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Sekundært lymfødem

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Sekundært lymfødem skyldes en underliggende sykdom som blokkerer lymfedrenasjen. Hovedårsaken i vestlige land er brystkreftbehandling. Lymfødemet oppstår som følge av trykk fra en svulst; innvekst av svulstceller i lymfekarene; arrdannelse etter operasjon, fjerning av lymfeknuter, skade eller stråling; eller etter infeksjoner som rosen (erysipelas) eller filariasis.

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Risikoen for å utvikle lymfødem etter at kirurgen har fjernet lymfeknuter i armhulen eller lysken, har sammenheng med faktorer som antall lymfeknuter fjernet, omfanget av det kirurgiske inngrepet, svulstens beliggenhet, lokal strålebehandling, forsinket sårtilheling, infeksjon etter operasjonen, større blodansamlinger, og fedme.

Vil du vite mer

Dette dokumentet er basert på det profesjonelle dokumentet Lymfødem . Referanselisten for dette dokumentet vises nedenfor

  1. Petlund CF, Aas M. Lymfødem og lymfangioscintigrafi. Tidsskr Nor Lægeforen 2000; 120: 2279-82. Tidsskrift for Den norske legeforening
  2. Rockson SG. Diagnosis and management of lymphatic vascular disease. J Am Coll Cardiol 2008; 52: 799. PubMed
  3. Palumbo E. Filariasis: diagnosis, treatment and prevention. Acta Biomed. 2008;79:106-109. PubMed
  4. Kerchner K, Fleischer A, Yosipovitch G. Lower extremity lymphedema update: pathophysiology, diagnosis, and treatment guidelines. J Am Acad Dermatol 2008; 59: 324. PubMed
  5. Mohler ER, Mondry TE. Clinical manifestations and diagnosis of lymphedema. UpToDate, last updated June 18, 2014. UpToDate
  6. Cormier JN, Askew RL, Mungovan KS, Xing Y, Ross MI, Armer JM. Lymphedema beyond breast cancer: a systematic review and meta-analysis of cancer-related secondary lymphedema. Cancer 2010; 116: 5138. PubMed
  7. Szuba A, Shin WS, Strauss HW, Rockson S. The third circulation: radionuclide lymphoscintigraphy in the evaluation of lymphedema. J Nucl Med 2003; 44: 43. PubMed
  8. Cormier JN, Askew RL, Mungovan KS, Xing Y, Ross MI, Armer JM. Lymphedema beyond breast cancer: a systematic review and meta-analysis of cancer-related secondary lymphedema. Cancer 2010; 116: 5138. PubMed
  9. Bergersen TK, Mørk C. En kvinne med leggødem og arrforandringer. Tidsskr Nor Legeforen 2009; 129: 750-2. Tidsskrift for Den norske legeforening
  10. Slavin SA, Schook CC, Maclellan RA, Greene AK. Lymphoedema. BMJ Best Practice, last updated Aug 22, 2014.
  11. Erickson VS, Pearson ML, Ganz PA, Adams J, Kahn KL. Arm edema in breast cancer patients. J Natl Cancer Inst 2001; 93: 96. PubMed
  12. Shaw C, Mortimer P, Judd PA. A randomized controlled trial of weight reduction as a treatment for breast cancer-related lymphedema. Cancer 2007; 110: 1868. PubMed
  13. Kilbreath SL, Ward LC, Lane K, et al. Effect of air travel on lymphedema risk in women with history of breast cancer. Breast Cancer Res Treat 2010; 120: 649. PubMed
  14. Ahmed RL, Thomas W, Yee D, Schmitz KH. Randomized controlled trial of weight training and lymphedema in breast cancer survivors. J Clin Oncol 2006; 24: 2765. PubMed
  15. Singh B, Disipio T, Peake J, Hayes SC. Systematic Review and Meta-Analysis of the Effects of Exercise for Those With Cancer-Related Lymphedema. Arch Phys Med Rehabil 2016; 97: 302-315.e13. doi:10.1016/j.apmr.2015.09.012 DOI
  16. Chan DN, Lui LY, So WK. Effectiveness of exercise programmes on shoulder mobility and lymphoedema after axillary lymph node dissection for breast cancer: systematic review. J Adv Nurs 2010; 66: 1902. PubMed
  17. Mohler ER, Mondry TE. Lymphedema: Prevention and treatment. UpToDate, last updated June 16, 2014. UpToDate
  18. Badger CM, Peacock JL, Mortimer PS. A randomized, controlled, parallell-group clinical trial comparing multilayer bandaging followed by hosiery alone in the treatment of patients with lymphedema of the limb. Cancer 2000; 88: 2832-7. PubMed
  19. Szuba A, Cooke JP, Yousuf S, Rockson SG. Decongestive lymphatic therapy for patients with cancer-related or primary lymphedema. Am J Med 2000; 109: 296. PubMed
  20. Torres Lacomba M, Yuste Sánchez MJ, et al. Effectiveness of early physiotherapy to prevent lymphoedema after surgery for breast cancer: randomised, single blinded, clinical trial.. BMJ 2010; 340: b5396. BMJ (DOI)
  21. Mortimer PS, Svollen lower limb 2: lymphoedema. BMJ 2000; 320: 1527 - 1529. British Medical Journal
  22. Giuliano AE, Ballman KV, McCall L et al. Effect of axillary dissection vs no axillary dissection on 10-year overall survival among women with invasive breast cancer and sentinel node metastasis. JAMA 2017; 318: 918 - 26. PMID: 28898379 PubMed
  23. Casley-Smith JR. Alterations of untreated lymphedema and it's grades over time. Lymphology 1995; 28: 174. PubMed
  24. McWayne J, Heiney SP. Psychologic and social sequelae of secondary lymphedema: a review. Cancer 2005; 104: 457. PubMed
  25. Tunkel RS, Lachmann E. Lymphedema of the limb. An overview of treatment options. Postgrad Med 1998; 104: 131 . PubMed
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