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Breast Cancer-Related Lymphedema

Causes, Detection, Prevention, and Treatment

Jonathan B. Strauss
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Jonathan B. Strauss
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Affiliations

  • Department of Radiation Oncology, Robert H. Lurie Comprehensive Cancer Center of Northwestern University, 675 N St Clair St Fl 21, Ste 100, Chicago, IL 60611, USA

Correspondence

  • Corresponding author. 250 E. Superior St, Chicago, IL 60611.
, MD, MBAa,∗,'Correspondence information about the author MD, MBA Jonathan B. Strauss
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Jonathan B. Strauss
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Affiliations

  • Department of Radiation Oncology, Robert H. Lurie Comprehensive Cancer Center of Northwestern University, 675 N St Clair St Fl 21, Ste 100, Chicago, IL 60611, USA

Correspondence

  • Corresponding author. 250 E. Superior St, Chicago, IL 60611.
,
Sumanas W. Jordan
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Sumanas W. Jordan
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Affiliations

  • Department of Surgery, Division of Plastic and Reconstructive Surgery, Northwestern University, 675 N St Clair St 19th Floor, Suite 250, Chicago, IL 60611, USA
, MD, PhDb
,
George E. Naoum
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George E. Naoum
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Affiliations

  • Department of Radiation Oncology, Robert H. Lurie Comprehensive Cancer Center of Northwestern University, 675 N St Clair St Fl 21, Ste 100, Chicago, IL 60611, USA
, MD, MMSCIa
,
Megan E. Fracol
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Megan E. Fracol
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Affiliations

  • Department of Surgery, Division of Plastic and Reconstructive Surgery, Northwestern University, 675 N St Clair St 19th Floor, Suite 250, Chicago, IL 60611, USA
, MDb
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Jennifer Bai
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Jennifer Bai
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  • Department of Surgery, Division of Plastic and Reconstructive Surgery, Northwestern University, 675 N St Clair St 19th Floor, Suite 250, Chicago, IL 60611, USA
, MDb
,
Ann Marie Flores
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Ann Marie Flores
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Affiliations

  • Department of Physical Therapy and Human Movement Sciences, Northwestern University, 645 N Michigan Ave, Suite 1100, Chicago, IL 60611, USA
, PT, PhD, MS, MAc
Breast Cancer-Related Lymphedema
DOI: https://doi.org/10.1016/j.yao.2022.01.002

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Figures

Fig. 1

(A). A digitally reconstructed radiograph (DRR) of a “limited” nodal field encompassing only undissected axilla and SCV fossa. (B). A DRR of an “extended” nodal field encompassing the full axilla and SCV fossa.

Fig. 2

uses axial section CT images to illustrate a trifurcated system of target volume and beam arrangement for nodal irradiation. (A). An anterior obliqued beam encompassing a “limited” nodal field for which the dissected axilla was excluded, (B). An anterior obliqued beam encompassing an “extended” nodal field for which the full axilla was included. (C). Parallel-opposed beams encompassing an “extended” nodal field for which the full axilla was included.

Fig. 3

An example of a lymphedema screening and referral algorithm incorporating multidisciplinary evaluation and treatment.

Fig. 4

International society of lymphology, lymphedema staging system consensus document of international society of lymphology. Lymphology 2020;53: 3 to 19.

First page of article
Lymphatic fluid is composed of water, protein, and other debris emited from capillary beds into the intersitium

Keywords:

Breast cancer, Lymphedema, Review

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May 2022Volume 2, Issue 1, Pages 13–24