Lymphedema Management

  • Lymphedema management:
    • Begins with the documentation of limb measurements:
      • For both arms or legs:
        • Using either volume displacement or circumferential measurement:
          • All extremities must be measured at multiple points.
  • Increased physical activity:
    • Has proven to decrease lymphedema symptoms
  • Compression sleeve:
    • Should be 30 to 40 mm Hg of compression
  • There are several microsurgery techniques:
    • That have proven to improve lymphedema symptoms
  • References:
    • Gershenwald JE, Scolyer RA, Hess KR, et al. Melanoma Staging: Evidence-Based Changes in the American Joint Committee on Cancer Eighth Edition Cancer Staging Manual. CA Cancer J Clin. 2017; 67(6): 472-492.
    • Wong SL, Balch CM, Hurley P, et al. Sentinel lymph node biopsy for melanoma: American Society of Clinical Oncology and Society of Surgical Oncology joint clinical practice guideline. J Clin Oncol. 2012; 30 (23): 2912-8.
    • Faries MB, Thompson JF, Cochran AJ, et al. Completion Dissection or Observation for Sentinel-Node Metastasis in Melanoma. N Engl J Med. 2017; 376(23): 2211-2222.
#Arrangoiz #CancerSurgeon #SurgicalOncologist #HeadandNeckSurgeon #ParathyroidSurgeon #ThyroidSurgeon #Melanoma #MountSinaiMedicalCenter #MSMC #Miami #Mexico

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