Thank you all so much for the information and ideas. Val
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On Jan 18, 2021, at 12:54 AM, Kristin Carroll
<kristin.carroll@xxxxxxxxxxxxxxxxxxxxxxxxx> wrote:
Here is an article to guide some of these discussions on Taxane based
regimens and increase in volume changes but not increase the risk of LE.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4432026/
I am in process of coming across more of these articles during the study
process for the specialty exam and will send them along for those interested.
Thank you for the guidance!
Kristin
From: aptaoncology-bounce@xxxxxxxxxxxxx <aptaoncology-bounce@xxxxxxxxxxxxx>
On Behalf Of Cohn, Joy
Sent: Sunday, January 17, 2021 5:56 PM
To: aptaoncology@xxxxxxxxxxxxx
Subject: [aptaoncology] Re: [External] Re: Chemo and lymphedema
Abraxane is particularly highlighted in the research lit as causing sig edema
and discomfort- it’s often the case that you will see blanching with pressure
in the affected tissues- caused by increased capillary permeability.
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On Jan 15, 2021, at 10:06 PM, Alaina Newell <alaina.newell@xxxxxxxxx> wrote:
Yes, I would agree with Molly that some chemo classes can cause edema such
as taxols and platinums (especially cisplatin) are known to cause angioedema.
They present with a mixed edma in this situation and yes, your CDT is
important to help reduce the risk of progressive lymphedema but know there
should be an improvement after she finishes chemo. The timelines vary by
person but usually reduce by 6 months.
Alaina
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On Jan 15, 2021, at 7:15 PM, Temitopeawakan <dmarc-noreply@xxxxxxxxxxxxx>
wrote:
Hi Val,
I had this happen to a patient as well and it resolved after chemo .
Temi Asein, PT.
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On Jan 15, 2021, at 5:32 PM, Molly Reynolds <dmarc-noreply@xxxxxxxxxxxxx>
wrote:
Is she receiving Taxol? It can cause edema.
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On Friday, January 15, 2021, 5:30 PM, Val <cavecollins@xxxxxxxxx> wrote:
I currently have a breast cancer patient who is having a significant increase
in bilateral limb volumes, but her involved side is 15 % larger than her non
involved side, after her second chemo treatment. The swelling is soft and
diffuse in the arm. Her hand does not appear to have swelling.Her skin is
reacting to the chemo, some blisters and rashes all over her body. She does
have significant cording but full ROM and is very active, is swimming daily.
She is in a Juzo CCl 2 RTW sleeve. She is performing self MLD and is
consistent with compression. I had her rest her arm for a week, thinking she
was stressing her system too much but the swelling worsened even more. I know
I can do CDT with her but am wondering if anyone has seen this resolve once
chemo was finished or if you have any suggestions. Can’t tape as she is
allergic.
Thank you.
Val Collins. PT CLT LANA
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