Prevention and Treatment of Lymphedema in Breast Cancer.

Autor: McEvoy MP; Department of Surgery, Division of Breast Surgery, Montefiore Medical Center, Montefiore Breast Care Center, 1250 Waters Place, Tower 1, 7th Floor, Bronx, NY 10461, USA. Electronic address: mmcevoy@montefiore.org., Feldman S; Department of Surgery, Division of Breast Surgery, Montefiore Medical Center, Montefiore Breast Care Center, 1250 Waters Place, Tower 1, 7th Floor, Bronx, NY 10461, USA.
Jazyk: angličtina
Zdroj: Advances in surgery [Adv Surg] 2024 Sep; Vol. 58 (1), pp. 65-77. Date of Electronic Publication: 2024 May 08.
DOI: 10.1016/j.yasu.2024.04.005
Abstrakt: Breast cancer related lymphedema (BCRL) affects many breast cancer survivors and drastically affects their quality of life. There are several surveillance methods for BCRL that are critical at early detection. Prevention of BCRL involves knowledge of alternatives to aggressive axillary surgery, avoidance of axillary surgery, and de-escalation of axillary surgery. There are also techniques to better delineate the anatomy in the axilla to avoid taking nodes that drain the upper extremity. A multidisciplinary approach with medical oncology and radiation oncology can also help avoid unnecessary surgery or radiation that can together strongly increase the risk of BCRL.
Competing Interests: Disclosure The authors have nothing to disclose.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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