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["Tertiary" lymphedema--procedures in lymph drainage therapy]
1Abteilung für Physikalische Therapie, Allgemeinen Krankenhauses St. Georg, Hamburg.
Zeitschrift Fur Lymphologie. Journal of Lymphology
|July 1, 1989
Summary
Tertiary lymphedema in cancer patients may signal tumor progression or recurrence. Immediate oncologic investigation is crucial, with temporary cessation of lymphatic drainage therapy.
Area of Science:
- Oncology
- Lymphedema Management
Background:
- Malignant tumors can lead to secondary lymphedema.
- Tertiary lymphedema is a distinct condition that can arise in cancer patients.
Observation:
- Tertiary lymphedema development often indicates tumor exacerbation, local recurrence, or loco-regional metastases.
- Suspicion of tertiary lymphedema necessitates prompt oncologic diagnostic investigations.
Findings:
- Lymphatic drainage therapy is typically halted during oncologic diagnostic periods for suspected tertiary lymphedema.
- In cases with a poor prognosis, lymphatic drainage may continue if pain or functional decline is significant.
Implications:
- Completion of oncologic therapy is recommended before resuming lymphatic drainage.
- Early detection and management of tertiary lymphedema are critical for cancer patient care.