Résumé
Le lymphœdéme du membre supérieur aprés traitement du cancer du sein est une complication dont la fréquence est estimée actuellement entre 15 % et 28 % aprés curage axillaire et entre 2,5 % et 3,5 % aprés technique du ganglion sentinelle (1–4). Les principaux facteurs de risque de développement d’un lymphœdéme sont le nombre de ganglions enlevés lors du curage axillaire, la radiothérapie, en particulier sur les aires ganglionnaires axillaires, la mammectomie (versus la tumorectomie) et la surcharge pondérale (5). L’évolution spontanée du lymphœdéme se fait vers l’aggravation progressive avec l’apparition d’un épaississement et d’une «fibrose» cutanés irréversibles, de complications esthétiques, psychologiques (6) et infectieuses (érysipéles). Les indications de traitement ne sont pas clairement défi nies, mais il est important de traiter les lymphœdémes afi n d’éviter ces complications et d’espérer ainsi améliorer la qualité de vie des femmes. Les critéres de traitement sont le volume du lymphœdéme, mais également la demande de la patiente. Le traitement du lymphœdéme est symptomatique et a fait l’objet de plusieurs consensus et recommandations (7–9) ainsi que d’une revue Cochrane reprenant toutes les études de bonnes qualités méthodologiques concernant les traitements physiques (10).
Preview
Unable to display preview. Download preview PDF.
Références
Clark B, Sitzia J, Harlo W (2005) Incidence and risk of arm oedema following treatment for breast cancer: a three-year follow-up study. QJM 98: 343–8
Ozaslan C, Kuru B (2004) Lymphedema after treatment of breast cancer. Am J Surg 187: 69–72
Armer JM, Stewart BR (2005) A comparison of four diagnostic criteria for lymphedema in a post-breast cancer population. Lymphat Res Biol 3: 208–17
Langer I, Guller U, Berclaz G, et al. (2007) Morbidity of sentinel lymph node biopsy (SLN) alone versus SLN and completion axillary lymph node dissection after breast cancer surgery: a prospective Swiss multicenter study on 659 patients. Ann Surg 245: 452–61
Arrault M, Vignes S (2006) Facteurs de risque de développement d’un lymphœdéme du membre supérieur aprés traitement du cancer du sein. Bull Cancer 93: 1001–6
McWayne J, Heiney SP (2005) Psychologic and social sequelae of secondary lymphedema. Cancer 104: 457–66
Cohen SR, Payne DK, Tunkel RS (2001) Lymphedema. Strategies for management. Cancer 92: 980–7
Harris SR, Hugi MR, Olivotto IA, Levine M. Steering Committee for Clinical Practice Guidelines for the Care and Treatment of Breast Cancer (2001). Clinical practice guidelines for the care and treatment of breast cancer: 11. Lymphedema. CMAJ 164: 191–9
Lymphoedema Framework (2006) Best practice for the management of lymphoedema. International consensus. MEP Ltd, London
Badger C, Preston N, Seers K, Mortimer P (2004) Physical therapies and controlling lymphoedema of the limbs. Cochrane Database Syst Rev 3: CD003141
Cheville AL, McGarvey CL, Petrek JA, et al. (2003) Lymphedema management. Semin Radiat Oncol 13: 290–301
Vignes S, Porcher R, Arrault M, Dupuy A (2007) Long-term management of breast cancer-related lymphedema after intensive decongestive physiotherapy. Breast Cancer Res Treat 101: 285–90
Partsch H, Clark M, Bassez S, et al. (2006) Measurement of lower leg compression in vivo: recommendations for the performance of measurements of interface pressure and stiffness: consensus statement. Dermatol Surg 32: 224–32
Földi E, Földi M, Weissleder H (1985) Conservative treatment of lymphedema of the limbs. Angiology 36: 171–80
Johansson K, Albertsson M, Ingvar C, Ekdahl C (1999) Effects of compression bandaging with or without manual lymph drainage treatment in patients with postoperative arm lymphedema. Lymphology 32: 103–10
Ko DS, Lerner R, Klose G, Cosimi AB (1998) Effective treatment of lymphedema of the extremities. Arch Surg 133: 452–8
Badger CM, Peacock JL, Mortimer PS (2000) A randomized, controlled, parallel-group clinical trial comparing multilayer bandaging followed by hosiery versus hosiery alone in the treatment of patients with lymphedema of the limb. Cancer 88: 2832–7
Szuba A, Cooke JP, Yousouf S, Rockson SG (2000) Decongestive lymphatic therapy for patients with cancer-related or primary lymphedema. Am J Med 109: 296–300
McNeely ML, Magee DJ, Lees AW, et al. (2004) The addition of manual lymph drainage to compression therapy for breast cancer related lymphedema: a randomized controlled trial. Breast Cancer Res Treat 86: 95–106
Vignes S, Porcher R, Champagne A, Dupuy A (2006) Predictive factors of response to intensive decongestive physiotherapy in upper limb lymphedema after breast cancer treatment: a cohort study. Breast Cancer Res Treat 98: 1–6
Ferrandez JC (2007) Étude de l’effi cacité de deux types de bandages de décongestion du lymphœdéme secondaire du membre supérieur. Kinesither Rev 67: 30–5
Brennan MJ, Miller LT (1998) Overview of treatment options and review of the current role and use of compression garments, intermittent pumps, and exercise in the management of lymphedema. Cancer 83(Suppl): 2821–7
Boris M, Weindorf S, Lasinski B (1997) Persistence of lymphedema reduction after noninvasive complex lymphedema therapy. Oncology (Huntingt) 11: 99–109; discussion 110: 113–4
Weiss JM, Spray BJ (2002) The effect of complete decongestive therapy on the quality of life of patients with peripheral lymphedema. Lymphology 35: 46–58
Andersen L, Hojris I, Erlandsen, Andersen J (2000) Treatment of breast-cancer-related lymphedema with or without manual lymphatic drainage. Acta Oncol 39: 399–405
Becq-Giraudon B (2001) L’érysipéle: prévention primaire et secondaire. Ann Dermatol Venereol 128: 368–75
Vignes S, Dupuy A (2006) Recurrence of lymphoedema-associated cellulitis (erysipelas) under prophylactic antibiotherapy: a retrospective cohort study. J Eur Acad Dermatol Venereol 20: 818–22
Werner RS, McCormick B, Petrek J, et al. (1991) Arm edema in conservatively managed breast cancer: obesity is a major predictive factor. Radiology 180: 177–84
Kocak Z, Overgaard J (2000) Risk factors of arm lymphedema in breast cancer patients. Acta Oncologica 39: 389–92
Petrek JA, Senie RT, Peters M, Rosen PP (2001) Lymphedema in a cohort of breast carcinoma survivors 20 years after diagnosis. Cancer 92: 1368–77
Vignes S, Arrault M, Dupuy A (2007) Factors associated with increased breast cancer-related lymphedema volume. Acta Oncol 46: 1138–42
Shaw C, Mortimer P, Judd PA (2007) A randomized controlled trial of weight reduction as a treatment for breast cancer-related lymphedema. Cancer 110: 1868–74
Harris SR, Niesen-Vertommen SL (2000) Challenging the myth of exercise-induced lymphedema following breast cancer: a series of case reports. J Surg Oncol 74: 95–9
Johansson K, Ohlsson K, Ingvar C, et al. (2002) Factors associated with the development of arm lymphedema following breast cancer treatment: a match pair case-control study. Lymphology 35: 59–71
Johansson K, Tibe K, Weibull A, Newton RC (2005) Low intensity resistance exercise for breast cancer patients with arm lymphedema with or without compression sleeve. Lymphology 38: 167–80
Bicego D, Brown K, Ruddick M, et al. (2006) Exercise for women with or at risk for breast cancer-related lymphedema. Phys Ther 86: 1398–405
McKenzie DC, Kalda AL (2003) Effect of upper extremity exercise on secondary lymphedema in breast cancer patients: a pilot study. J Clin Oncol 21: 463–6
Szuba A, Achalu R, Rockson SG (2002) Decongestive lymphatic therapy for patients with breast carcinoma-associated lymphedema. A randomized, prospective study of a role for adjunctive intermittent pneumatic compression. Cancer 95: 2260–7
Segers P, Belgrado JP, Leduc A, et al. (2002) Excessive pressure in multichambered cuffs used for sequential compression therapy. Phys Ther 82: 1000–8
Campisi C, Boccardo F, Alitta P, Tacchella M (1995) Derivative lymphatic microsurgery: indications, techniques, and results. Microsurgery 16: 463–8
Baumeister RG, Siuda S, Bohmert H, Moser E (1986) A microsurgical method for reconstruction of interrupted lymphatic pathways: autologous lymph-vessel transplantation for treatment of lymphedema. Scand J Plast Reconstr Surg 20: 141–6
Becker C, Assouad J, Riquet M, Hidden G (2006) Postmastectomy lymphedema: long-term results following microsurgical lymph node transplantation. Ann Surg 243: 313–5
Brorson H (2000) Liposuction gives complete reduction of chronic large arm lymphedema after breast cancer. Acta Oncol 39: 407–20
Badger C, Preston N, Seers K, Mortimer P (2004) Benzo-pyrones for reducing and controlling lymphoedema of the limbs. Cochrane Database Syst Rev 2: CD003140
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2010 Springer-Verlag France
About this chapter
Cite this chapter
Vignes, S. (2010). Prise en charge du lymphœdéme. In: Aider á vivre aprés un cancer. Oncologie pratique. Springer, Paris. https://doi.org/10.1007/978-2-287-79501-5_3
Download citation
DOI: https://doi.org/10.1007/978-2-287-79501-5_3
Publisher Name: Springer, Paris
Print ISBN: 978-2-287-79500-8
Online ISBN: 978-2-287-79501-5