Cited by 560Lymphatic System and DiseasesCancer survivorship and careBreast Cancer Treatment Studies

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Arm Edema in Breast Cancer Patients

Erickson, V. S., Pearson, M. L., Ganz, P. A., Adams, J., Kahn, K. L.·2001·JNCI Journal of the National Cancer Institute

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Abstract

The improvement in the life expectancy of women with breast cancer raises important questions about how to improve the quality of life for women sustaining complications of breast cancer treatment. In particular, attention to common problems, such as arm edema, is of critical importance. We reviewed published breast cancer guidelines and literature identified via MEDLINE(R) searches in an effort to summarize the research literature pertinent to management of breast cancer-related arm edema, including incidence, prevalence, and timing; risk factors; morbidity; prevention; diagnosis; and efficacy of nonpharmacologic and pharmacologic interventions. We found that arm edema is a common complication of breast cancer therapy that can result in substantial functional impairment and psychological morbidity. The risk of arm edema increases when axillary dissection and axillary radiation therapy are used. Recommendations for preventive measures, such as avoidance of trauma, are available, but these measures have not been well studied. Nonpharmacologic treatments, such as massage and exercise, have been shown to be effective therapies for lymphedema, but the effect of pharmacologic interventions remains uncertain. Comparing results across studies is complicated by the fact that the definitions of interventions and measures of outcomes and risk stratification vary substantially among studies. As arm edema becomes more prevalent with the increasing survival of breast cancer patients, further research is needed to evaluate the efficacy of preventive strategies and therapeutic interventions.

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Authors: Erickson, V. S., Pearson, M. L., Ganz, P. A., Adams, J., & Kahn, K. L.
Affiliations: RAND Corporation (US)
University of California, Los Angeles (US)
Corresponding author: Erickson, V. S.
ORCID: Ganz, P. A.
Adams, J.
Venue: JNCI Journal of the National Cancer Institute
Publisher: Oxford University Press (OUP)
Published: 2001-01-17
Volume: 93
Issue: 2
Pages: 96-111
ISSN: 0027-8874 (ISSN-L)
1460-2105
DOI: 10.1093/jnci/93.2.96
OpenAlex: W2132750024
Cited by: 560
References: 119
Citations by year: 2026: 5 · 2025: 10 · 2024: 13 · 2023: 17 · 2022: 12 · 2021: 14 · 2020: 7 · 2019: 15 · 2018: 18 · 2017: 26 · 2016: 13 · 2015: 22 · 2014: 20 · 2013: 36 · 2012: 35
FWCI: 2.33
Type: journal article
Language: en
Open access: closed
Locations: JNCI Journal of the National Cancer Institute (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Oncology › Lymphatic System and Diseases
Health Sciences › Medicine › Oncology › Cancer survivorship and care
Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Breast Cancer Treatment Studies
Keywords: breast cancer, arm edema, lymphedema, axillary lymph node dissection, treatment complications, risk factors, prevention, massage, physical activity, non-pharmacological treatment, pharmacological interventions, quality of life, functional disability, psychological morbidity
MeSH terms: Arm, Axilla, Breast Neoplasms, Female, Humans, Lymph Node Excision, Lymphatic Metastasis, Lymphedema, Mastectomy, Risk Factors, Severity of Illness Index, Time Factors, Incidence, Prevalence, Physical Therapy Modalities

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