title: Lymphedema following breast cancer treatment and impact on quality of life: a review.
abstract: Lymphedema resulting from breast cancer treatment is a chronic condition which can significantly compromise quality of life. We sought to review various aspects of breast-cancer related lymphedema including measurement techniques, definitions, risk factors, and specifically, impact on physical, psychological, and emotional well-being of women treated for breast cancer. For the purpose of this review, we performed a literature search using PubMed for articles on lymphedema secondary to breast cancer treatment published since 1997. While improvements in breast cancer therapy have contributed to a decrease in the incidence of lymphedema, the overall negative impact the condition has on patients and survivors has remained unchanged. The development of lymphedema results in physical impairments including compromised function, diminished strength, fatigue, and pain in the affected arm. Affected women may have decreased self-confidence resulting from a distorted body image. Negative emotions reported by women with lymphedema include anxiety, frustration, sadness, anger, fear, and increased self-consciousness. Lymphedema secondary to breast cancer treatment remains a significant quality of life issue, with known consequences related to a woman's physical, psychological, and emotional well-being.
authors.affiliation: Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, United States.
authors.forename: Nadine R
authors.initials: NR
authors.lastname: Taghian
authors.affiliation: Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, United States.
authors.forename: Cynthia L
authors.initials: CL
authors.lastname: Miller
authors.affiliation: Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, United States.
authors.forename: Lauren S
authors.initials: LS
authors.lastname: Jammallo
authors.affiliation: Department of Physical Therapy, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, United States.
authors.forename: Jean
authors.initials: J
authors.lastname: O'Toole
authors.affiliation: Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, United States. Electronic address: mskolny@partners.org.
authors.forename: Melissa N
authors.initials: MN
authors.lastname: Skolny
mesh_terms: D001943:Breast Neoplasms / Q000150:complications* / Q000401:mortality / Q000523:psychology* / Q000628:therapy; D005260:Female; D006801:Humans; D008209:Lymphedema / Q000175:diagnosis / Q000209:etiology*; D011788:Quality of Life; D012307:Risk Factors
keywords: Breast cancer; Lymphedema; Quality of life