Movement, Function, Pain, and Postoperative Edema in Axillary Web Syndrome

Area of Science:

• Oncology
• Surgical Oncology
• Rehabilitation Medicine

Background:

• Axillary web syndrome (AWS) is a post-surgical complication following breast cancer treatment.
• It is characterized by palpable cords of tissue in the axilla.

Purpose of the Study:

• To characterize the clinical features of AWS, including movement, function, pain, and edema.
• To determine the incidence and risk factors of AWS within 3 months of breast cancer surgery.

Main Methods:

• A prospective cohort study with repeated measures was conducted.
• 36 women undergoing breast cancer surgery were assessed for AWS, shoulder range of motion, function, pain, and edema at 2, 4, and 12 weeks post-surgery.
• Demographic data were analyzed for risk factor identification.

Main Results:

• AWS developed in 47.2% of participants and persisted in 27.8% at 12 weeks.
• Lower shoulder abduction range of motion was observed in the AWS group at 2 and 4 weeks.
• Lower body mass index was significantly associated with AWS (OR=0.86).

Conclusions:

• Axillary web syndrome is common after breast/axilla surgery and can persist long-term.
• Early effects include restricted movement, though long-term consequences remain unclear.
• Low body mass index is identified as a risk factor for AWS.