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Comparison of bilateral lymphedema and unilateral lymphedema in lower extremities after gynecologic cancer surgery

Authors :
S.H. Ryu
B.S. Jang
J.H. Lee
H.J. Jeong
G.C. Kim
Y.J. Sim
Source :
Clinical and Experimental Obstetrics & Gynecology, Vol 47, Iss 6, Pp 829-834 (2020)
Publication Year :
2020
Publisher :
IMR Press, 2020.

Abstract

Purpose of investigation: To identify factors associated with bilateral lymphedema in lower extremities that occur after gynecological cancer surgery. Materials and methods: Retrospective chart review was performed on 110 patients who were hospitalized for lymphedema after gynecological cancer surgery from 2006 to 2018. Statistical significance was verified using Pearson’s Chi-square test, Fisher’s exact test, and exact logistic regression analysis. Results: The types of cancer, cancer stage, genital swelling, and extensive lymph node dissection were significantly different between the two groups. Exact logistic regression analysis showed that cancer stage and genital swelling were associated with bilateral lymphedema. Significant differences were observed for radiation therapy and lymphangitis. Exact logistic regression analysis revealed that radiation therapy and lymphangitis were factors associated with unilateral to bilateral progression. Conclusion: Cancer stage, genital swelling, and extensive lymph node dissection were identified as factors related to bilateral lower limb lymphedema. Radiation therapy and infection history were identified as factors related to lymphedema progressing from unilateral to bilateral. Content: The associated factors for bilateral lymphedema in lower extremities after gynecological cancer surgery.

Details

Language :
English
ISSN :
03906663
Volume :
47
Issue :
6
Database :
Directory of Open Access Journals
Journal :
Clinical and Experimental Obstetrics & Gynecology
Publication Type :
Academic Journal
Accession number :
edsdoj.4323b134a384a96b76043fd25914a72
Document Type :
article
Full Text :
https://doi.org/10.31083/j.ceog.2020.06.5531