Research Progress on Postoperative Limb Lymphedema in Breast Cancer

Journal: Advanced Journal of Nursing DOI: 10.32629/ajn.v4i3.1463

Qian Zheng, Mengdie Hu

National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China

Abstract

This article reviews the mechanisms, factors, and preventive measures of upper limb lymphedema following breast cancer surgery. Methods: Extensive review of recent research literature on factors and prevention of upper limb lymphedema after breast cancer surgery in the past five years, followed by analysis and summary. Conclusion: Postoperative upper limb lymphedema significantly impacts the function and mobility of the affected limb. The formation of upper limb lymphedema is a chronic process, and to date, there is no treatment that can fully restore the affected limb. Therefore, early detection, preventive measures, and the proactive adoption of effective strategies have become a new approach to treatment. By systematically elucidating the mechanisms, factors, and preventive measures of postoperative upper limb lymphedema in breast cancer, adopting effective preventive measures can reduce the occurrence of upper limb lymphedema, alleviate patient suffering, and improve the quality of life.

Keywords

breast cancer, lymphedema, etiology, prevention, review

References

[1] BRAY F, FERLAY J, SOERJOMATARAM I, et al. (2018). Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, 68(6), 394-424.
[2] TIAN Yaling. Monitoring and nursing of upper limb lymphedema after breast cancer surgery. Contemporary Nurse (Mid-month Issue), 2016(09), 74-75.
[3] WANG Fang, XIONG Youyi, CHEN Zhuo, et al. Clinical study on the prevention of upper limb lymphedema after breast cancer surgery with latissimus dorsi myocutaneous flap transfer. Chinese Continuing Medical Education, 2016, 8(10), 60-61.
[4] HUANG Wei. Mechanism and prevention progress of upper limb lymphedema after breast cancer surgery. Medical Information, 2015, 28(24), 359-360.
[5] ZHU Qiannan, XIA Tiansong, LING Lijun, et al. Mechanism and prevention progress of upper limb lymphedema after breast cancer surgery. Chinese Journal of Breast Disease (Electronic Edition), 2013, 7(06), 442-445.
[6] ZHAO Hui, GAO Xia, LIU Fengman, et al. Progress in diagnosis and treatment of upper limb lymphedema after breast cancer surgery. Qingdao Medicine and Hygiene, 2013, 45(6), 449-451.
[7] XUE Caitong, XU Min. Analysis of the causes of upper limb lymphedema after breast cancer surgery. Clinical Rational Drug Use, 2016, 9(11).
[8] ZANG Huiran, BI Ye, MU Lan. Treatment and prevention progress of upper limb lymphedema after breast cancer surgery. Chinese Journal of Reparative and Reconstructive Surgery, 2016, 30(12), 1567-1570.
[9] HUANG Cunrong, XIE Xiju. Causes and current status of prevention and treatment of upper limb lymphedema on the affected side after breast cancer surgery. Jiangsu Medicine and Pharmacy, 2016, 42(1), 76-77.
[10] LIU Hairong. Prevention measures of lymphedema in the affected limb after breast cancer surgery. Clinical Medicine, 2013(06), 2956-2958.
[11] The diagnosis and treatment of peripheral lymphedema: 2013 Consensus Document of the International Society of Lymphology[J]. Lymphology, 2013,46(1):1-11.
[12] ROTHSTEIN J M. On the second edition of the Guide to Physical Therapist Practice[J]. Phys Ther, 2001,81(1):6-8.
[13] Deutsch M, Land S, Begovic M. The incidence of arm edema in women with breast cancer randomized on the National Surgical Adjuvant Breast and Bowel Project study B-04 to radical mastectomy versus total mastectomy and radiotherapy versus[J]. 2008(70):1020-1024.
[14] VERBELEN H, GEBRUERS N, BEYERS T, et al. Breast edema in breast cancer patients following breast-conserving surgery and radiotherapy: a systematic review[J]. Breast Cancer Research and Treatment, 2014,147(3):463-471.
[15] NORMAN S A, MILLER L T, ERIKSON H B, et al. Development and validation of a telephone questionnaire to characterize lymphedema in women treated for breast cancer[J]. Phys Ther, 2001,81(6):1192-1205.
[16] ARMER J, FU M R, WAINSTOCK J M, et al. Lymphedema following breast cancer treatment, including sentinel lymph node biopsy[J]. Lymphology, 2004,37(2):73-91.
[17] MA Jinglin. Clinical study on subcutaneous effusion and upper limb edema after breast cancer surgery [Dissertation]. Shandong University, 2013.
[18] ZHANG Wenxuan, XING Lina. Research progress on radiation sensitivity in breast cancer [J]. Chinese Journal of Clinical Physicians, 2013, 7(2), 799-800.
[19] GUO Lingyun. Analysis of the causes and preventive measures of postoperative lymphedema in patients with breast cancer [J]. Clinical Medicine & Practice, 2016, 25(07), 544-546.
[20] ZHANG Lijuan, HUANG Zhongying, ZHU Xiaoli, et al. Effect of manual lymphatic drainage on preventing upper limb lymphedema after breast cancer surgery [J]. Journal of Practical Medicine, 2015(17), 2910-2913.
[21] ZHANG Wei. Early intervention for upper limb lymphedema after radical surgery for breast cancer [J]. Chinese Health and Nutrition, 2014, 24(7), 3918.
[22] ZHANG Xiaoqin, WU Jinming, LI Qin, et al. Comparison of the intervention effects of various nursing methods on postoperative lymphedema in breast cancer [J]. Shanxi Medical Journal, 2017, 46(13), 1540-1543.
[23] SAYKO O, PEZZIN L E, YEN T W, et al. Diagnosis and treatment of lymphedema after breast cancer: a population-based study. PM R, 2013, 5(11), 915-923.
[24] LEUNG E Y, TIRLAPUR S A, MEADS C. The management of secondary lower limb lymphedema in cancer patients: a systematic review. Palliative Medicine, 2015, 29(2), 112-119.
[25] QIU Jiajia, LI Ping. The effect of compression elastic bandage on improving postoperative upper limb lymphedema in breast cancer patients [J]. Shanghai Nursing, 2019, 19(09), 34-38.
[26] BU Caiju, PANG Yonghui. Progress in preventive nursing of ipsilateral upper limb edema after breast cancer surgery [J]. Nursing Research, 2016, 30(30), 3716-3719.
[27] NELSON N L. Breast Cancer–Related Lymphedema and Resistance Exercise. Journal of Strength and Conditioning Research, 2016, 30(9), 2656-2665.
[28] GUO Xiaoyan, HUANG Caixia, LIU Jianjun, et al. Guidance and rehabilitation nursing of functional exercise after breast cancer surgery [J]. Inner Mongolia Journal of Traditional Chinese Medicine, 2013, 32(34), 165.
[29] PASKETT E D, DEAN J A, OLIVERI J M, et al. Cancer-related lymphedema risk factors, diagnosis, treatment, and impact: a review. Journal of Clinical Oncology, 2012, 30(30), 3726-3733.
[30] TAM E K, SHEN L, MUNNEKE J R, et al. Clinician awareness and knowledge of breast cancer-related lymphedema in a large, integrated health care delivery setting. Breast Cancer Research and Treatment, 2012, 131(3), 1029-1038.
[31] LIU Gaoming, CHEN Yongyi, HUANG Gang, et al. Training practice of nurses for comprehensive drainage and edema reduction in international cooperation on lymphedema in Hunan Province [J]. Chinese Nursing Management, 2019, 19(08), 1176-1179.

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