From: HubMed - breast cancer <rssfwd@rssfwd.com>
Date: Wed, Apr 23, 2008 at 9:03 AM
Subject: Preoperative assessment enables the early diagnosis and successful treatment of lymphedema.
To: mesothelioma77@gmail.com
[1]Cancer. 2008 Apr 21;
Stout Gergich NL, Pfalzer LA, McGarvey C, Springer B, Gerber LH, Soballe P
BACKGROUND: The incidence of breast cancer (BC)-related lymphedema (LE) ranges from 7% to 47%. Successful management of LE relies on early diagnosis using sensitive measurement techniques. In the current study, the authors demonstrated the effectiveness of a surveillance program that included preoperative limb volume measurement and interval postoperative follow-up to detect and treat subclinical LE. METHODS: LE was identified in 43 of 196 women who participated in a prospective BC morbidity trial. Limb volume was measured preoperatively and at 3-month intervals after surgery. If an increase >3% in upper limb (UL) volume developed compared with the preoperative volume, then a diagnosis of LE was made, and a compression garment intervention was prescribed for 4 weeks. Upon reduction of LE, garment wear was continued only during strenuous activity, with symptoms of heaviness, or with visible swelling. Women returned to the 3-month interval surveillance pathway. Statistical analysis was a repeated-measures analysis of variance by time and limb (P
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Source: http://www.hubmed.org/display.cgi?uids=18428212
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