Article

Purpose: Malignant lymphedema is an accumulation of interstitial fluid caused by
tumour infiltration or compression of lymphatic vessels. Our objective is to
describe self-management strategies for malignant lymphedema using a case report.
Client Description: A 50-year-old woman with advanced breast cancer was referred
to our centre with a 3-month history of unexplained left-arm edema, subsequently
diagnosed as malignant lymphedema caused by tumour compression of the axillary
lymph nodes. Intervention: She undertook a physiotherapist-guided, modified
lymphedema treatment programme, with self-management interventions including
self-bandaging and exercise. Limb volumes and leisure exercise levels were
measured over a 1-year period. Data were collected from her follow-up visit 4
years post-diagnosis of lymphedema. Measures and Outcome: Within the first month,
the patient's excess limb volume reduced from 26.8% to 5.9% and, 1 year later,
remained stable at 3%. Over time, her exercise levels increased (1-year
follow-up: 33.5 MET-hours per week). At 4 years, her excess limb volume was 9.7%,
and exercise levels were at 36 MET-hours per week. Implications: A woman with
moderate malignant arm lymphedema caused by advanced breast cancer successfully
adhered to a guided self-management programme and benefited from reduced swelling
and improved self-reported physical function in the long term. This case provides
oncology health professionals with knowledge about self-management options for
malignant lymphedema.
- Lymphoedème

Langue : ANGLAIS