A CROSS-SECTIONAL STUDY ON THE PREVALANCE AND RISK FACTORS OF LYMPHOEDEMA IN CARCINOMA BREAST


Vishnu Gopal, Abhinabha Acharya, Vasudha Narayanaswamy, Santanu Pal

Abstract


Objectives: Lymphedema of the arm is a devastating complication of breast carcinoma treatment. There is a lack of research on the risk factors and methods of preventing upper limb lymphedema after breast carcinoma treatment. The aims of the study are to identify the prevalence and risk factors for upper limb lymphedema in patients attending a tertiary cancer care center in India.

Methods: 199 patients who attended the outpatient department of radiotherapy of IPGMER and SSKM, after undergoing surgical treatment for breast cancer between November 2014 to May 2016 were examined for the presence of lymphedema and its risk factors were analyzed. Lymphedema was defined as being present when there is an increase of >5% sum difference in the arm circumferences measured at different levels of both the upper limbs.

Results: Of the 199 patients analyzed, 85 (42.7%) patients were found to have lymphedema. The prevalence of lymphedema was 25% in those who underwent surgery alone and 54% in those who underwent chest wall radiotherapy also. Locally advanced stage of the disease, body mass index >25 kg/m2, number of lymph nodes removed during surgery, and adjuvant radiotherapy were found to be significant risk factors for the development of lymphedema.

Conclusion: Based on the results of this study, we recommend weight reduction and more judicious axillary lymph node dissection and use of postoperative radiotherapy as methods to prevent breast cancer-associated lymphedema in the tertiary cancer care centers in India.


Keywords


Breast cancer, Radiotherapy, Lymphedema.

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About this article

Title

A CROSS-SECTIONAL STUDY ON THE PREVALANCE AND RISK FACTORS OF LYMPHOEDEMA IN CARCINOMA BREAST

Keywords

Breast cancer, Radiotherapy, Lymphedema.

DOI

10.22159/ajpcr.2017.v10i6.16118

Date

01-06-2017

Additional Links

Manuscript Submission

Journal

Asian Journal of Pharmaceutical and Clinical Research
Vol 10 Issue 6 June 2017 Page: 240-242

Print ISSN

0974-2441

Online ISSN

2455-3891

Statistics

98 Views | 139 Downloads

Authors & Affiliations

Vishnu Gopal
Department of Radiotherapy, Institute of Post Graduate Medical Education and Research and Sekh Sukhlal Karnani Memorial Hospital, Kolkata, West Bengal, India.
India

Abhinabha Acharya
Department of Radiotherapy, Institute of Post Graduate Medical Education and Research and Sekh Sukhlal Karnani Memorial Hospital, Kolkata, West Bengal, India.
India

Vasudha Narayanaswamy
Department of Radiotherapy, Institute of Post Graduate Medical Education and Research and Sekh Sukhlal Karnani Memorial Hospital, Kolkata, West Bengal, India.
India

Santanu Pal
Department of Radiotherapy, Institute of Post Graduate Medical Education and Research and Sekh Sukhlal Karnani Memorial Hospital, Kolkata, West Bengal, India.
India


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