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Side
Effects > Lymphedema
Last update: 04/14/2008
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Lymphedema
is an accumulation of lymphatic fluid that causes swelling, usually,
but not exclusively in the limbs.
It's a side effect associated with
surgical removal of lymph nodes, or after radiation therapy to lymph
nodes. It may also occur as a result of tumors blocking the flow of
lymphatic fluids.
"Lymphedema is categorized as either
primary or secondary.
Primary lymphedema is caused by congenital absence or abnormalities
of lymphatic tissue and is relatively rare.
Secondary lymphedema is generally caused by obstruction or
interruption of the lymphatic system, which usually occurs at
proximal limb segments (i.e., lymph nodes) due to infection,
malignancy, or scar tissue (see table below).[1]
The pelvic and inguinal groups of nodes in the lower
extremities and the axillary nodes of the upper extremities
are the primary sites of obstruction." ~ cancer.gov

Risk Factor
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Radiation therapy to the axilla following axillary node dissection increases the incidence of lymphedema.
Approximately 41% (range, 21%-51%) of patients who underwent axillary radiation and surgery,
compared with 17% (range, 6%-39%) of those receiving axillary surgery without radiation.[6]
The extent of axillary dissection also increases the risk of lymphedema. cancer.gov
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Nodal dissection of axillary, inguinal, or pelvic regions.
"Arm edema occurs in 20 to 30 per cent of patients who undergo axillary lymph node dissection
... "
ncbi.nlm.nih.gov
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Radiation therapy of axillary, inguinal, or pelvic regions, or supraclavicular (mantle field) radiation.
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Scarring of the left or right subclavian lymphatic ducts and veins by either surgical or radiation procedures.
cancer.gov
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Advanced cancer causing bulky lymphadenopathy of the anterior cervical, thoracic, axillary, pelvic, or
abdominal nodes. cancer.gov
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Intrapelvic or intra-abdominal tumors that involve or directly compress lymphatic vessels and/or the
cisterna chyli and thoracic duct. cancer.gov
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Poor nutritional status and obesity, that may lead to delayed wound healing, which in turn is an
important risk factor for the development of lymphedema.[9-11] cancer.gov
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Recommended resources
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Resources
& Research News
Also see Lymphoscintigraphy
a diagnostic test for lymphedema.
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