Vascularized Lymph Node Transfer for Patients with Breast Cancer-Related Lymphedema Can Potentially Reduce the Burden of Ongoing Conservative Management

2020 ◽  
Vol 18 (4) ◽  
pp. 357-364 ◽  
Author(s):  
Quan D. Ngo ◽  
Sonali Munot ◽  
Helen Mackie ◽  
Sharon Czerniec ◽  
Louise A. Koelmeyer ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Lymph Node ◽  
Conservative Management ◽  
Breast Cancer Related Lymphedema ◽  
Lymph Node Transfer ◽  
Vascularized Lymph Node Transfer

scholarly journals Patient-specific surgical options for breast cancer-related lymphedema: technical tips

2021 ◽  
Vol 48 (3) ◽  
pp. 246-253
Author(s):  
Jin Geun Kwon ◽  
Dae Won Hong ◽  
Hyunsuk Peter Suh ◽  
Changsik John Pak ◽  
Joon Pio Hong
Keyword(s):  
Breast Cancer ◽  
Lymph Node ◽  
Early Stage ◽  
Treatment Plan ◽  
Perforator Flap ◽  
Physiological Solution ◽  
Patient Specific ◽  
Preoperative Mapping ◽  
Breast Cancer Related Lymphedema ◽  
Lymph Node Transfer

In order to provide a physiological solution for patients with breast cancer-related lymphedema (BCRL), the surgeon must understand where and how the pathology of lymphedema occurred. Based on each patient’s pathology, the treatment plan should be carefully decided and individualized. At the authors’ institution, the treatment plan is made individually based on each patient’s symptoms and relative factors. Most early-stage patients first undergo decongestive therapy and then, depending on the efficacy of the treatment, a surgical approach is suggested. If the patient is indicated for surgery, all the points of lymphatic flow obstruction are carefully examined. Thus a BCRL patient can be considered for lymphaticovenous anastomosis (LVA), a lymph node flap, scar resection, or a combination thereof. LVA targets ectatic superficial collecting lymphatics, which are located within the deep fat layer, and preoperative mapping using ultrasonography is critical. If there is contracture on the axilla, axillary scar removal is indicated to relieve the vein pressure and allow better drainage. Furthermore, removing the scars and reconstructing the fat layer will allow a better chance for the lymphatics to regenerate. After complete removal of scar tissue, a regional fat flap or a superficial circumflex iliac artery perforator flap with lymph node transfer is performed. By deciding the surgical planning for BCRL based on each patient’s pathophysiology, optimal outcomes can be achieved. Depending on each patient’s pathophysiology, LVA, scar removal, vascularized lymph node transfer with a sufficient adipocutaneous flap, and simultaneous breast reconstruction should be planned.

scholarly journals Donor-Site Lymphedema Following Lymph Node Transfer for Breast Cancer-Related Lymphedema: A Systematic Review of the Literature

2018 ◽  
Vol 16 (1) ◽  
pp. 2-8 ◽  
Author(s):  
Efterpi Demiri ◽  
Dimitrios Dionyssiou ◽  
Antonios Tsimponis ◽  
Olga Christina Goula ◽  
Panagiotis Mιlothridis ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Systematic Review ◽  
Lymph Node ◽  
Donor Site ◽  
Review Of The Literature ◽  
Breast Cancer Related Lymphedema ◽  
Lymph Node Transfer
Sign in / Sign up

Export Citation Format

Share Document