[Treatment of postoperative lymphedema of the upper limb].
In breast cancer the overall incidence of post-therapeutic lymphedemas of the arm remains at 20% despite the use of new conservative treatments. Patients suffering from pains and heaviness require additional treatment for their swollen arm. One hundred and seventy-nine women with a post therapeutic edema of the upper limb have been treated in a special medical unit where medical and physiotherapeutic care were given as an intensive treatment for 4 weeks. More than 80% of good results were obtained with a median decrease in volume of swelling of 45%. The duration of the clinical improvement during the 6 months following the intensive first treatment was excellent for 76% of all improved cases. Treatment failure occurred in 16.2% of upper limb swelling mostly in relation to a recurrence of the disease (81%). 84.3% of cases undergoing a second intensive treatment 6 months later displayed a new decrease in volume and a new real clinical improvement. Small post therapeutic lymphedemas must be treated as soon as possible to avoid more serious delayed disorders.
Pecking
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Service de médecine nucléaire, Centre René-Huguenin, Saint-Cloud, France.
D001132:Arm; D001943:Breast Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D002985:Clinical Protocols; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008209:Lymphedema / Q000209:etiology / Q000628:therapy*; D015409:Mastectomy, Radical / Q000009:adverse effects; D015412:Mastectomy, Segmental / Q000009:adverse effects; D011183:Postoperative Complications / Q000628:therapy
Traitement du lymphoedème séquellaire du membre supérieur.