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Lymphedema: strategies for management.
S R Cohen1, D K Payne, R S Tunkel
1Rehabilitation Service, Evelyn H. Lauder Breast Center, Memorial Sloan-Kettering Cancer Center, New York, New York 10021, USA.
Cancer
|August 24, 2001
Summary
Lymphedema management requires understanding lymphatic physiology and individual patient needs. Early diagnosis and tailored treatments, including physical therapies and psychological support, are crucial for effective management and improved patient outcomes.
Area of Science:
- Oncology
- Lymphology
- Physical Medicine and Rehabilitation
Background:
- Lymphedema is a significant complication following cancer treatment.
- Effective management necessitates understanding lymphatic system physiology and individual patient factors.
Purpose of the Study:
- To review the normal and impaired lymphatic system.
- To describe current assessment and treatment options for lymphedema.
- To discuss the psychological impact and management of lymphedema.
Main Methods:
- Review of lymphatic system physiology.
- Description of current assessment techniques.
- Overview of treatment modalities including patient education, exercise, compression, pneumatic pumps, and lymphatic massage.
Main Results:
- Physical treatments like exercise, compression, and lymphatic massage show efficacy in reducing limb swelling.
- Lymphedema is frequently associated with psychological distress impacting treatment adherence.
- Optimal treatment strategies and combinations remain under investigation.
Conclusions:
- Prompt diagnosis and early intervention are essential for preventing lymphedema progression.
- A multimodal approach addressing both physical and psychological aspects is recommended.
- Further research is needed to establish consensus on optimal lymphedema management protocols.