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KMID : 0371320060710020085
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Journal of the Korean Surgical Society
2006 Volume.71 No. 2 p.85 ~ p.89
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The Risk Factors Associated with Lymphedema after Axillary Dissection for Breast Cancer
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이경우/Lee KW
김상범/윤기성/곽현/조세헌/박정민/곽희숙/이종화/Kim SB/Yoon KS/Kwak H/Cho SH/Park JM/Kwak HS/Lee JH
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Abstract
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Purpose: We wanted to evaluate the risk factors for developing lymphedema following axillary lymph node dissection in breast cancer patients.
Methods: Ninety-six patients who underwent axillary dissection for breast cancer were followed-up for up to 1 year. Lymphedema was assessed using a serial circumferential measurement method. More than a 2 cm difference in circumference was considered as clinically significant lymphedema. The effects of age, the body mass index (BMI), the cancer stage, chemotherapy, radiotherapy, the location of cancer and creating a latissimus dorsi (LD) flap on the development of lymphedema were analyzed.
Results: The incidence of lymphedema was increased with the advancing cancer stage. Radiotherapy was found to increase the incidence of lymphedema. Patients who had received an LD flap showed a lower incidence of lymphedema.
Conclusion: These results could be useful as a clinical guideline for creating a management plan for postoperative lymphedema. Because there are some differences in the results between all the relevant reports, including ours, further research is needed in the form of a large, multi-center, long-term study. (J Korean Surg Soc 2006;71:85-89)
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