[Secondary lymphedema in gynecologic neoplasms]

In spite of improved techniques for operations and radiation therapy about 10% of all patients with carcinoma of the female genitals and breasts suffer from a secondary lymphoedema of the extremities. This lymphoedema can be described as a chronical trouble complaint with multifactorial genesis and a tendency to progression. The treatment aims not only at the drainage of albuminous oedema but also at the avoidance of tissue proliferations and infections. The strategy of treatment is based on long-term-measures to empty the oedema in a complex way and needs the intensive assistance of those concerned. Only patients who are thoroughly informed about their disease are in a position to show the patience and understanding necessary to undergo the training programme and to accept the maximum load.