Department of Gynecological Oncology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, China.
Lymphat Res Biol. 2022 Jun;20(3):308-314. doi: 10.1089/lrb.2021.0035. Epub 2021 Oct 25.
To discuss the status and progress of treatment of lower limb lymphedema (LLL) after gynecological cancer treatment. Common gynecological malignancies include endometrial cancer, cervical cancer, ovarian cancer, and vulvar cancer. LLL is one of the common complications after gynecological cancer treatment. LLL is one of the common complications after gynecological cancer treatment, which seriously affects patients' quality of life. We searched the Medline database for literature on LLL after gynecological oncology treatment, reviewed the incidence and risk factors for LLL in different gynecological malignancies, and summarized advances in the prevention and treatment of LLL after gynecological malignancy treatment. Finally, we review data-based approaches for the treatment of LLL and discuss experimental therapies currently in development. Treatment of LLL is usually combined, conservative, and surgical. Complete decongestive therapy is the gold standard for the treatment of LLL. Prevention and treatment of lymphedema of the lower extremities are important for patients with gynecological cancers. Clinicians should be aware of the prevention and treatment of LLL, with a precise diagnosis and effective intervention at an early stage to delay its progression and improve patients' quality of life.
探讨妇科癌症治疗后下肢淋巴水肿（LLL）的治疗现状和进展。常见的妇科恶性肿瘤包括子宫内膜癌、宫颈癌、卵巢癌和外阴癌。LLL 是妇科癌症治疗后的常见并发症之一。LLL 是妇科癌症治疗后的常见并发症之一，严重影响患者的生活质量。我们在 Medline 数据库中检索了妇科肿瘤治疗后 LLL 的文献，回顾了不同妇科恶性肿瘤中 LLL 的发生率和危险因素，并总结了妇科恶性肿瘤治疗后 LLL 的预防和治疗进展。最后，我们复习了基于数据的 LLL 治疗方法，并讨论了目前正在开发的实验性治疗方法。LLL 的治疗通常是综合的、保守的和手术的。完整的消肿治疗是 LLL 治疗的金标准。预防和治疗妇科癌症患者的下肢淋巴水肿非常重要。临床医生应意识到 LLL 的预防和治疗，在早期进行精确的诊断和有效的干预，以延缓其进展并提高患者的生活质量。
