arm_lymphedema
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arm_lymphedema [2012/06/23 08:04] Pat O'Connor [ARM LYMPHEDEMA RELATED ARTICLES] |
arm_lymphedema [2012/10/16 14:40] (current) |
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| These are common sense approaches that any physcian should be immediately aware of. For more information, see our page [[lymphedema]] | These are common sense approaches that any physcian should be immediately aware of. For more information, see our page [[lymphedema]] | ||
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| + | ======Primary upper-limb lymphedema.===== | ||
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| + | August 2012 | ||
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| + | Vignes S, Arrault M, Yannoutsos A, Blanchard M. | ||
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| + | Source | ||
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| + | Department of Lymphology, Centre National de Référence des Maladies Vasculaires Rares (lymphœdèmes primaires), Hôpital Cognacq-Jay, 75015 Paris, France. | ||
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| + | **Abstract** | ||
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| + | **Background:** Lymphedema is a general term applied to designate pathological regional accumulation of protein-rich fluid. It can be either primary or secondary, mainly after cancer treatment. | ||
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| + | **Objective:** To analyze clinical and lymphoscintigraphic characteristics of primary upper-limb lymphedema. | ||
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| + | **Method:** All patients with upper-limb lymphedema (January 2007-December 2011) recruited in a single Department of Lymphology were included. | ||
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| + | **Results:** Sixty patients (33 females, 27 males) were enrolled. For the 54 noncongenital lymphedemas, mean age at onset was 38.5 (3-82) years. Lymphedema was unilateral in 51 (85%) patients. It always affected the hand, but less often the forearm (55%) or upper arm (23%). Eleven (18%) patients developed cellulitis after lymphedema onset. Twenty-one (35%) patients had associated lower-limb lymphedema. Forty-six patients (with 49 lymphedematous limbs) underwent lymphoscintigraphy: axillary lymph-node uptake was diminished in 18 (37%), absent in 24 (49%) and normal in 7 limbs (14%). Among the 43 patients with unilateral lymphedema and lymphoscintigraphy, 28 had epitrochlear node visualization, suggesting a re-routing through the deep lymphatic system, 15 only on the lymphedematous limb and 22 on the contralateral nonlymphedematous limb. Median follow-up was 103 months and 57/60 (95%) patients considered their lymphedema stable. | ||
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| + | **Conclusion:** Primary upper-limb lymphedema appears later in life than lower-limb lymphedema without sex predominance. Infectious complications are rare and patients considered the lymphedema volume stable throughout life. | ||
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| + | [[http://www.ncbi.nlm.nih.gov/pubmed/22928742|PubMed]] | ||
| ====== Light Arm Exercises That Can Help Prevent/Manage Lymphedema ====== | ====== Light Arm Exercises That Can Help Prevent/Manage Lymphedema ====== | ||
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| http://imaginis.com/breasthealth/lymphedema.asp | http://imaginis.com/breasthealth/lymphedema.asp | ||
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| ===== Lymphedema Arm Self Massage ===== | ===== Lymphedema Arm Self Massage ===== | ||
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| [[lymphedemapeople@yahoo.com]] | [[lymphedemapeople@yahoo.com]] | ||
| - | Updated June 23, 2012 | + | Updated August 29, 2012 |
arm_lymphedema.1340463856.txt.gz · Last modified: 2012/10/16 14:01 (external edit)
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