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J. Pers. Med. 2014, 4(3), 424-447; doi:10.3390/jpm4030424

Surveillance Recommendations in Reducing Risk of and Optimally Managing Breast Cancer-Related Lymphedema

1
Sinclair School of Nursing, University of Missouri-Columbia, S235 School of Nursing Building, Columbia, MO 65211, USA
2
Lymphedema Research Laboratory, Sinclair School of Nursing, University of Missouri, DC 116.05, Suite 408, Mizzou North Campus, Columbia, MO 65211, USA
3
Ellis Fischel Cancer Center, One Hospital Drive, Columbia, MO 65212, USA
*
Author to whom correspondence should be addressed.
Received: 1 April 2014 / Revised: 1 July 2014 / Accepted: 6 August 2014 / Published: 18 August 2014
(This article belongs to the Special Issue Personalized Cancer Therapy)
View Full-Text   |   Download PDF [626 KB, uploaded 18 August 2014]   |  

Abstract

Breast cancer survivors are at increased risk for the development of breast cancer-related lymphedema (BCRL), a chronic, debilitating, and disfiguring condition that is progressive and requires lifelong self-management of symptoms. It has been reported that over 40% of the 2.5 million breast cancer survivors in the United States may meet the criteria for BCRL during their lifetimes. Ongoing surveillance, beginning with pre-operative assessment, has been effective in identifying subclinical lymphedema (LE). A prospective model for surveillance is necessary in order to detect BCRL at an early stage when there is the best chance to reduce risk or slow progression. Physical methods for monitoring and assessment, such as circumferential arm measures, perometry, bioimpedance; exercise programs; prophylactic and early-intervention compression garments; and referral for complete decongestive therapy are all interventions to consider in the development of a BCRL surveillance program. In addition, supportive-educative programs and interactive engagement for symptom self-management should also be implemented. The importance of interdisciplinary collaboration is integral to the success of an effective personalized medicine program in breast cancer-related lymphedema surveillance. View Full-Text
Keywords: breast cancer-related lymphedema; surveillance; risk-reduction; self-management breast cancer-related lymphedema; surveillance; risk-reduction; self-management
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This is an open access article distributed under the Creative Commons Attribution License (CC BY 3.0).

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MDPI and ACS Style

Ostby, P.L.; Armer, J.M.; Dale, P.S.; Van Loo, M.J.; Wilbanks, C.L.; Stewart, B.R. Surveillance Recommendations in Reducing Risk of and Optimally Managing Breast Cancer-Related Lymphedema. J. Pers. Med. 2014, 4, 424-447.

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