To inform on shoulder pathology and to identify the disabilities and level of quality of life QOL associated with shoulder pain in patients with breast cancer-related lymphedema BCRL. The US findings for those with pain and abnormal US revealed the following: Breast cancer-related lymphedema BCRL is a very common and serious condition that affects patients receiving breast cancer treatment.
A sharp pain in your breast, possibly with some tenderness, may have you wondering if it could be something serious. A breast lump is often the first thing that women and even men notice that spurs a visit to their doctor. We often associate pain with something wrong, so when women feel tenderness or pain in their breast, they often assume it to be breast cancer.
Breast cancer is the most common type of cancer in women in the developed world. As a result of breast cancer treatment, many patients suffer from serious complaints in their arm and shoulder, leading to limitations in activities of daily living and participation. In this systematic literature review we present an overview of the adverse effects of the integrated breast cancer treatment related to impairment in functions and structures in the upper extremity and upper body and limitations in daily activities.
With an increased number of breast cancer survivors and patients with metastatic disease living longer, it is imperative for oncology care providers to manage issues of new and chronic upper extremity dysfunction as a result of the malignancy itself or its treatment. A combination of factors can contribute to shoulder dysfunction, including age, weight, prior shoulder problems, surgical method, use of aromatase inhibitors, and cervical dysfunction. We also know that patients who undergo mastectomy, extensive radiation, and lymph node dissection have an increased risk of developing shoulder dysfunction compared with patients who have breast-conserving surgery or less-aggressive radiation treatment.
Lymphedema is a problem that may occur after cancer surgery when lymph nodes are removed. Lymphedema can occur months or years after treatment. But steps can be taken to help keep it from starting, and to reduce or relieve symptoms.
After breast cancer surgery, some women experience numbness, swelling, weakness, or tingling in the arm and shoulder area on the same side of the body on which surgery was done. These problems are more likely to happen after mastectomy surgery and less likely to happen after lumpectomy. The possibility for arm and shoulder problems depends quite a bit on whether any lymph nodes were removed during surgery and if so, how many were removed. Lymphedema is a build-up of lymph fluid in arm tissue, which causes swelling.
Virtually every aspect of treatment can result in stiffness, decreased range of motion, or loss of strength. Swelling or sensory changes can also occur. Some of these problems may occur immediately.