Successful complex decongestive physiotherapy for lymphedema and lymphocutaneous reflux of the female external genitalia after radiation therapy.
Identifieur interne : 008D92 ( Main/Exploration ); précédent : 008D91; suivant : 008D93Successful complex decongestive physiotherapy for lymphedema and lymphocutaneous reflux of the female external genitalia after radiation therapy.
Auteurs : Su Fen Liao [Taïwan] ; Mu Shen Huang ; Ya Hui Chou ; Ta Sen WeiSource :
- Journal of the Formosan Medical Association = Taiwan yi zhi [ 0929-6646 ] ; 2003.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Association thérapeutique, Carcinome épidermoïde (), Carcinome épidermoïde (radiothérapie), Femelle, Humains, Hystérectomie, Lymphadénectomie, Lymphoedème (rééducation et réadaptation), Lymphoedème (étiologie), Système génital de la femme (anatomopathologie), Tumeurs du col de l'utérus (), Tumeurs du col de l'utérus (radiothérapie).
- MESH :
- anatomopathologie : Système génital de la femme.
- radiothérapie : Carcinome épidermoïde, Tumeurs du col de l'utérus.
- rééducation et réadaptation : Lymphoedème.
- étiologie : Lymphoedème.
- Adulte d'âge moyen, Association thérapeutique, Carcinome épidermoïde, Femelle, Humains, Hystérectomie, Lymphadénectomie, Tumeurs du col de l'utérus.
English descriptors
- KwdEn :
- Carcinoma, Squamous Cell (radiotherapy), Carcinoma, Squamous Cell (surgery), Combined Modality Therapy, Female, Genitalia, Female (pathology), Humans, Hysterectomy, Lymph Node Excision, Lymphedema (etiology), Lymphedema (rehabilitation), Middle Aged, Uterine Cervical Neoplasms (radiotherapy), Uterine Cervical Neoplasms (surgery).
- MESH :
- etiology : Lymphedema.
- pathology : Genitalia, Female.
- radiotherapy : Carcinoma, Squamous Cell, Uterine Cervical Neoplasms.
- rehabilitation : Lymphedema.
- surgery : Carcinoma, Squamous Cell, Uterine Cervical Neoplasms.
- Combined Modality Therapy, Female, Humans, Hysterectomy, Lymph Node Excision, Middle Aged.
Abstract
Development of secondary lower extremity lymphedema after cervical cancer is common. However, severe lymphedema of the female genitalia and vesicular cutaneous lymphatic reflux without lower limb lymphedema after treatment of cervical cancer is rare. We report successful complex decongestive physiotherapy (CDP) in a 53-year-old female who developed recurrent folliculitis, lymphocutaneous reflux, warty change of the right labium majora, and lymphedema involving the external genitalia after receiving hysterectomy, pelvic lymph node dissection, and radiation. CDP included skin care, manual lymphatic drainage, exercise, and use of a hip spica bandage and panty girdle garment. Oral antibiotics were prescribed to control the skin infection. Lymphatic discharge and folliculitis were markedly improved after a 3-week course of treatment. Traditional conservative treatment with pneumatic compression and massage is ineffective and not suitable in controlling lymphedema of the external genitalia. Use of CDP may help to relieve the symptoms and recurrent infection in patients with this condition.
PubMed: 12923593
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en">Development of secondary lower extremity lymphedema after cervical cancer is common. However, severe lymphedema of the female genitalia and vesicular cutaneous lymphatic reflux without lower limb lymphedema after treatment of cervical cancer is rare. We report successful complex decongestive physiotherapy (CDP) in a 53-year-old female who developed recurrent folliculitis, lymphocutaneous reflux, warty change of the right labium majora, and lymphedema involving the external genitalia after receiving hysterectomy, pelvic lymph node dissection, and radiation. CDP included skin care, manual lymphatic drainage, exercise, and use of a hip spica bandage and panty girdle garment. Oral antibiotics were prescribed to control the skin infection. Lymphatic discharge and folliculitis were markedly improved after a 3-week course of treatment. Traditional conservative treatment with pneumatic compression and massage is ineffective and not suitable in controlling lymphedema of the external genitalia. Use of CDP may help to relieve the symptoms and recurrent infection in patients with this condition.</div>
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<name sortKey="Wei, Ta Sen" sort="Wei, Ta Sen" uniqKey="Wei T" first="Ta Sen" last="Wei">Ta Sen Wei</name>
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