Breast radiotherapy and lymphedema

@article{Meek1998BreastRA,
  title={Breast radiotherapy and lymphedema},
  author={Allen G. Meek},
  journal={Cancer},
  year={1998},
  volume={83}
}
  • A. Meek
  • Published 15 December 1998
  • Medicine
  • Cancer
Breast radiotherapy has a low incidence of long term complications. Lymphedema is the most commonly reported complication and adversely affects the quality of life of the breast carcinoma patient. Although its incidence is decreasing, lymphedema still remains a significant concern for patients and their physicians. With the indications for radiotherapy in breast carcinoma management broadening, current strategies to prevent radiation‐related lymphedema should be applied and new strategies… 
Prognostic factors for lymphedema after primary treatment of breast carcinoma
TLDR
The objective of the current study was to identify the risk factors for secondary lymphedema after breast carcinoma treatment.
The impact of radiation on lymphedema: a review of the literature.
TLDR
This review will examine the role of RT in upper and lower extremity lymphedema through decreased lymphatic proliferation potential, interstitial fibrosis compressing lymphatic vessels, and mechanical insufficiency of the lymphatic system.
Upper extremity lymphedema after treatment for breast cancer: a review of the literature.
TLDR
A review of the literature suggests that research is needed to better understand the incidence and magnitude of upper extremity lymphedema; develop reliable and valid lympedema risk assessment instruments; improve collaborative research efforts among skin, wound, and cancer investigators; and develop evidence-based lympEDema prevention and treatment protocols.
Lymphedema in women treated for breast cancer.
TLDR
Because lymphedema is essentially an incurable condition, healthcare providers should be aware of techniques such as sentinel-node biopsy that could significantly decrease its incidence.
Breast cancer-related lymphedema.
TLDR
An overview of the pathophysiology, diagnosis, prevention, and treatment of breast cancer-related lymphedema is presented.
Indocyanine green utility in prevention and treatment of breast lymphedema
TLDR
The aim of the current paper is to discuss the possibility of prevention and treatment of breast lymphedema by using innovative techniques such as indocyanine green.
Prevention and management of arm lymphedema in the patient with breast cancer.
TLDR
The advent of sentinel lymph node biopsy as an alternative to axillary dissection should decrease the rate of lymphedema, and the increasing number of breast cancer survivors and the high prevalence of the disease will continue to make lyMPhedema a significant consequence of Breast cancer treatment.
Risk of lymphedema after regional nodal irradiation with breast conservation therapy.
Incidence and Risk Factors Analysis of Lymphedema Secondary to Breast Cancer
Lymphedema, the most significant complication of treatment for breast cancer, can result in substantial psychological and physical morbidity. However, no long-term follow-up lymphedema studies yet
...
...

References

SHOWING 1-10 OF 84 REFERENCES
Axillary lymph nodes and breast cancer. A review
Background. The value of surgical staging and treatment of the axillary lymph nodes with either surgery or radiotherapy in the initial management of patients with Stage I or II invasive breast cancer
Factors that influence the incidence of brachial oedema after treatment of breast cancer.
TLDR
The highest incidence of oedema was among patients who had received radiotherapy in high doses with few fractions to the axilla, and in patients with a history of one or more infections in the arm on the operated side.
Risk of lymphoedema following the treatment of breast cancer
TLDR
The incidence of lymphoedema was studied in 200 patients following a variety of treatments for operable breast cancer and arm volume measurement 15 cm above the lateral epicondyle was the most accurate method of assessing differences in size of the operated and normal arm.
Focused review: postmastectomy lymphedema.
Arm lymphedema in patients treated conservatively for breast cancer: relationship to patient age and axillary node dissection technique.
Radiotherapy and management of the axilla in early breast cancer
  • A. Recht
  • Medicine
    The British journal of surgery
  • 1995
TLDR
Current randomized studies of axillary node sample and axillary radiation if node positive versus axillary clearance will determine how to balance disease control with upper limb and shoulder morbidity.
Axillary node dissection for early breast cancer: Some is good, but all is better
TLDR
It is believed that total axillary lymphadenectomy provides optimal regional disease control and axillary staging with morbidity comparable to that of partialymphadenectomy.
The psychological morbidity of breast cancer–related arm swelling. Psychological morbidity of lymphoedema
Background. The psychological morbidity, functional impairment, and disturbance in psychosocial adjustment to illness was evaluated in relation to breast cancer‐related arm swelling.
A prospective study of conservative surgery alone in the treatment of selected patients with stage I breast cancer
TLDR
Randomized clinical trials have clearly demonstrated that the use of radiation therapy following breast‐conserving surgery (CS) substantially reduces the risk of local recurrence, and the recent increase in the detection of smaller cancers due to mammographic screening has led to the speculation that a subgroup of patients who have a low risk ofLocal recurrence without RT might be identified.
Edema of the arm as a function of the extent of axillary surgery in patients with stage I-II carcinoma of the breast treated with primary radiotherapy.
...
...