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Related Experiment Videos

Lymphedema: a comprehensive review.

Anne G Warren1, Håkan Brorson, Loren J Borud

  • 1Harvard Medical School, Boston, MA, USA.

Annals of Plastic Surgery
|September 29, 2007
PubMed
Summary
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Lymphedema management is evolving. Early diagnosis and decongestive lymphatic therapy improve symptoms, while suction-assisted lipectomy offers surgical options for resistant cases.

Area of Science:

  • Medical Science
  • Oncology
  • Vascular Surgery

Background:

  • Lymphedema is a chronic condition often considered incurable.
  • Recent advances in pathophysiology, diagnostics, and therapeutics are changing this view.
  • Breast cancer treatment is a primary cause of lymphedema in the US.

Purpose of the Study:

  • To present a systematic approach for lymphedema evaluation and management.
  • To review current diagnostic and therapeutic strategies for lymphedema.

Main Methods:

  • Systematic literature review of English-language studies (1966-2006) using keywords like 'lymphedema' and 'decongestive therapy'.
  • Reviewed bibliographies and International Society of Lymphology guidelines.

Main Results:

Related Experiment Videos

  • Lymphedema evaluation requires assessing malignancy treatment history, risk factors, and physical exam findings.
  • Lymphatic imaging (lymphoscintigraphy, CT, MRI) aids diagnosis.
  • Decongestive lymphatic therapy (compression, massage) is the primary treatment.
  • Surgical options, including suction-assisted lipectomy, show promise for refractory cases.

Conclusions:

  • Lymphedema diagnosis relies on risk factors and physical examination.
  • Imaging tools confirm diagnosis and aid challenging cases.
  • Decongestive lymphatic therapy significantly improves symptoms and reduces limb volume.
  • Surgical intervention, particularly suction-assisted lipectomy, can yield positive outcomes for non-responders.