Serveur d'exploration sur le lymphœdème

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Treatment of classic Kaposi's sarcoma‐associated lymphedema with elastic stockings

Identifieur interne : 007A99 ( Main/Exploration ); précédent : 007A98; suivant : 007B00

Treatment of classic Kaposi's sarcoma‐associated lymphedema with elastic stockings

Auteurs : Lucia Brambilla [Italie] ; Athanasia Tourlaki [Italie] ; Silvia Ferrucci [Italie] ; Marinella Brambati [Italie] ; Vinicio Boneschi [Italie]

Source :

RBID : ISTEX:1429A5A1D80A8081BECB85310DF1A0BAD7D4D2CC

Descripteurs français

English descriptors

Abstract

Lymphedema of the lower extremities is a frequent complication of Kaposi's sarcoma (KS). Compressive therapy is the basis of treatment for lymphatic disorders, but to the authors’ knowledge, there are no controlled trials to evaluate its effectiveness in KS‐related lymphedema. Sixty‐five patients with classic KS‐associated lymphedema limited to below the knee were studied. Fifty patients received below‐knee elastic stockings, whereas the remaining 15 did not use any compressive device. Among treated patients, 60% (30/50) experienced a limb volume reduction, while 40% (20/50) had an increase of limb volume. In contrast, all patients (15/15) of the untreated group had an increase of limb volume. No correlation between lymphedema reduction and systemic or local chemotherapy was observed, supporting compressive therapy as the major strategy for the treatment of this condition. Our results suggest that elastic stockings may be important tools for the management of lymphedema associated to classic KS.

Url:
DOI: 10.1111/j.1346-8138.2006.00108.x


Affiliations:


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Le document en format XML

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<div type="abstract" xml:lang="en">Lymphedema of the lower extremities is a frequent complication of Kaposi's sarcoma (KS). Compressive therapy is the basis of treatment for lymphatic disorders, but to the authors’ knowledge, there are no controlled trials to evaluate its effectiveness in KS‐related lymphedema. Sixty‐five patients with classic KS‐associated lymphedema limited to below the knee were studied. Fifty patients received below‐knee elastic stockings, whereas the remaining 15 did not use any compressive device. Among treated patients, 60% (30/50) experienced a limb volume reduction, while 40% (20/50) had an increase of limb volume. In contrast, all patients (15/15) of the untreated group had an increase of limb volume. No correlation between lymphedema reduction and systemic or local chemotherapy was observed, supporting compressive therapy as the major strategy for the treatment of this condition. Our results suggest that elastic stockings may be important tools for the management of lymphedema associated to classic KS.</div>
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