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head_and_neck_swelling_after_cancer [2011/12/21 13:01]
Pat O'Connor created
head_and_neck_swelling_after_cancer [2012/10/16 14:40] (current)
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 ======Abstracts and Studies====== ======Abstracts and Studies======
 +
 +**Prevalence of secondary lymphedema in patients with head and neck cancer.**
 +
 +Feb 2012
 +
 +Deng J, Ridner SH, Dietrich MS, Wells N, Wallston KA, Sinard RJ, Cmelak AJ, Murphy BA.
 +
 +Source
 +School of Nursing, Vanderbilt University, Nashville, Tennessee, USA.
 +
 +**Abstract**
 +
 +**Key Words:** Secondary lymphedema, head and neck cancer, prevalence, late effect
 +
 +CONTEXT:
 +Because surgery, radiation, and/or chemotherapy disrupt lymphatic structures, damage soft tissue leading to scar tissue formation and fibrosis, and further affect lymphatic function, patients with head and neck cancer may be at high risk for developing secondary lymphedema. Yet, no published data are available regarding the prevalence of secondary lymphedema after head and neck cancer treatment.
 +
 +OBJECTIVES:
 +The aim of this study was to examine prevalence of secondary lymphedema in patients with head and neck cancer.
 +
 +METHODS:
 +The study included 81 patients with head and neck cancer who were three months or more post-treatment. External lymphedema was staged using Foldi'​s lymphedema scale. Internal lymphedema was identified through a flexible fiber-optic endoscopic or mirror examination. Patterson'​s scale was used to grade degrees of internal lymphedema.
 +
 +RESULTS:
 +Of the 81 patients, 75.3% (61 of 81) had some form of late-effect lymphedema. Of those, 9.8% (6 of 61) only had external, 39.4% (24 of 61) only had internal, and 50.8% (31 of 61) had both types.
 +
 +CONCLUSION:
 +Lymphedema is a common late effect in patients with head and neck cancer, and it develops in multiple external and internal anatomical locations. During physical examination and endoscopic procedures, clinicians should assess patients with head and neck cancer for late-effect lymphedema. Referral for treatment should be considered when lymphedema is noted. Research is needed to examine risk factors of lymphedema in patients with head and neck cancer and its effects on patients'​ symptoms, function, and quality of life.
 +
 +[[http://​www.jpsmjournal.com/​article/​S0885-3924(11)00269-7/​abstract|Elsevier]]
  
 **Preliminary development of a lymphedema symptom assessment scale for patients with head and neck cancer.** **Preliminary development of a lymphedema symptom assessment scale for patients with head and neck cancer.**
head_and_neck_swelling_after_cancer.txt ยท Last modified: 2012/10/16 14:40 (external edit)