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Ultrasonographic Evaluation of Breast Cancer-related Lymphedema
Published on: January 12, 2017
Lymphedema. A significant health problem for women with breast cancer in Jordan
Basem B Morcos1, Firas Al Ahmad, Iyad Anabtawi
1Department of Surgery, King Hussein Cancer Center, Al-Jubeiha, Amman, Jordan. bmorcos@doctor.com
Insights
Breast cancer survivors frequently develop lymphedema, a condition causing arm swelling. While often mild, severe cases impact daily life, necessitating greater health worker awareness.
Area of Science:
- Oncology
- Clinical Medicine
- Public Health
Background:
- Breast cancer treatment can lead to secondary lymphedema.
- Lymphedema significantly impacts patients' quality of life.
Purpose of the Study:
- To determine the incidence of breast cancer-related lymphedema.
- To increase health worker awareness of lymphedema.
Main Methods:
- Cross-sectional study at King Hussein Cancer Center (2004-2009).
- 515 breast cancer patients (excluding bilateral cases) completed symptom questionnaires.
- Lymphedema defined by a ≥2 cm difference in upper limb girth.
Main Results:
- Lymphedema incidence was 21.1% (patient-reported 35%).
- 75.3% experienced limb symptoms (pain, numbness, limited movement).
- 15.6% of lymphedema cases had severe effects on daily activities.
Conclusions:
- Lymphedema remains a prevalent issue in the region.
- While often mild, lymphedema can severely affect daily activities.
- Health worker education on lymphedema significance and morbidity is crucial.
Objective:
To investigate the frequency of breast cancer related lymphedema in our region, and to heighten its awareness among health workers.
Methods:
This is a cross-sectional study of patients treated with breast cancer at King Hussein Cancer Center, Amman, Jordan, between January 2004 and December 2009. We excluded patients with bilateral breast cancer. A total of 515 patients were included. We asked the patients to complete questionnaires that included questions related to arm symptoms. Lymphedema was defined as 2 cm or more difference between the 2 upper limbs' girths.
Results:
The incidence of lymphedema was 21.1%. The subjective evaluation by the patients overestimated the figure (35%). Most patients (75.3%) had limb symptoms, such as pain, numbness, and limitation of movement. In most patients with lymphedema, the symptoms were mild, but in 17 patients (15.6%) the effects were severe.
Conclusion:
Lymphedema continues to be a common health problem in our region. Most patients have mild lymphedema, but in some patients the effects on daily activities are severe. It is important for health workers to understand the significance of this problem and its associated morbidity.
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