatment by occupational therapists after breast cancer treatment leads to improved physical outcomes.

• #2 Lymphedema and Cancer – Side Effects – NCI

  https://www.cancer.gov/about-cancer/treatment/side-effects/lymphedema

  Learn manual lymph drainage techniques from your CLT that you can do at home. […] Exercise. Exercise is a natural pump for the lymph system. It can improve the flow of lymph fluid and keep the heart healthy, which may help treat lymphedema. Exercising may also help lower your risk of lymphedema. Talk with your doctor to find an exercise program that you enjoy and that is safe for you. […] Elevate the affected area when possible. If you have lymphedema in your arm, try to keep it raised above the level of your heart when sitting or resting. If you have lymphedema in your leg, elevate it while lying down by resting it on a pillow or rolled-up blankets. […] Stay at or get to a healthy weight. Being at a healthy weight can keep lymphedema under control. […] Avoid putting pressure on the affected area. Wear loose jewelry and clothes without tight bands or elastic. Avoid carrying handbags or other items with an affected arm. Blood pressure and blood draws should be taken using the arm without lymphedema.

• #2 Preventing and Managing Treatment-Related Lymphedema

  https://www.oncnursingnews.com/view/preventing-and-managing-treatment-related-lymphedema

  Education can begin prior to starting cancer treatment and continue following surgery or throughout radiation therapy. […] Teaching patients how to monitor and assess for the early signs and symptoms of lymphedema will increase the chance that patients will seek medical help at the onset. […] Although there is no cure, early-stage intervention improves the likelihood of response to treatment and minimizes long-term consequences. […] The goal of treatment is to slow progression of lymphedema, provide symptom relief, maintain skin integrity and prevent complications or infection, and maintain psychosocial wellbeing. […] Oncology nurses play a major role in the prevention, early detection, and treatment of lymphedema one of the most distressing side effects of certain types of cancer and its treatment. They provide extensive education for prevention, teach patients how to use and care for compression garments, and work with the oncology team for appropriate referral for manual lymphatic drainage. […] A multidisciplinary approach to care, utilizing physical therapists, psychologists, and social workers is essential to address the impact of lymphedema on quality of life.

• #2 A Study of a Comprehensive Prevention Program to Reduce Lymphedema After Axillary Lymph Node Dissection in People with Breast Cancer – NCIFacebookFollow on XInstagramYoutubeLinkedin

  https://www.cancer.gov/clinicaltrials/NCI-2023-10173

  OUTLINE: Within 6 weeks prior to surgery, patients undergo an education session discussing lymphedema, and prevention of it. Patients then undergo ALND surgery with ILR and ICG lymphography during the surgery. Starting within 24 to 48 hours after surgery, patients complete lymphatic massage and range of motion exercises 3 times a week and wear a compression garment daily for at least 8 hours a day for 3 months from surgery or until 3 months after completion of treatments.

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