Breast Cancer-Related Lymphedema

Abstract

Lymphedema is a common long-term complication of breast cancer treatment with a significant impact on quality of life and possibly life-threatening consequences. Major risks factors are axillary lymph node dissection, radiation and obesity. Early detection and treatment may limit progressive arm volume increase. Conservative treatment consists of weight reduction/control, exercise, skin care and compression garments. Some patients may benefit from decongestive lymphatic therapy if the symptoms are not controlled by compression garment alone. Surgical management, such as liposuction, lymphatico-venous anastomoses and vascularized lymph node transfer, can be considered in selected patients, although objective long-term results are limited.