Comment to: Ryans K et al. Incidence and predictors of axillary web syndrome and its association with lymphedema in women following breast cancer treatment: a retrospective study

Comment to “Patients who report cording after breast cancer surgery are at higher risk of lymphedema: Results from a large prospective screening cohort”

“…A recent publication by Ryans et al 5 showed a positive correlation between AWS and BCRL but their results should be interpreted with caution due to a possible bias related to the study design. 6 Brunelle et al 1 also reported that cording is related to a higher risk of BCRL, but their study has also some limitations to be considered. First, diagnosis of AWS was made based on the patients' report of a thin cord or string in armpit, elbow, forearm, wrist, or abdomen, without the recommended simultaneous visual inspection and palpation 7 and previously validated diagnostic accuracy was not reported.…”