Category: Breast Surgery

  • THE DIAGNOSIS AND MANAGEMENT OF LYMPHOEDEMA

    January 15th, 2015 by

    Swelling that persists can be difficult to diagnose. However, lymphoedema is often not considered and the diagnosis of primary lymphoedema usually presenting in the foot is often delayed for years. For patients presenting after cancer surgery and lymph node excision, the diagnosis may be relatively easy, yet early referral for treatment remains crucial. Reversal of limb volume increase and maintenance is only possible before the permanent lymphoedema-induced tissue changes of fibrosis and fat accumulation have occured. There have been recent changes in the risk and management recommendation for lymphoedema in recent times, as anaecdotal (often quite reasonable) advice has been challenged by research.