Systemic analysis on risk factors for breast cancer related lymphedema.

Ya-Qun Zhu,Qi Guo,Pei-Pei Shen,Ye Tian,Feng-Huan Liu,Yu-Huan Xie

doi:10.7314/apjcp.2014.15.16.6535

Ya-Qun Zhu, Qi Guo + Show 4 more

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https://doi.org/10.7314/apjcp.2014.15.16.6535

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Abstract

To evaluate risk factors for upper extremity lymphedema due to breast cancer surgery. Clinical studies published on PubMed, Ovid, EMbase, and Cochrane Library from January 1996 to December 2012 were selected. Twenty-five studies were identified, including 12,104 patients. Six risk factors related to the incidence of lymphedema after breast cancer treatment were detected: axillary lymph node dissection (OR=3.73, 95%CI 1.16 to 11.96), postoperative complications (OR=2.64, 95%CI 1.10 to 6.30), hypertension (OR=1.83, 95%CI 1.38 to 2.42), high body mass index (OR=1.80, 95%CI 1.30 to 2.49), chemotherapy (OR=1.38, 95%CI 1.07 to 1.79) and radiotherapy (OR=1.35, 95%CI 1.10 to 1.66). We found significant protective factors for lymphedema: pathologic T classification (OR=0.57, 95%CI 0.36 to 0.91) and stage (OR=0.60, 95%CI 0.39 to 0.93), while some factors, like age, number of positive lymph nodes, number of lymph node dissection, demonstrated no obvious correlation. Axillary lymph node dissection, postoperative complications, hypertension, body mass index, chemotherapy, radiotherapy are risk factors for lymphedema after breast cancer treatment. Attention should be paid to patients with risk factors to prevent the occurrence of lymphedema.

Highlights

Materials and MethodsBreast cancer related lymphedema (BCRL)is a chronic and common complication caused by abnormal accumulation of protein-rich fluid in the interstitial space secondary to inadequate lymphatic drainage, which manifests unilateral or bilateral upper extremity swelling in the clinical. (Cheville et al, 2003)
Six risk factors related to the incidence of lymphedema after breast cancer treatment were detected: axillary lymph node dissection (OR=3.73, 95%CI 1.16 to 11.96), postoperative complications (OR=2.64, 95%CI 1.10 to 6.30), hypertension (OR=1.83, 95%CI 1.38 to 2.42), high body mass index (OR=1.80, 95%CI 1.30 to 2.49), chemotherapy (OR=1.38, 95%CI 1.07 to 1.79) and radiotherapy (OR=1.35, 95%CI 1.10 to 1.66)
Chemotherapy has been used clinically for many years50.0 as adjuvant treatment of breast cancer. Whether it can Breast cancer is a common cancer in Asian Pacific cause lymphedema, many studies have reported mixed

Summary

Introduction

Materials and MethodsBreast cancer related lymphedema (BCRL)is a chronic and common complication caused by abnormal accumulation of protein-rich fluid in the interstitial space secondary to inadequate lymphatic drainage, which manifests unilateral or bilateral upper extremity swelling in the clinical. (Cheville et al, 2003). Background: To evaluate risk factors for upper extremity lymphedema due to breast cancer surgery. Six risk factors related to the incidence of lymphedema after breast cancer treatment were detected: axillary lymph node dissection (OR=3.73, 95%CI 1.16 to 11.96), postoperative complications (OR=2.64, 95%CI 1.10 to 6.30), hypertension (OR=1.83, 95%CI 1.38 to 2.42), high body mass index (OR=1.80, 95%CI 1.30 to 2.49), chemotherapy (OR=1.38, 95%CI 1.07 to 1.79) and radiotherapy (OR=1.35, 95%CI 1.10 to 1.66).

Results

Conclusion