Lymphedema pp 199-203 | Cite as

Alternative Assessment and Measurement Tools

  • Neil B. Piller


The stage and status of any lymphedematous limb (or other part of the body) and the impact of treatment on it can be measured objectively and accurately,1 yet, very few health professionals (and even fewer patients) ever make any attempt to make even the most basic measurements to obtain a complete assessment of the limb, few bother to compare the at-risk or affected limb with the contralateral one, and even fewer have the opportunity to measure a high-risk limb prior to an intervention.


Extracellular Fluid Lymphatic System Water Displacement Fibrotic Tissue Limb Volume 
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  1. 1.
    Hayes S et al. Comparison of the methods to diagnose lymphoedema among breast cancer survivors: 6 month follow-up. Breast Cancer Res Treat. 2005;89:221.PubMedCrossRefGoogle Scholar
  2. 2.
    Bates D et al. Quantification of the rate and depth of pitting in human oedema using an electronic tonometer. Lymphology. 1994;27(4):159.PubMedGoogle Scholar
  3. 3.
    Cornish BH, Chapman M, Hirst C, et al. Early diagnosis of lymphedema using multifrequency bioimpedance. Lymphology. 2001;34(1):2-11.PubMedGoogle Scholar
  4. 4.
    Stanton A et al. Validation of an optoelectronic limb volumeter (perometer). Lymphology. 1997;30(2):77.PubMedGoogle Scholar
  5. 5.
    Meijer RS et al. Validity and intra/inter observer reliability of an indirect volume measurement in upper limb lymphoedema. Lymphology. 2004;37(3):127.PubMedGoogle Scholar
  6. 6.
    Brautigam R et al. Analysis of lymphatic drainage in leg lymphoedema using two compartment lymphoscintigraphy. Lymphology. 1998;31(2):43.PubMedGoogle Scholar
  7. 7.
    Piller NB, Goodear M, Peter D. Lymphoscintigraphic evidence supports the evidence of axillo-inguinal anastomotic pathways in a patient with chronic secondary lymphoedema. Eur J Lymphol. 1998;6(24):97-100.Google Scholar
  8. 8.
    Dennis R. Haemodynamics of lymphoedema. J Lymphoedema. 2008;3(2):45-49.Google Scholar
  9. 9.
    Modi S, Stanton AWB, Svensson W, Peters A, Mortimer P, Levick J. Human lymphatic pumping measured in healthy and lymphoedematous arms by lymphatic congestion lymphoscintigraphy. J Physiol. 2007;583:271-285.PubMedCrossRefGoogle Scholar
  10. 10.
    Amer M, Ramati A. Post traumatic symptoms, emotional distress and quality of life in long term survivors of breast cancer. J Anxiety Disord. 2002;16:195-206.Google Scholar
  11. 11.
    Amer MA, Stewart R. A comparison of 4 diagnostic criteria for lymphoedema in a post breast cancer population. Lymphat Res Biol. 2005;3(4):208-217.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Limited 2011

Authors and Affiliations

  • Neil B. Piller
    • 1
  1. 1.Lymphoedema Assessment Clinic, Department of Surgery, School of MedicineFlinders University and Medical CentreBedford ParkAustralia

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