Lymphedema after breast cancer surgery: Have we made any progress?. Tina Yen, M.D., MS Department of Surgery Medical College of Wisconsin Milwaukee, WI October 25, 2008. Outline. Symptoms and sequelae Measurements Incidence Risk factors Prevention Treatment. Lymphedema.
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Tina Yen, M.D., MS
Department of Surgery
Medical College of Wisconsin
October 25, 2008
Other sensory changes
Decreased range of motionSymptoms
Positive progress? for metastases (33%)
Negative for metastases (66%)
Sentinel lymph node biopsy in breast cancer
Sentinel lymph node biopsy
Selective approach to ALND
Preoperative lymphoscintigraphy progress?
Intraoperative injection of lymphazurin
Injection of radiocolloid
Lymphatic Mapping Technique
Number of lymph nodes removed is the only independent predictor of the development of lymphedema
Model also adjusts for patient age, BMI at time of surgery, tumor size, lymph node status, type of breast and axillary surgery, receipt of radiation therapy, chemotherapy, hormonal therapy, and surgeon volume