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Breast Cancer-Related Lymphedema: Recent Updates on Diagnosis, Severity and Available Treatments

2021; Multidisciplinary Digital Publishing Institute; Volume: 11; Issue: 5 Linguagem: Inglês

10.3390/jpm11050402

2075-4426

Marco Pappalardo, Marta Starnoni, Gianluca Franceschini, Alessio Baccarani, Giorgio De Santis,

Diagnosis and Treatment of Venous Diseases

Breast cancer-related lymphedema (BCRL) represents a global healthcare issue affecting the emotional and life quality of breast cancer survivors significantly. The clinical presentation is characterized by swelling of the affected upper limb, that may be accompanied by atrophic skin findings, pain and recurrent cellulitis. Cardinal principles of lymphedema management are the use of complex decongestive therapy and patient education. Recently, new microsurgery procedures have been reported with interesting results, bringing in a new opportunity to care postmastectomy lymphedema. However, many aspects of the disease are still debated in the medical community, including clinical examination, imaging techniques, patient selection and proper treatment. Here we will review these aspects and the current literature.