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Updated: Jun 18, 2025
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Ultrasonographic Evaluation of Breast Cancer-related Lymphedema
Published on: January 12, 2017
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The Effects of Daily-Living Risks on Breast Cancer-Related Lymphedema.
Mei Rosemary Fu1, Bowen Liu2, Jeanna Mary Qiu3
1School of Nursing and Health Studies, University of Missouri -Kansas City, Kansas City, MO, USA. mei.fu@umkc.edu.
Annals of Surgical Oncology
|August 1, 2024
Summary
Preventing breast cancer-related lymphedema (BCLE) involves managing daily risks. Skin trauma, including infections and burns, significantly increases BCLE risk, highlighting the need for preventative strategies.
Area of Science:
- Oncology
- Lymphedema Research
- Cancer Survivorship
Background:
- Breast cancer-related lymphedema (BCLE) management traditionally focuses on avoiding daily risks.
- Limited research has explored the specific daily-living activities that contribute to BCLE.
- Understanding these risks is crucial for developing effective prevention strategies.
Purpose of the Study:
- To investigate the occurrence and patterns of daily-living risks associated with BCLE.
- To determine the impact of these risks on the development of BCLE.
- To identify specific risk factors that can be targeted for intervention.
Main Methods:
- A cross-sectional study involving 567 cancer patients at a US metropolitan cancer center.
- Utilized the Lymphedema Risk-Reduction Behavior Checklist to assess 11 daily-living risks.
- Employed descriptive, regression, and factor analyses to evaluate the data.
Main Results:
- Infections, cuts/scratches, sunburn, burns from splashes, and insect bites were significantly associated with increased BCLE odds.
- Daily risks clustered into skin trauma and carrying objects factors, with skin trauma being a significant predictor of BCLE.
- Multiple skin trauma risks substantially elevated the likelihood of developing BCLE, while carrying objects did not show a significant association.
Conclusions:
- Complete avoidance of daily risks is impractical, as over half of patients experienced multiple risks.
- Findings emphasize the critical need for 'what to do' strategies focusing on minimizing skin trauma and infection to prevent BCLE.
- Proactive management of skin integrity is essential for breast cancer survivors at risk of lymphedema.
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