Post-Surgical & Oncology Lymphedema Care Flashcards

The sentinel lymph node biopsy (SLNB) was developed to:

Answer: Reduce lymph node removal by identifying the first draining node from a tumor

SLNB identifies the first lymph node receiving drainage from a tumor site, allowing surgeons to remove only that node initially and spare others if it is cancer-free.

Axillary web syndrome (cording) is characterized by:

Answer: Palpable cord-like structures under the skin causing restricted arm movement

Axillary web syndrome presents as tight, cord-like structures of thrombosed lymphatic vessels extending from the axilla down the arm, limiting shoulder abduction.

The recommended time to begin post-operative MLD after axillary lymph node dissection is generally:

Answer: Within 24–48 hours, as soon as incisions are stable

Early MLD can begin within 24–48 hours post-operatively once surgical drains are removed and incisions are stable to prevent early fluid accumulation.

Which cancer treatment besides surgery carries the highest risk of secondary lymphedema?

Answer: Radiation therapy to regional lymph nodes

Radiation to regional lymph nodes causes fibrosis and scarring of lymphatic vessels and nodes, significantly increasing lymphedema risk, especially combined with surgery.

A CLT treating a patient with active cancer should coordinate care with the oncologist primarily because:

Answer: CDT timing must align with treatment phases, and certain conditions alter contraindications

Active cancer treatment creates changing clinical situations where standard CDT contraindications and precautions may need to be modified based on current treatment status.

Seroma formation after breast cancer surgery is relevant to lymphedema care because:

Answer: Repeated seroma aspiration can further damage lymphatic vessels and increase lymphedema risk

Repeated surgical aspiration of seromas can damage remaining lymphatic vessels and scar tissue pathways, potentially increasing the risk of subsequent lymphedema.