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乳腺癌相关性淋巴水肿的新见解。

New insights in breast cancer-related lymphedema.

机构信息

Department of Lymphology, Cognacq-Jay Hospital, centre de référence des lymphœdèmes primaires, 15, rue Eugène Millon, 75015 Paris, France.

Department of Lymphology, Cognacq-Jay Hospital, centre de référence des lymphœdèmes primaires, 15, rue Eugène Millon, 75015 Paris, France.

出版信息

J Med Vasc. 2024 Sep;49(3-4):135-140. doi: 10.1016/j.jdmv.2024.06.001. Epub 2024 Jul 10.

Abstract

Upper limb lymphedema after breast cancer treatment including axillary dissection occurs in almost 20% of women. Its treatment consists of complete decongestive physiotherapy based on low-stretch bandage to reduce volume, followed by elastic compression to maintain it. In this article, we will detail recent data on lymphedema risk factors with possible genetic predisposition, prevention (surgical, compression), manual lymphatic drainage, physical activity, weight, advice, and treatments including gene therapy.

摘要

乳腺癌治疗后上肢淋巴水肿(包括腋窝清扫术)在近 20%的女性中发生。其治疗包括基于低弹性绷带的完整消肿物理治疗,以减少体积,然后使用弹性压缩维持。在本文中,我们将详细介绍淋巴水肿风险因素的最新数据,包括可能的遗传易感性、预防(手术、压缩)、手动淋巴引流、体育活动、体重、建议以及包括基因治疗在内的治疗方法。

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