Upper Extremity Subcutaneous Lymphatic Drainage “Lymphocentesis” for Symptom Relief in End-Stage Breast Cancer

Liao, Pamela; Rossini, Kathleen; Sauls, Roberts

doi:10.1177/1049909118792179

Cited by 6 publications

(4 citation statements)

References 17 publications

(61 reference statements)

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“…It is essential to have a clear information, with education, risk prevention strategies, clear goals to achieve, an adequate risk/benefit balance, early diagnosis and intervention, and an emphasis on quality of life over the complete resolution of lymphedema. All this have been showed to improve adhesion and outcomes [10,12]. Our patient received pharmacological strategies with steroids and diuretics with poor response, foreseen by the anatomical involvement generating by the large tumor volume that involved intraabdominal vascular structures such as compression of the vena cava.…”

Section: Discussionmentioning

confidence: 91%

“…Several case reports of the use of subcutaneous drainage for management of chronic lower limb lymphedema have shown benefit in fragile patients with advanced diseases, especially those refractories to conventional measures [2,5,8,9]. Liao et al [12] reported the therapy of controlled subcutaneous drainage in upper limb lymphedema refractory to decongestant therapy with adequate response in control of the symptoms and functionality [12].…”

Section: Discussionmentioning

confidence: 99%

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Subcutaneous drainage of chronic refractory edema in cancer patients: case presentation

Cardenas,

Carmona,

Trujillo

2024

Palliat Med Pract

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Edema is a frequent manifestation in patients with advanced diseases. There is a little research on it. The symptomatic impact it generates, the functional limitation, and the decreased quality of life are often underestimate in those affected patients. Many strategies for their management are employed, but the therapeutic response and tolerance are limited in patients with advanced diseases. We present the case of a patient with progressive retroperitoneal sarcoma who develops severe lower limb lymphedema of multifactorial etiology, refractory to treatment, in whom was performed subcutaneous lymphatic drainage with clinical improvement and impact on quality of life. Finally, there is a discussion of the topic and a review of the available literature on the presence of lymphedema in patients with cancer and the different available therapeutic options.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Subcutaneous drainage of chronic refractory edema in cancer patients: case presentation

Cardenas,

Carmona,

Trujillo

2024

Palliat Med Pract

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“…Our results are aligned with the existing evidence on the use, feasibility, efficacy and safety of S.C controlled drainage of edema in the palliative care setting for the relief of physical suffering and quality of life improvement. 1 -9…”

Section: Discussionmentioning

confidence: 99%

“…Subcutaneous drainage is a well-known technique for the treatment of edema of both lower and upper extremities and anasarca due to advanced medical conditions such deep vein thrombosis, hypoalbuminemia, heart failure, advanced cancer obstruction of lymphatic collectors and severe renal failure. 5 -9 Especially because of the organized nature of the lymphedema and patients´ mobility limitation restricted by the weight of the edematous limb, the benefit of drug interventions and mechanical treatments are limited. The literature shows that S.C. controlled drainage is a technically simple procedure, with an effective decrease of limb edema, and lack of tissue infectious and inflammatory reactions.…”

Section: Introductionmentioning

confidence: 99%

Treatment of Lower Extremity Edema by Controlled Subcutaneous Drainage at Home: A Case Report

Julião¹,

Costa²,

Calaveiras³

et al. 2020

Am J Hosp Palliat Care

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Lower severe edema is a common condition faced by advanced cancer patients with an impact on comfort, quality of life, and care planning. Diuresis and mechanical interventions are the mainstream options for the treatment of edema, but, although effective, may not be indicated for frail, bed-bound, and dependent patients cared for in the community setting. We present a case report of a young female with severe edema to her right lower limb, which accepted controlled subcutaneous fluid drainage at her home. Subcutaneous fluid drainage at home was effective, safe, and feasible and improved the patient’s comfort and well-being.

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Palliative care in the treatment of women with breast cancer: A scoping review

Velasco Yanez,

Carvalho Fernandes,

de Freitas Corpes

et al. 2023

Pall Supp Care

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Objectives Recent studies on the quality of life in women with breast cancer show a high prevalence of signs and symptoms that should be the focus of palliative care (PC), leading us to question the current role they play in addressing breast cancer. Therefore, the objective of this review is to map the scope of available literature on the role of PC in the treatment of women with breast cancer. Methods This is a methodologically guided scoping review by the Joanna Briggs Institute and adapted to the PRISMA Extension for Scoping Reviews (PRISMA-ScR) Checklist for report writing. Systematic searches were conducted in 8 databases, an electronic repository, and gray literature. The searches were conducted with the support of a librarian. The study selection was managed through the RAYYAN software in a blind and independent manner by 2 reviewers. The extracted data were analyzed using the qualitative thematic analysis technique and discussed through textual categories. Results A total of 9,812 studies were identified, of which only 136 articles and 3 sources of gray literature are included in this review. In terms of general characteristics, the majority were published in the USA (35.7%), had a cross-sectional design (44.8%), and were abstracts presented at scientific events (19.6%). The majority of interventions focused on palliative radiotherapy (13.6%). Thematic analysis identified 14 themes and 12 subthemes. Significance of results Our findings offer a comprehensive view of the evidence on PC in the treatment of breast cancer. Although a methodological quality assessment was not conducted, these results could guide professionals interested in the topic to position themselves in the current context. Additionally, a quick synthesis of recommendations on different palliative therapies is provided, which should be critically observed. Finally, multiple knowledge gaps are highlighted, which could be used for the development of future studies in this field.

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Upper Extremity Subcutaneous Lymphatic Drainage “Lymphocentesis” for Symptom Relief in End-Stage Breast Cancer

Cited by 6 publications

References 17 publications

Subcutaneous drainage of chronic refractory edema in cancer patients: case presentation

Subcutaneous drainage of chronic refractory edema in cancer patients: case presentation

Treatment of Lower Extremity Edema by Controlled Subcutaneous Drainage at Home: A Case Report

Palliative care in the treatment of women with breast cancer: A scoping review

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