유방암 환자에서 근거기반의 림프부종 예방관리

유지성¹, 정승현¹, 정소연²^,^*

Evidence Based Precaution of Lymphedema in Breast Cancer

Ji Sung Yoo¹, Seung Hyun Chung¹, So-Youn Jung²^,^*

¹국립암센터 재활의학과

²유방암센터

¹Department of Rehabilitation Medicine

²Center for Breast Cancer, National Cancer Center, Goyang, Korea

^*Corresponding Author : So-Youn Jung, MD, PhD, Center for Breast Cancer, National Cancer Center, 323 Ilsan-ro, Ilsandong-gu, Goyang 10408, Korea, Tel: +82-31-920-1681, Fax: +82-31-920-1759, E-mail: goje1@ncc.re.kr

ⓒ Copyright 2019 Korean Society of Lymphology and Lymphedema. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Nov 03, 2019; Accepted: Nov 15, 2019

Published Online: Nov 30, 2019

Abatract

Breast-cancer related arm-lymphedema (BCRL) is one of the most common and severe side effects of breast cancer treatment and results in a negative impact on the quality of life. High body mass index, type of axillary surgery, number of excised axillary lymph nodes, types and cycles of chemotherapy, and extent of radiotherapy have been reported to increase risk of BCRL. Almost of BCRL has been reported to occur during the first 2-3 years after surgery. In the life styles, air travel, ipsilateral arm blood pressure measurements, and skin/veno puncture have had no effect of BCRL. Extreme temperature such as sauna, and cellulitis would increase risk of BCRL. Clinicians need to educate their patients with evidence-based precaution guideline.

Keywords: Breast cancer; Lymphedema; Precaution, Risk factor