What is Lymphedema?

 

 

Lymphedema is a chronic and progressive swelling of a limb or body part , with two designations:

 

1)  Primary Lymphedema, which results from congenital malformations

 

2)  Secondary Lymphedema, which results from the following: cancer treatment (Lymph Node Dissection and Radiation Therapy), vascular disease, trauma/injury, parasitic infection and bariatric complications.

 

 

There are 4 Stages of Lymphedema  which indicate a progression of the condition from subclinical to most severe. Although Lymphedema is often seen as a manageable chronic swelling, it can progress to an unmanageable stage where secondary tissue changes can occur, such as: tissue fibrosis, induration (hardening of the skin) or weeping (tissue fluid leaking through the skin). Lymphedema patients are also susceptible to Cellulitis infections. If Lymphedema progresses to the most advanced stage (Lymphostatic Elephantiasis), then tertiary skin pathologies such as: papillomatosis (a wart-like presentation), hyperkeratosis (a hard, crusty covering on the skin), fungal infections and ulcerations can result.

 

Lymphedema is not only chronic, but is also progressive and if left untreated can lead to disfigurement of the affected limb. We therefore encourage patients with any stage or classification of Lymphedema to seek consultation and treatment as soon as possible. We also encourage cancer patients at risk for lymphedema to inquire about clinical preventive measures to avoid acquiring the condition.

 

 

Who Is At Risk for Lymphedema?

 

Cancer patients who have had Lymph Node Dissection and/or Radiation Therapy are at risk for developing Lymphedema, indefinitely.  Medically necessary, life-saving procedures should NOT be avoided to prevent acquiring Lymphedema.