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[Disability and lymphedema].

F Boccardo1, C Campisi

  • 1Dipartimento di Scienze Chirurgiche Specialistiche, Anestesiologia e Trapianti d'Organo (DISCAT), Sezione di Clinica Chirurgica d'Urgenza, Centro di Linfologia e Microchirurgia, Ospedale S. Martino, Università degli Studi di Genova.

Annali Italiani Di Chirurgia
|April 23, 2003
PubMed
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Axillary lymph-nodal dissection for breast cancer can cause disabling arm lymphedema. Early patient education on prevention and treatment is crucial for managing this psycho-physical complication and improving prognosis.

Area of Science:

  • Oncology
  • Surgical Oncology
  • Lymphedema Research

Background:

  • Axillary lymph-nodal dissection (ALD) is a key surgical treatment for breast cancer.
  • ALD can lead to significant early and late complications, including upper limb edema and impaired function.
  • Arm lymphedema is a particularly disabling complication, impacting patients physically and psychologically.

Purpose of the Study:

  • To highlight the incidence and impact of complications following ALD for breast cancer.
  • To emphasize the importance of patient education regarding preventive strategies for lymphedema.
  • To review clinical experiences and therapeutic/preventive procedures for managing lymphedema-related psycho-physical burden.

Main Methods:

  • Review of clinical experiences from work groups studying psycho-physical damage due to lymphedema.

Related Experiment Videos

  • Analysis of early and late complications associated with axillary lymph-nodal dissection.
  • Identification of therapeutic and preventive procedures for lymphedema management.
  • Main Results:

    • Complications from ALD, such as arm lymphedema, can overshadow treatment benefits.
    • Lymphedema significantly impacts patients' physical and psychological well-being.
    • Preventive measures and informed patient guidance are essential for mitigating disability.

    Conclusions:

    • Patient education on lymphedema prevention is vital for improving prognosis after breast cancer surgery.
    • Comprehensive management strategies are needed to reduce the psycho-physical burden of lymphedema.
    • Addressing complications like lymphedema is critical for maximizing patient benefit from breast cancer treatment.