Lymphedema: current issues in research and management

Petrek, J. A.; Pressman, P. I.; Smith, R. A.

doi:10.3322/canjclin.50.5.292

Cited by 283Lymphatic System and DiseasesCancer survivorship and careBreast Cancer Treatment Studies

Lymphedema: current issues in research and management

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Petrek, J. A., Pressman, P. I., Smith, R. A.·2000·CA: A Cancer Journal for Clinicians

DOI 10.3322/canjclin.50.5.292

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Abstract

Lymphedema is a common and troublesome problem that can develop following breast cancer treatment. As with other quality-of-life and nonlethal conditions, it receives less research funding and attention than do many other areas of study. In 1998, an invited workshop sponsored by the American Cancer Society reviewed and evaluated the current state of knowledge about lymphedema. Recommendations and research initiatives proposed by the 60 international participants are presented in the conclusion section of the article, following a summary of current knowledge of the anatomy, physiology, detection, and current treatment of lymphedema. The etiology of lymphedema is multifaceted; all of the factors that contribute to the condition and the nature of their interaction have not yet been identified. To compound the problem, methods of assessing the degree of arm and hand swelling vary and are not agreed upon, and reliable methods of assessing the functional impact of lymphedema have not yet been developed. In the absence of a cure for lymphedema, precautions and prevention are emphasized. Current treatments include elevation, elastic garments, pneumatic compression pumps, and complete decongestive therapy; surgical and medical techniques remain controversial. Elements and details of these treatments are described.

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Supervised exercise is more effective than unsupervised or home-based interventions for improving physical function in cancer survivors.
“Broadly, supervised exercise appears to be more effective than unsupervised or home-based interventions(32), although unsupervised programs may be effective in older cancer survivors(44).”
From Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable (2019) · cites this paper as [32]
Combined moderate intensity aerobic and resistance exercise 2-3 times per week for at least 12 weeks improves HRQoL in cancer survivors during and after treatment.
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From Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable (2019) · cites this paper as [32]
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From Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable (2019) · cites this paper as [32]
Combined aerobic plus resistance training is more potent for improving HRQoL than aerobic or resistance training alone.
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From Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable (2019) · cites this paper as [32]
In unsupervised interventions, physical function may improve with higher weekly energy expenditure (MET-hr/week) but not with weekly exercise duration (min/week).
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From Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable (2019) · cites this paper as [32]

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Authors: Petrek, J. A., Pressman, P. I., & Smith, R. A.
Affiliations: Memorial Sloan Kettering Cancer Center (US)
ORCID: Pressman, P. I.
Smith, R. A.
Venue: CA: A Cancer Journal for Clinicians
Publisher: Wiley
Published: 2000-09-01
Volume: 50
Issue: 5
Pages: 292-307
ISSN: 0007-9235 (ISSN-L)
DOI: 10.3322/canjclin.50.5.292
OpenAlex: W2129470637
Cited by: 283
References: 63
Citations by year: 2026: 1 · 2025: 3 · 2024: 10 · 2023: 14 · 2022: 4 · 2021: 9 · 2020: 11 · 2019: 8 · 2018: 11 · 2017: 11 · 2016: 13 · 2015: 5 · 2014: 8 · 2013: 12 · 2012: 21
FWCI: 2.94
Type: journal article
Language: en
Open access: gold
doi.org
Licence: doi.wiley.com/10.1002/tdm_license_1 (tdm, 5478 d)
Locations: CA A Cancer Journal for Clinicians (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: lymphedema, breast cancer treatment, lymphedema treatment, decongestive therapy, intermittent pneumatic compression, altitude, lymphedema prevention
MeSH terms: American Cancer Society, Breast Neoplasms, Congresses as Topic, Female, Humans, Lymphedema, United States

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Lymphedema: current issues in research and management

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