Physical Methods of Rehabilitation in Cancer Patients After Combined Modality Treatment for Breast Cancer

Abstract

According to worldwide statistics breast cancer is the most common cancer in women. Despite the success in current methods of treatment post-operative period in major of patients is characterized by post-mastectomy syndrome which leads to impairment in daily activities, difficulties in social adaptation and consequently to dicrease of the quality of life. The specific causes, risk factors, characteristics of clinical and pathogenetic manifestations of post-mastectomy syndrome are described in detail in this review. Different approaches to post-mastectomy syndrome classification, its clinical and instrumental diagnosis are defined. Based on more than 40 publications of Russian and foreign authors, the issue of selection of appropriate treatment tactics for the syndrome is investigated and discussed in detail. A considerable part of the review is focused on the use of physical methods of treating the post-mastectomy syndrome. It is observed that an increasing number of specialists gives preference to methods of conservative treatment special of which are medical gymnastics, complex decongestive therapy and compression therapy. On the other hand, the absence of the unified treatment algorithms is challenging for clinicians. Therefore, its development with the focus on patient-specific approach is a crucial task for modern rehabilitology in breast cancer surgery.

Functional Network Connectivity Reveals the Brain Functional Alterations in Breast Cancer Survivors

“…After treatment for breast cancer, a complex of symptoms occurs, including disorders of the lymphatic, cardiovascular, musculoskeletal, and nervous systems [3,4]. Currently, special attention is being paid to neuropsychiatric disorders after breast cancer treatment, which present in the form of changes in both the peripheral and central nervous systems.…”

Microstructural Properties of Brain White Matter Tracts in Breast Cancer Survivors: A Diffusion Tensor Imaging Study

“…However, one of the most commonly used methods of surgical treatment for BC is still Patey radical mastectomy, which consists of removing the breast, surrounding fat and lymph nodes, as well as removing the small pectoral muscle [ 6 ]. Radical mastectomy is a traumatic operation, which, in combination with chemo- and/or radiation therapy, leads to the development of various disorders of the lymphatic, cardiovascular, musculoskeletal and nervous systems in BC survivors [ 7 , 8 , 9 , 10 ].…”