PDF(Pubmed)
Abstract：
Lymphoedema is the accumulation of fluids with the high-protein content in the intercellular space, which is the most common complication seen in patients with breast cancer. In this study, we discuss the case of a 67-year-old female operated case of the left modified radical mastectomy in 2012. After 9 years, she had recurrence on the right side and diagnosed with metastatic breast cancer Stage 3 B. She developed lymphoedema on the same side for which she was referred to physiotherapy for further management. Along with radiation treatment, physiotherapy intervention such as complete decongestive therapy (CDT) for lymphoedema was initiated for 10 days which included multilayer lymphoedema bandaging, manual lymphatic drainage and exercise therapy. At the beginning, volume difference was 1688 ml then on the 5th day, it was 1133 ml, and on the 10th day, it was 802 ml noted. There was significant reduction in the volume of the involved limb that led to improvement in the score of sleep quality and quality of life (QOL). The major aims of CDT are to improve lymph circulation and to prevent lymphatic stasis which improves the QOL and sleep quality. Patient education and counselling along with home programme of bandaging played a major role in the recovery of the patient. CDT plays an important role in reducing lymphoedema and improving the sleep quality and QOL in metastatic breast cancer patient.
摘要：
淋巴水肿是细胞间隙中高蛋白含量的液体的积累，这是乳腺癌患者最常见的并发症。在这项研究中,我们讨论了2012年1例67岁女性左侧改良根治术的病例.9年后,患者右侧复发,并被诊断为转移性乳腺癌3B期,患者在接受物理治疗的同一侧出现淋巴水肿.随着放射治疗,理疗干预，如完全减充血治疗（CDT）淋巴水肿开始10天，其中包括多层淋巴水肿包扎，手动淋巴引流和运动疗法。一开始,容量差异为1688毫升，然后在第5天，它是1133毫升，在第10天,记录为802毫升。受累肢体的体积显着减少，从而改善了睡眠质量和生活质量（QOL）的评分。CDT的主要目的是改善淋巴循环和防止淋巴淤滞，从而提高生活质量和睡眠质量。患者的教育和咨询以及家庭包扎计划在患者的康复中起着重要作用。CDT在减轻转移性乳腺癌患者的淋巴水肿，改善睡眠质量和生活质量中起重要作用。
