Correction of lower limb lymphedema in patients with cervical cancer after combination treatment: A case report
Lymphedema is the tissue fluid accumulation that arises as a consequence of impaired lymphatic drainage. Secondary lower limb lymphedema after surgery in cervical cancer is a result of combined antitumor treatment and significantly reduces the quality of life. The management of lymphedema by physica...
Main Authors: | , , , , , , , |
---|---|
Format: | Article |
Language: | Russian |
Published: |
IP Habib O.N.
2023-12-01
|
Series: | Современная онкология |
Subjects: | |
Online Access: | https://modernonco.orscience.ru/1815-1434/article/viewFile/581409/pdf |
_version_ | 1797290119973044224 |
---|---|
author | Olga A. Obukhova Patimat A. Dibirova Ildar A. Kurmukov Gayane S. Allakhverdiyan Natalya Yu. Shagina Ekaterina А. Mustafina Rostislav I. Knyazev Julia G. Pajanidi |
author_facet | Olga A. Obukhova Patimat A. Dibirova Ildar A. Kurmukov Gayane S. Allakhverdiyan Natalya Yu. Shagina Ekaterina А. Mustafina Rostislav I. Knyazev Julia G. Pajanidi |
author_sort | Olga A. Obukhova |
collection | DOAJ |
description | Lymphedema is the tissue fluid accumulation that arises as a consequence of impaired lymphatic drainage. Secondary lower limb lymphedema after surgery in cervical cancer is a result of combined antitumor treatment and significantly reduces the quality of life. The management of lymphedema by physical therapists usually includes a combination of skin care, physiotherapy, external pressure, exercise, and massage. This case report describes the course of treatment for a 53-year-old female with stages IIIB secondary lymphedema. The goal of physical therapy intervention was as restoration of the functionality of the affected lower limb. The rehabilitation tasks were as to reduce total limb volume, return of the stereotype of gait, decrease in the level of anxiety. Decongestive lymphedema therapy was effective in treating this patient with secondary lymphedema of the lower extremities. Although the goal of rehabilitation was partially achieved, the patient was discharged from the hospital in a good mood, her anxiety level decreased, her gait stereotype improved, and her endurance increased. Improving the functionality of the limb, improving its appearance had a positive impact on the quality of life and allowed her to return to work. This case report testifies to the effectiveness of complete decongestive therapy even in the case of severe lymphedema. The clinical result of such rehabilitation programs makes it possible to increase the adaptive potential and social independence of cancer patients. |
first_indexed | 2024-03-07T19:15:52Z |
format | Article |
id | doaj.art-3137caa088e74adab67a1bccbe8f3833 |
institution | Directory Open Access Journal |
issn | 1815-1434 1815-1442 |
language | Russian |
last_indexed | 2024-03-07T19:15:52Z |
publishDate | 2023-12-01 |
publisher | IP Habib O.N. |
record_format | Article |
series | Современная онкология |
spelling | doaj.art-3137caa088e74adab67a1bccbe8f38332024-02-29T13:31:29ZrusIP Habib O.N.Современная онкология1815-14341815-14422023-12-0125453253910.26442/18151434.2023.4.20253879532Correction of lower limb lymphedema in patients with cervical cancer after combination treatment: A case reportOlga A. Obukhova0https://orcid.org/0000-0003-0197-7721Patimat A. Dibirova1https://orcid.org/0009-0007-4966-1706Ildar A. Kurmukov2https://orcid.org/0000-0001-8463-2600Gayane S. Allakhverdiyan3https://orcid.org/0000-0001-9100-7870Natalya Yu. Shagina4https://orcid.org/0000-0003-2902-077XEkaterina А. Mustafina5https://orcid.org/0000-0002-1009-0383Rostislav I. Knyazev6https://orcid.org/0000-0002-6341-0897Julia G. Pajanidi7https://orcid.org/0000-0001-5704-1004Blokhin National Medical Research Center of OncologyBlokhin National Medical Research Center of OncologyBlokhin National Medical Research Center of OncologyBlokhin National Medical Research Center of OncologyBlokhin National Medical Research Center of OncologyBlokhin National Medical Research Center of OncologyBlokhin National Medical Research Center of OncologyBlokhin National Medical Research Center of OncologyLymphedema is the tissue fluid accumulation that arises as a consequence of impaired lymphatic drainage. Secondary lower limb lymphedema after surgery in cervical cancer is a result of combined antitumor treatment and significantly reduces the quality of life. The management of lymphedema by physical therapists usually includes a combination of skin care, physiotherapy, external pressure, exercise, and massage. This case report describes the course of treatment for a 53-year-old female with stages IIIB secondary lymphedema. The goal of physical therapy intervention was as restoration of the functionality of the affected lower limb. The rehabilitation tasks were as to reduce total limb volume, return of the stereotype of gait, decrease in the level of anxiety. Decongestive lymphedema therapy was effective in treating this patient with secondary lymphedema of the lower extremities. Although the goal of rehabilitation was partially achieved, the patient was discharged from the hospital in a good mood, her anxiety level decreased, her gait stereotype improved, and her endurance increased. Improving the functionality of the limb, improving its appearance had a positive impact on the quality of life and allowed her to return to work. This case report testifies to the effectiveness of complete decongestive therapy even in the case of severe lymphedema. The clinical result of such rehabilitation programs makes it possible to increase the adaptive potential and social independence of cancer patients.https://modernonco.orscience.ru/1815-1434/article/viewFile/581409/pdfrehabilitationcervical cancerlower limb lymphedemalymphedema |
spellingShingle | Olga A. Obukhova Patimat A. Dibirova Ildar A. Kurmukov Gayane S. Allakhverdiyan Natalya Yu. Shagina Ekaterina А. Mustafina Rostislav I. Knyazev Julia G. Pajanidi Correction of lower limb lymphedema in patients with cervical cancer after combination treatment: A case report Современная онкология rehabilitation cervical cancer lower limb lymphedema lymphedema |
title | Correction of lower limb lymphedema in patients with cervical cancer after combination treatment: A case report |
title_full | Correction of lower limb lymphedema in patients with cervical cancer after combination treatment: A case report |
title_fullStr | Correction of lower limb lymphedema in patients with cervical cancer after combination treatment: A case report |
title_full_unstemmed | Correction of lower limb lymphedema in patients with cervical cancer after combination treatment: A case report |
title_short | Correction of lower limb lymphedema in patients with cervical cancer after combination treatment: A case report |
title_sort | correction of lower limb lymphedema in patients with cervical cancer after combination treatment a case report |
topic | rehabilitation cervical cancer lower limb lymphedema lymphedema |
url | https://modernonco.orscience.ru/1815-1434/article/viewFile/581409/pdf |
work_keys_str_mv | AT olgaaobukhova correctionoflowerlimblymphedemainpatientswithcervicalcanceraftercombinationtreatmentacasereport AT patimatadibirova correctionoflowerlimblymphedemainpatientswithcervicalcanceraftercombinationtreatmentacasereport AT ildarakurmukov correctionoflowerlimblymphedemainpatientswithcervicalcanceraftercombinationtreatmentacasereport AT gayanesallakhverdiyan correctionoflowerlimblymphedemainpatientswithcervicalcanceraftercombinationtreatmentacasereport AT natalyayushagina correctionoflowerlimblymphedemainpatientswithcervicalcanceraftercombinationtreatmentacasereport AT ekaterinaamustafina correctionoflowerlimblymphedemainpatientswithcervicalcanceraftercombinationtreatmentacasereport AT rostislaviknyazev correctionoflowerlimblymphedemainpatientswithcervicalcanceraftercombinationtreatmentacasereport AT juliagpajanidi correctionoflowerlimblymphedemainpatientswithcervicalcanceraftercombinationtreatmentacasereport |