121. Lymphedema / Family Village Library The National lymphedema Network (NLN) is a nonprofit organization founded to provide Dedicated to be an advocacy group for lymphedema patients. http://www.familyvillage.wisc.edu/lib_lymphedema.html

Lymphedema Who to Contact Where to Go to Chat with Others Learn More About It Web Sites ... Search Google for "Lymphedema" Who to Contact National Lymphedema Network Latham Square, 1611 Telegraph Avenue, Suite 1111 Oakland, CA 94612-2138 510-208-3110 (fax) Web: http://www.lymphnet.org/ The National Lymphedema Network (NLN) is a non-profit organization founded to provide education and guidance to lymphedema patients, health care professionals and the general public by disseminating information on the prevention and management of primary and secondary lymphedema. The NLN supports research into the causes and possible alternative treatments for this often incapacitating, long-neglected condition. The NLN provides a toll-free recorded information line, referrals to lymphedema treatment centers, health care professionals, training programs, support groups; a quarterly newsletter with information about medical and scientific developments, support groups, pen pals, an updated resource guide; an educational courses for health care professionals and patients; a biennial national conference on lymphedema; and an extensive computer database. Lymphatic Research Foundation 39 Pool Drive Roslyn, NY 11576

122. Lymphedema Treatments Lerner R. Complete decongestive physiotherapy and the Lerner lymphedema Services Academy Postmastectomy lymphedema management Evolution of the complex http://www.aetna.com/cpb/data/CPBA0069.html

Document Utilities Home Clinical Policy Bulletins Medical Clinical Policy Bulletins Number: (Updated) Subject: Lymphedema Treatments Reviewed: February 11, 2005 Important Note Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna) for a particular member. The member's benefit plan determines coverage. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. CMS's Coverage Issues Manual can be found on the following website: http://cms.hhs.gov/manuals/pub06pdf/pub06pdf.asp

123. UpToDate Patient Information: Lymphedema After Breast Cancer Surgery lymphedema is one of the most troubling complications after breast cancer surgery, lymphedema that develops after treatment for breast cancer is called http://patients.uptodate.com/topic.asp?file=cancer/6211

124. Lymphedema: BC Cancer Agency Revised 27 August 2003 Definition lymphedema following treatment for breast cancer is caused by the interruption of axillary lymphatic drainage from the http://www.bccancer.bc.ca/HPI/CancerManagementGuidelines/Breast/Management/Lymph

Agency Links: Home Contact Us Legal Privacy ... 6. Management Lymphedema Breast 6. Management 01 In Situ Disease 02 Stage I or Stage II Invasive Cancer (T1, T2; N0, N1; M0) ... 15 Surgical Margins after Breast Conserving Surgery for Invasive Disease Lymphedema Lymphedema References Sentinel Node Biopsy Synoptic Report Form 6. Management - Lymphedema Print Wizard Print this Page Revised: 27 August 2003 Definition Lymphedema following treatment for breast cancer is caused by the interruption of axillary lymphatic drainage from the arm. To detect lymphedema, circumferential measurements of both extremities should be taken at the metacarpal-phalangeal joints, the wrists, 10 cm distal and 15 cm proximal to the lateral epicondyles. A difference of 2 cm or greater at any point is clinically significant. Incidence After axillary dissection alone, the risk of lymphedema has been reported to be – 25% in different studies. The average rate without regional radiation was 3%. With axillary dissection plus regional radiation, the risk of lymphedema varied from 10 to 54%. The average risk with regional radiation was 12%.

125. Lymphedema Primary or inherited lymphedema is caused by abnormal development of the lymph Primary lymphedema has been reported in the Belgian Tervuren, borzoi, http://www.upei.ca/~cidd/Diseases/clinical pathology/lymphedema.htm

What is lymphedema? Lymph is a clear watery fluid that is collected from tissues throughout the body and returned to the blood by way of the lymphatic vessels, as part of normal circulation. In lymphedema there is abnormal lymph flow, so that lymph fluids accumulate and cause swelling in the affected tissue. Primary or inherited lymphedema is caused by abnormal development of the lymph vessels or nodes and has been reported in the breeds listed below. Secondary lymphedema can occur in any breed if there is obstruction of lymph vessels due to tumours, inflammation, surgery, etc. How is lymphedema inherited? In some breeds, the mode of inheritance has been shown to be autosomal dominant with variable expressivity What breeds are affected by lymphedema Primary lymphedema has been reported in the Belgian Tervuren, borzoi, English bulldog, German shepherd, German short-haired pointer, Great Dane, Labrador retriever, old English sheepdog, poodle and rottweiler. For many breeds and many disorders, the studies to determine the mode of inheritance or the frequency in the breed have not been carried out, or are inconclusive. We have listed breeds for which there is a consensus among those investigating in this field and among veterinary practitioners, that the condition is significant in this breed. What does lymphedema The hind legs are most commonly affected, although front legs, abdomen, tail and ears can be affected too. The skin looks normal but has a thickened spongy feel, and if you press it, your fingers will leave dents.

126. People Living With Cancer - Managing Side Effects - Fluid In The Arms Or Legs (L lymphedema is the abnormal buildup of fluid in the lymphatic system, the series of This section describes secondary lymphedema that results from cancer http://www.plwc.org/plwc/MainConstructor/1,1744,_12-001011-00_15-001000-00_17-00

ASCO's curriculum Home About Us Contact Us Message Boards Cancer Type: Select a Cancer Type Adenoid Cystic Carcinoma Adrenal Gland Tumor Amyloidosis Anal Bile Duct Bladder Bone Brain Tumor Breast Breast, Inflammatory Breast, Male Breast, Metaplastic Carcinoid Tumors Cervical Childhood Central Nervous System Astrocytoma Brain Stem Glioma Ependymoma Medulloblastoma Desmoplastic Infantile Ganglioma Ewing's Sarcoma Germ Cell Tumors Leukemia, Acute Lymphoblastic (ALL) Leukemia, Acute Myeloid (AML) Lymphoma, Hodgkin Lymphoma, Non-Hodgkin Neuroblastoma Osteosarcoma Retinoblastoma Rhabdomyosarcoma Wilms Tumor Colorectal Endocrine Tumor Esophageal Eye Eyelid Fallopian Tube Gallbladder Gastrointestinal Stromal Tumor (GIST) Gestational Trophoblastic Tumor Head and Neck Laryngeal and Hypopharyngeal Nasal Cavity and Paranasal Sinus Nasopharyngeal Oral and Oropharyngeal Salivary Gland HIV/AIDS-Related Islet Cell Tumors Kidney Lacrimal Gland Tumor Leukemia, Acute Lymphocytic (ALL) Leukemia, Acute Myeloid (AML) Leukemia, B-Cell Leukemia, Chronic Lymphocytic (CLL) Leukemia, Chronic Myeloid (CML)

127. _404error Provides womens health, man health and disease treatment to Western and Midwestern states. Nursing, pharmacy and health care careers available. http://www.bannerhealth.com/patients and visitors/facilities/arizona/good samari

Enter Keyword: Search Banner Health + Careers + Physicians + Patients and Visitors ... Banner Health - Highlights Banner Health Thank you for visiting www.bannerhealth.com We're sorry but the page you were looking for, http://www.bannerhealth.com:80/patients and visitors/facilities/arizona/good samaritan/programs and services/specialty services/lymphedema.asp , has changed its address or is no longer available. If you are unable to find what you are looking for, please contact us About Us Contact Us Use Agreement ... Site Map

128. Postgraduate Medicine: Patient Notes: Understanding Lymphedema This buildupand the swelling it causesis called lymphedema. lymphedema can be hereditary or caused by infection, but most often it occurs after surgery http://www.postgradmed.com/issues/1999/05_15_99/pn_lymph.htm

Patient Notes Understanding lymphedema Download this Patient Note in PDF format VOL 105 / NO 6 / MAY 15, 1999 / POSTGRADUATE MEDICINE Lymph nodes are part of the body's special circulatory system for moving and filtering an important fluid called lymph. This clear fluid comes from the blood and carries disease-fighting cells throughout the body. Lymph also contains proteins and salts removed from the tissues. When the lymph nodes are removed, injured, or blocked, fluid builds up in the tissues. This buildupand the swelling it causesis called lymphedema. Lymphedema can be hereditary or caused by infection, but most often it occurs after surgery or radiation therapy for cancer. About 20% of women who have had lymph nodes removed because of breast cancer have symptoms of lymphedema. More than 400,000 American women are living with this problem. Hereditary lymphedema can affect one or all limbs and sometimes other parts of the body. It may be present at birth, or it might appear later in life. The cause is often unknown, but abnormalities of the lymph system seem to be responsible for some cases. Acquired lymphedema occurs after surgery, radiation therapy, infection, or injury. Surgical operations that require removal of lymph nodes greatly increase the risk for lymphedema. Swelling can occur immediately or weeks, months, or even many years after such surgery.

129. LH - Lymphedema Management Program Lankenau Hospital lymphedema Management Program. The lymphedema Management Program is offered through the Physical Medicine Departments of Bryn Mawr, http://www.mainlinehealth.org/lh/article_469.asp

News System Information Giving Opportunities Calendar of Events ... Career Opportunities Search Main Line Health: About Main Line Health Clinical Specialties For Healthcare Professionals About Lankenau Hospital ... News Autologous Blood Donations Breast Cancer Risk Assessment Program Breast Diagnostic Centers Colorectal Cancer Risk Assessment Program Diabetes Management Program Endoscopy Units Enterostomal Therapy Family Centered Maternity Care Health Education Center Kidney Transplant Program Lung Cancer Center - Lymphedema Management Program Neurodiagnostic Center Nutritional Services (Outpatient) Ophthalmic Diagnostic Services Perinatal Testing Center Sleep Medicine Services Support Groups Surgicenter Travel Medicine Services Wound Healing Center Lymphedema Management Program Path: Lankenau Hospital Lymphedema is the swelling of any limb due to insufficient drainage of the lymphatic system. Patients undergoing cancer treatment are at risk of developing lymphedema if there is damage to the lymph nodes and vessels. Symptoms often include tightness, discomfort or swelling in the arm, hand, leg and/or foot. About Our Program The Lymphedema Management Program is offered through the Physical Medicine Departments of Bryn Mawr, Lankenau, and Paoli Memorial Hospitals and Bryn Mawr Rehab. By working collaboratively with physicians, we bring together experienced professionals and the facilities of Main Line Health to provide patients with the needed therapy to manage lymphedema.

130. Beaumont Hospitals - Lymphedema Program lymphedema is an abnormal accumulation of lymph fluid in one or more extremities. The initial symptoms of lymphedema include painless swelling of the http://www.beaumonthospitals.com/pls/portal30/cportal30.webpage?l_recent=rehab_p

131. TMC : Lymphedema Therapy Services TMC HealthCare is a leading health care delivery system in Southern Arizona providing services that include cardiac, emergency care, orthopedics, http://www.tmcaz.com/Therapy_Services/lymphedema_program.html

Adults Ambulatory Surgery Cardiac Care Emergency Services ... Web Resources Lymphedema Therapy Services In conjunction with educational and case management services, Tucson Medical Center offers complete decongestive therapy for the treatment of lymphedema. Services are provided by licensed therapists who have completed at least 120 hours of specialized training. Treatment planning is individualized. After assessment, the therapist will make recommendations for the amount and length of service needed. Services: Complete Decongestive Therapy Home Instruction Staff: Facilities: TMC HealthCare Outpatient Therapy at Tucson Orthopaedic Institute, 2424 N. Wyatt Road To Access Services: Call 324-2075 or fax referral to 324-6162. Contact Us E-mail Therapy.Answers@tmcaz.com or call 324-3771. Top Home

132. Massage And Bodywork Magazine This article will help you distinguish between edema and lymphedema, factors responsible Clinically, lymphedema is classified as primary and secondary. http://www.massageandbodywork.com/Articles/DecJan2005/edema.html

Figure 1 - Formation of lymph and fluid compartments. Figure 2 - Structure of a lymph capillary. Figure 3 - Filariasis of the left leg, also known as elephantiasis, is caused by threadlike filarial worms transmitted into the blood by mosquitos. The worms and inflammatory reactions to the parasite block lymphatic flow in different areas causing lymphedema. Edema and Lymphedema Are They Different? Implications for Bodyworkers By Kalyani Premkumar According to the , swelling refers to enlargement (e.g., protuberance or tumor). So the right term has been used by all four clients. This article will help you distinguish between edema and lymphedema, factors responsible for their formation, the treatment options available, and the implications for bodyworkers. Interstitial fluid In order to understand edema, we need to consider the various factors responsible for moving fluids in and out of blood vessels into the interstitial fluid compartment. In our body, if arterioles dilate, more blood flows through capillaries and the hydrostatic pressure increases, forcing fluid into the interstitial compartment. This is what happens when you are stung by a bee and you see redness (increased blood flow) and swelling (edema) at the site.

133. Hereditary Lymphedema Hereditary lymphedema is an inherited lymph system disorder. Familial forms of congenital lymphedema (Milroy s disease) and lymphedema praecox (Meige s http://ww3.komotv.com/Global/story.asp?S=2848774

134. Lymphedema | Comprehensive Cancer Center Of Wake Forest University lymphedema involves blockage of the lymph vessels, which drain fluid from tissues There are many causes of lymphedema(swelling of the lymph passages). http://www1.wfubmc.edu/cancer/lymphedema.html

Comprehensive Cancer Center Types of Cancer Clinical Trials Cancer Patient Support ... cancer lymphedema Lymphedema What Is Lymphedema? Lymphedema involves blockage of the lymph vessels, which drain fluid from tissues throughout the body and allow immune cells to travel where they are needed. There are many causes of lymphedema (swelling of the lymph passages). These include certain infections ( for example, chronic cellulitis or parasitic infections such as filariasis), trauma, tumors, certain surgeries, and radiation therapy. In addition, there are rare forms of congenital (present from birth) lymphedema which probably result from abnormalities in the development of the lymphatic vessels. In Western societies, one of the most common causes of lymphedema is mastectomy with axillary dissection (removal of the breast and underarm lymph tissue for breast cancer). This can cause lymphedema of the arm in 10-15% of patients. This occurs because the lymphatic drainage of the arm passes through the axilla (armpit), and tissue in the axilla has been removed during mastectomy. Recurrent cellulitis, or infection of the skin, can damage lymphatic vessels and lead to lymphedema of the affected area. This is more commonly seen in obese patients.

135. OncoLink | The Web's First Cancer Resource This might result in swelling of the arms or legs (lymphedema) depending on The most important way to combat lymphedema is to prevent its occurrence. http://www.oncolink.com/oncotips/article.cfm?c=1&s=4&ss=9&id=62

136. HealthSource Lymphedema Site dedicated to cancer prevention, psychosocial support and lymphedema treatment. We re providing this web site, to outline what is lymphedema and the http://www.melmar.com/lymph/

We Specialize in Lymphedema Therapy HealthSource Associates is Northern New Jersey's premier outpatient facility dedicated to cancer prevention, psychosocial support and lymphedema treatment. We're providing this web site, to outline what is Lymphedema and the effective treatment we provide, Complete Decongestive Physiotherapy (CDP) Under the medical direction of Andrew Jennis, M.D. and the attention of our expert staff, each patient receives an individualized course of treatment, based on the techniques perfected by our clinic. We're here to help you HealthSource Associates 1 West Ridgewood Avenue, Suite 203 Paramus, New Jersey 07652 Tel - (201) 445-8442 Fax - (201) 445-8447 Email us Lymphedema Treatment (CDP) What's new Last Modified 10/27/97 This site built and maintained by: Melmar Multimedia

137. Lymphedema CHC Wausau Hospital s Medical Library and Patient Education Center provides research services and healthcare information to physicians, http://www.chclibrary.org/micromed/00055570.html

Main Search Index Definition Description Causes ... Resources Lymphedema Definition Lymphedema is the swelling of tissues ( edema ), usually the feet and legs, due to lymphatic obstruction. Description Lymphatic fluid seeps out of the blood circulation into the tissues. It returns to the heart through separate channels called lymphatics, carrying waste products and germs. On its way to the heart, it passes through lymph nodes, where infecting germs (including some cancers ) are attacked by the body's defense mechanisms. If lymphatic channels are obstructed or inadequate, fluid backs up and causes edema. Tissue fluid can also return to the circulation through tissues, without using the lymphatics, but gravity hinders this flow. So lymphedema is usually confined to the feet and legs. There are several types of congenital abnormalities associated with other birth defects of the lymphatics, which cause this condition. One in 10,000 people have this type of lymphedema. Lymphatics can be damaged or obstructed by many different agents. Repeated bouts of blood poisoning can scar the vessels. Surgery to remove cancerous lymph nodes or radiation therapy can damage them. Cancer itself, as it invades the lymph system, as well as several other infectious and inflammatory conditions, can result in blockage of lymph flow. The most common worldwide cause of lymphedema is a group of worms known as filaria. Filaria can be found in most of the developing regions of the world. They enter humans through insect bites, mostly mosquitoes, and take up residence in lymphatic channels, irritating them enough to scar them and impair their ability to carry lymph. Long-standing lymphatic

138. Lymphedema - Livestrong lymphedema lymphedema is a condition that some survivors may experience after treatment. lymphedema causes swelling in the arms and legs. http://www.livestrong.org/site/c.jvKZLbMRIsG/b.669865/k.3EA/Lymphedema.htm

FAQs LIVE STRONG Survivor ... Physical Topics Lymphedema Lymphedema: Overview Lymphedema is a condition that some survivors may experience after treatment. Lymphedema causes swelling in the arms and legs. Knowing the causes of lymphedema can help you manage your symptoms. Detailed Information about this topic includes: Factors that may put you at risk for lymphedema How to recognize symptoms of lymphedema Cancer treatments that cause lymphedema How to manage lymphedema Suggestions for this topic include: Discussing treatment alternatives with your health care team Tips on minimizing your risk for lymphedema Learning about lymphedema therapy Additional Resources for this topic include organizations that provide more detailed information and support services to help you manage lymphedema. Lymphedema Detailed Information Suggestions Additional Resources Download and Print a PDF of this Topic Related Physical Topics Physical Rehabilitation Body Image Finding a Counselor Grief and Loss Related Practical Topics Communicate With Your Health Care Team P O Box 161150 : Austin, TX 78716-1150

139. Virtual Hospital: Lymphedema lymphedema. Carolyn Wadsworth, PT, OCS, CHT Department of Rehabilitation Therapies University of Iowa Hospitals and Clinics First Published 2003 http://www.vh.org/adult/provider/internalmedicine/lymphedema/

Lymphedema Carolyn Wadsworth, P.T., O.C.S., C.H.T. Department of Rehabilitation Therapies University of Iowa Hospitals and Clinics First Published: 2003 Last Revised: January 2004 Peer Review Status: Internally Reviewed Table of Contents Anatomy Definitions and Pathophysiology Images ... References This information is written primarily for providers. See related Provider Textbooks about Internal Medicine See related Provider Topics Blood/Lymphatic System Internal Medicine or Lymphatic Diseases See related Patient Textbooks about Internal Medicine See related Patient Topics Blood/Lymphatic System Internal Medicine or Lymphatic Diseases Virtual Hospital Home Virtual Children's Hospital Home Site Map ... University of Iowa http://www.vh.org/adult/provider/internalmedicine/lymphedema/index.html

140. Clinical Trial: Pycnogenol For The Treatment Of Lymphedema Of The Arm In Breast as a treatment for arm lymphedema in breast cancer survivors. Pycnogenol(r) is widely used in Europe for lymphedema of the leg and varicose veins, http://www.clinicaltrials.gov/show/NCT00064857

Home Search Browse Resources ... About Pycnogenol for the Treatment of Lymphedema of the Arm in Breast Cancer Survivors This study is not yet open for patient recruitment. Verified by National Center for Complementary and Alternative Medicine (NCCAM) March 2004 Sponsored by: National Center for Complementary and Alternative Medicine (NCCAM) Information provided by: National Center for Complementary and Alternative Medicine (NCCAM) ClinicalTrials.gov Identifier: Purpose The goal of this study is to evaluate the effectiveness of a standardized botanical extract of Pycnogenol as a treatment for stable arm lymphedema in breast cancer survivors. Condition Intervention Phase Lymphedema Breast Cancer Drug: Pycnogenol Phase II MedlinePlus related topics: Cancer Cancer Alternative Therapies Lymphatic Diseases Study Type: Interventional Study Design: Treatment, Randomized, Double-Blind, Placebo Control, Parallel Assignment, Efficacy Study Further Study Details: Expected Total Enrollment: 60 Study start: August 2003 Eligibility Ages Eligible for Study: 18 Years and above, Genders Eligible for Study: Both

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