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- lymphoedema related to breast cancer can be due to lymphatic vessel compression,
obstruction or more frequently due to breast cancer therapy (surgery or radiotherapy)
- lymphoedema of the arm is a common, incurable complication of breast cancer
- this complication seems especially likely if the treatment has included
axillary surgical clearance or radiotherapy in addition to surgery to the
- some studies have revealed that the risk of developing lymphoedema is higher
in women treated with both axillary dissection and adjuvant axillary radiotherapy
compared to women treated with radiation to an undissected axilla (1)
- evidence relating to the effectiveness of treatments of lymphoedema following
breast cancer treatment is limited - general measures include arm elevation,
compression bandaging, exercise and massage - there is evidence that in patients
with unilateral lymphedema of an upper arm or lower limb, that a course of
multilayer bandaging followed by compression hosery led to a greater percentage
reduction in excess limb volume than hosiery alone (2)
- it is important to maintain good skin hygiene
- antibiotics are used if infection is present
- (1) Morrell R.M et al. Breast Cancer-Related Lymphedema. Mayo Clin Proc.
- (2) Badger CM, Peacock JL, Mortimer PS (2000). A randomized, controlled,
parallel-group clinical trial comparing multilayer bandaging followed by hosiery
versus hosiery alone in the treatment of patients with lymphedema of the limb.
Cancer, 88, 2832-7.
- (3) Drug and Therapeutics Bulletin (2000), 38 (6), 41-43.
Last reviewed 01/2018