Author(s):
Evangelene. G, Bindhu Mathew, Rakesh S. Ramesh
Email(s):
eva.arun1986@gmail.com
DOI:
10.52711/2454-2660.2025.00039
Address:
Evangelene. G1, Bindhu Mathew2, Rakesh S. Ramesh3
1 PhD Scholar, St John’s College of Nursing, Bangalore.
2Professor and Principal, St John’s College of Nursing, Bangalore.
3Professor and Head of Department, Surgical Oncology, St John’s Medical College and Hospital, Bangalore.
*Corresponding Author
Published In:
Volume - 13,
Issue - 3,
Year - 2025
ABSTRACT:
With the high prevalence of breast cancer across the globe, the first line treatment option for most is surgery. The outcome is fairly beneficial for recovery to normal. However short and long- term side effects are not uncommon among these patients. Post mastectomy lymphedema, a long-term complication in breast cancer patients is one such and cannot be cured, but it can be effectively managed. Develops any time after a surgery, months or years later and significantly impairs self-efficiency, quality of life in patients. When treated at early stage the condition is reversible however in severe and late stages causes irreversible damage. This review examines literature in exploring current evidence-based practices highlighting the challenges, risk factors, symptom burden, expert recommendations for risk reduction and clinical practices for nurses to effectively manage post mastectomy lymphedema.
Cite this article:
Evangelene. G, Bindhu Mathew, Rakesh S. Ramesh. Current Evidence Based Practices and Nurses Role for Clinical Management of Post Mastectomy Lymphedema: A Literature Review. International Journal of Nursing Education and Research. 2025;13(3):187-2. doi: 10.52711/2454-2660.2025.00039
Cite(Electronic):
Evangelene. G, Bindhu Mathew, Rakesh S. Ramesh. Current Evidence Based Practices and Nurses Role for Clinical Management of Post Mastectomy Lymphedema: A Literature Review. International Journal of Nursing Education and Research. 2025;13(3):187-2. doi: 10.52711/2454-2660.2025.00039 Available on: https://ijneronline.com/AbstractView.aspx?PID=2025-13-3-11
REFERENCES:
1. Loma Linda university health. Lymphedema Following a Mastectomy. Online [cited on 2 Feb 2025] Avail: https://IIuh.org/conditions/lymphedema-following-mastectomy
2. Letellier E, Ibrahim M, Towers A, Chaput G. Incidence of lymphedema related to various cancers. British Journal of Cancer. Open Access. 2024; 41:245.
3. Fu MR. Breast cancer-related lymphedema: symptoms, diagnosis, risk reduction and management. World Journal of Clinical Oncology. 5(3): 241-247
4. Anuszkiewicz K, Jankau J, Kur M. What do we know about treating breast cancer related lymphedema? Review of the current knowledge about therapeutic options. Breast Cancer. Springer. 26 Dec 2022; 30(2): 187-199
5. Singh AP, Singh A, Arya R, Naik A,Gurjar OP. Prevalence of lymphedema and associated risk factors following multimodal breast cancer treatment. Journal of Medical Sciences and Health, 2023: 9(3): 310-315.
6. Gillespie TC, Sayegh HE, Brunelle CL, Daniell KM, Taghian AG. Breast cancer related lymphedema: risk factors, precautionary measures and treatments. Gland surgery. Open Access Journal. 8 August 2018; 7(4):379-403
7. Ren Y, Kebede M, Ogunleye AA, Emerson MA, Evenson KR, Carey LA, e’tal. Burden of lymphedema in long-term breast cancer survivors by race and age. Cancer. Pubmed. 12 Oct 2022;128(23): 4119-4128
8. Fernandez LG, Morales CR, Pascual BM, Gonzalez AR, Tellez EC, Martin IL. Breast cancer survivors suffering from lymphedema: what really do affect to corporeality/body image? A qualitative study. BMC. Breast Cancer Research. 14 March 2024; 26:47
9. Toole JO, Jammallo L, Skolny M, Miller C, Elliot K, Specht M, e’tal. Lymphedema following treatment for breast cancer: A new approach to an old problem. Crit Rev Oncol Hematol. 88(2):437-446
10. Brunelle CL, Taghian AG. Breast cancer related lymphedema: the prospective surveillance model, early intervention strategies and role of complete decongestive therapy. Current Breast Cancer Report. Springer. 30 January 2023; 15: 12-23
11. Rafn BS, Jensen S, Bjerre ED, Wittenkamp MC, Benjaminsen K, Christensen LP, e’tal. Prospective surveillance for breast cancer related lymphedema (PROTECT). Acta Oncologica, 2023;62(7):808-813
12. Dylke E, Measurement of breast cancer related lymphedema. Journal of physiotherapy. Science Direct. Oct 2022; 68(4):238-243
13. Wanchai A, Armer JM, Stewart BR, Lasinski BB. Breast cancer related lymphedema: A literature review for clinical practice. International Journal of Nursing Sciences. 3(2): 202-207
14. Brunelle CL, Jackson K, Shallwan SM, Hunley JH, Kennedy F, French S, e’tal. Evidence based recommendations regarding risk reduction practices for people at risk of or with breast cancer related lymphedema: concensus from an expert panel. Medical Oncology. 23 Oct 2024; 41(11): 298
15. Rafn BS, Christensen J, Larsen A, Bloomquist K. Prospective surveillance for breast cancer related arm lymphedema: A systematic review and meta-analysis. Journal of Clinical Oncology. 20 March 2022; 40(9): 1009-1026
16. Natarajan MK, Nalini SJ, Mohanraj J, Vishwanath U. Effectiveness of pre-discharge educational intervention session in the prevention of arm lymphedema among post mastectomy women. Cureus. Springer. 4 July 2023. Online [cited on 10 March 2024]. Avail: https://www.cureus.com
17. Early signs of lymphedema. Cancer council. Online [cited on 2 Feb 2024]. Avail: https://www.cancercouncil.com.au
18. Lymphedema. National cancer institute. 6 March 2024 Online [cited on 24 January 2025]. Avail: https://www.cancer.gov
19. Lymphedema prevention after breast surgery. Summa health. Online [cited on 30 January 2025]. Avail: https://www.summahealth.org
20. Vera M.15 Mastectomy Nursing Care Plans. Nurseslabs. 30 April 2024 Online[cited on 31 January 2025]. Avail: https://nurseslabs.com
21. McEvoy MP, Ravetch E, Patel G, Fox J, Feldman S. Prevention of breast cancer related lymphedema. Clinical Breast Cancer. 2021; 21(2):128-142
22. Harris SM. Lymphedema Exercises and Tips. 17 October 2024 Online [cited on 2 April 2025]. Aval: https://www.breastcancer.org
23. Kelly. 10 lymphedema exercises for arms to reduce swelling. Cancer rehab PT. 29 December 2023 Online [ cited on 2 April 2025]. Avail: https://www.cancerrehabpt.com
24. Top exercises for lymphedema prevention and management with cancer survivors. Cancer Exercise Training Institute. 28 May 2018 Online [31 March 2025]. Avail: https://www.thecancerspecialist.com
25. Exercises for lymph drainage: arms and upper body. Memorial Sloan Kettering cancer center. 28 June 2024 Online [cited on 30 March 2025]. Avail: https://www.mskcc.org
26. Compression sleeves and garments for lymphedema. 8 March 2024 Online [cited on 22 January 2025]. Avail: https://www.breastcancer.org
27. Paramanandam VS, Dylke E, Clark GM, Daptardar AA, Kulkarni AM, Nair NS, e’tal. Prophylactic use of compression sleeves reduces the incidence of arm swelling in women at high risk of breast cancer related lymphedema: A Randomized Controlled trial. Journal of Clinical Oncology. 20 June 2022;40(18):2004-2012.
28. Compression treatment for lymphedema. Cancer Research UK. 24 April 2023 Online [cited on 22 January 2025]. Avail: https://www.cancerresearchuk.org
29. Eske J. How to perform a lymphatic drainage massage. Medical news today. 6 November 2023 Online [cited on 12 February 2025]. Avail: https://www.medicalnewstoday.com
30. Simple Lymphatic Drainage (SLD) for the arm and trunk. The Chartered Society of Physiotherapy. Online [cited on 12 February 2025]. Avail: https://www.csp.org.uk
31. Self lymphatic massage of arm. Aurora Health Care. Avail: https://ahc.aurorahealthcare.org
32. How to do self lymphatic massage on your upper body. The University Health Network. Avail: https://www.uhn.ca
33. Upper limb simple lymphatic drainage. Lymphedema Network Wales. 12 February 2021 Online [cited on 13 February 2025]. Avail: https://iwcn.nhs.wales
34. Shaw C, Mortimer P, Judd PA. A randomized controlled trial of weight reduction as a treatment for breast cancer related lymphedema. Cancer. 110: 1868-74
35. Cavezzi A, Urso SU, Ambrosini L, Croci S, Campana F, Mosti G. Lymphedema and nutrition: a review. Veins and lymphatics. 2019;8
36. Cancer related lymphedema and diet. Queensland health. Online [cited on 25 February 2025]. Avail: https://www.health.qld.gov.au
37. Managing lymphedema with nutrition. Therapy achievements. 8 November 2022 Online [cited on 25 February 2025]. Avail: https://therapy-a.com
38. Can diet improve lymphedema symptoms. PAM health. 21 October 2024 Online [cited on 25 February 2025]. Avail: https://pamhealth.com