Annals of Surgical Oncology

, Volume 24, Issue 10, pp 2827–2835 | Cite as

Considerations for Clinicians in the Diagnosis, Prevention, and Treatment of Breast Cancer-Related Lymphedema, Recommendations from an Expert Panel: Part 2: Preventive and Therapeutic Options

  • Sarah A. McLaughlinEmail author
  • Sarah M. DeSnyder
  • Suzanne Klimberg
  • Michael Alatriste
  • Francesco Boccardo
  • Mark L. Smith
  • Alicia C. Staley
  • Paul T. R. Thiruchelvam
  • Nancy A. Hutchison
  • Jane Mendez
  • Fiona MacNeill
  • Frank Vicini
  • Stanley G. Rockson
  • Sheldon M. Feldman
Breast Oncology

The American Society of Breast Surgeons (ASBrS) recognizes lymphedema as a significant side effect of breast cancer treatment. Therefore, the ASBrS convened an international, multidisciplinary expert panel to review current data and guidelines on all aspects of lymphedema diagnosis and management to acknowledge the gravity of this public health issue facing breast cancer survivors. The Panel sought to collate clear and meaningful recommendations for providers regarding lymphedema diagnosis, treatment, and prevention. Diagnosis, education, and future directions were discussed in Part 1. Part 2 focuses on prevention and treatment.

Risk-Reducing Behaviors

Given the study disagreements concerning risk factors and definitions of breast cancer-related lymphedema (BCRL), it is not surprising that clinicians have difficulty accurately predicting who will experience the development of BCRL. To prevent lymphedema, clinicians continue to recommend risk-reducing behaviors (RRB) that have largely...



This work was funded via an unrestricted educational grant from ImpediMed.

Conflict of interest

Frank Vicini is a research adviser for ImpediMed. There are no other conflicts of interest.


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Copyright information

© Society of Surgical Oncology 2017

Authors and Affiliations

  • Sarah A. McLaughlin
    • 1
    Email author
  • Sarah M. DeSnyder
    • 2
  • Suzanne Klimberg
    • 3
  • Michael Alatriste
    • 4
  • Francesco Boccardo
    • 5
  • Mark L. Smith
    • 6
    • 7
  • Alicia C. Staley
    • 8
  • Paul T. R. Thiruchelvam
    • 9
  • Nancy A. Hutchison
    • 10
  • Jane Mendez
    • 11
  • Fiona MacNeill
    • 12
  • Frank Vicini
    • 13
  • Stanley G. Rockson
    • 14
    • 15
  • Sheldon M. Feldman
    • 16
  1. 1.Department of SurgeryMayo ClinicJacksonvilleUSA
  2. 2.Department of Breast Surgical OncologyThe University of Texas MD AndersonCancer CenterHoustonUSA
  3. 3.Department of Breast and Surgical OncologyWinthrop P. Rockefeller Cancer InstituteLittle RockUSA
  4. 4.Lymphedema Alliance of New YorkNew YorkUSA
  5. 5.Department of SurgeryUnit of Lymphatic Surgery - S. Martino University Hospital, University of GenoaGenoaItaly
  6. 6.Department of SurgeryNorthwell HealthLake SuccessUSA
  7. 7.Reconstructive OncologyNorthwell Health Cancer InstituteLake SuccessUSA
  8. 8.Akari HealthBostonUSA
  9. 9.Imperial College HealthcareLondonUK
  10. 10.Courage Kenny Rehabilitation Institute of AllinaHealthMinneapolisUSA
  11. 11.Miami Cancer InstituteMiamiUSA
  12. 12.Association of Breast Surgery Great Britain and IrelandRoyal College of Surgeons of EnglandLondonUK
  13. 13.Radiation OncologyUCLA School of MedicineLos AngelesUSA
  14. 14.Center for Lymphatic and Venous DisordersStanford University School of MedicineStanfordUSA
  15. 15.Lymphatic Research and BiologyFalk Cardiovascular Research CenterStanfordUSA
  16. 16.Division of Breast Surgery and Breast Surgical Oncology, Montefiore Medical Center, The University Hospital for the Albert Einstein College of MedicineMontefiore Einstein Center for Cancer CareNew YorkUSA

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