Patient perspective on lymphoedema after breast cancer: evidence for 3D micro-massage compression.

چکیده اصلی

BACKGROUND: Approximately 55 900 women are diagnosed with breast cancer in the UK each year, and around one in five develop lymphoedema following treatment. Breast, trunk and arm lymphoedema arise from disruption to shared lymphatic drainage pathways during axillary surgery and radiotherapy, yet the condition remains under-recognised and under-referred in many post-treatment care pathways and women can struggle to find appropriate bras to support their care needs. AIMS: This article explores why and where lymphoedema develops after breast cancer treatment, presents the patient experience of living with breast and trunk lymphoedema, and evaluates the clinical evidence for 3D micro-massage compression technology - specifically the Solidea® Silver Wave Skin Bra - as an adjunct to standard lymphoedema management. METHODS: This article combines a narrative review of current evidence on breast and trunk lymphoedema with first-person patient testimony and findings from a pilot audit of 21 women with breast and/or trunk lymphoedema following breast cancer treatment. Audit outcome measures included the clinician-completed Breast Symptom Assessment Score, the wearer-completed Self-Report Symptom Rating Scale, structured wearer feedback and qualitative telephone follow up at approximately 26 days and 11 weeks. FINDINGS: Women sometimes report a delay between symptom onset and receiving support, alongside difficulty sourcing an appropriate, comfortable bra; these issues are compounded further for those wearing a breast prosthesis. In the pilot audit, mean Breast Symptom Assessment Score reduced by 60% (from 5.8 to 2.3) over approximately 26 days, with moderate-to-severe swelling falling from 70% to 15%, breast hardness from 90% to 65%, and night-time discomfort from 85% to 45%. All 20 completing participants showed improvement, with 100% rating comfort as excellent or good; the lowest-rated domain in self-reported symptoms scales was degree of support, particularly among women with cup sizes above D. CONCLUSIONS: Breast and trunk lymphoedema is common, chronic and profoundly life-limiting, with psychological and social impact that compounds the burden of breast cancer treatment. Proactive risk information, early referral and holistic support are essential. IMPLICATION FOR PRACTICE: 3D micro-massage compression may support self-management alongside complete decongestive therapy, but clinicians should consider patient suitability and the current evidence gaps in larger-breasted women and other garment formats.

ترجمه فارسی چکیده

حدود ۵۵۹۰۰ زن در سال در بریتانیا به سرطان پستان مبتلا می‌شوند و حدود یک پنجم آن‌ها پس از درمان دچار لنف‌هماتوم می‌شوند. این مقاله بررسی می‌کند که چرا و کجا لنف‌هماتوم پس از درمان پستان بروز می‌کند، تجربه بیمار در زندگی با لنف‌هماتوم پستان و بدن را ارائه می‌دهد و شواهد بالینی برای تکنولوژی کمپرس با ماساژ میکرو سه‌بعدی (به‌ویژه Solidea® Silver Wave Skin Bra) را ارزیابی می‌کند. این مقاله ترکیبی از مرور داستانی شواهد فعلی و شاهدان اول شخص بیمار و یافته‌های یک نظارت آزمایشی از ۲۱ زن با لنف‌هماتوم پستان و/یا بدن پس از درمان است. در نظارت آزمایشی، میانگین نمره ارزیابی علائم پستان کاهش ۶۰ درصدی (از ۵.۸ به ۲.۳) در حدود ۲۶ روز مشاهده شد. تمام ۲۰ شرکت‌کننده نهایی بهبود یافتند.

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