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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]]
 +
 +======Primary upper-limb lymphedema.=====
 +
 +August 2012
 +
 +Vignes S, Arrault M, Yannoutsos A, Blanchard M.
 +
 +Source
 +
 +Department of Lymphology, Centre National de Référence des Maladies Vasculaires Rares (lymphœdèmes primaires), Hôpital Cognacq-Jay,​ 75015 Paris, France.
 +
 +**Abstract**
 +
 +**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. ​
 +
 +**Objective:​**  To analyze clinical and lymphoscintigraphic characteristics of primary upper-limb lymphedema. ​
 +
 +**Method:​**  All patients with upper-limb lymphedema (January 2007-December 2011) recruited in a single Department of Lymphology were included. ​
 +
 +**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. ​
 +
 +**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.
 +
 +[[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
- 
 ===== 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)