Axillary web syndrome following breast cancer surgery: symptoms, complications, and management strategies

LA Koehler,1–3 TC Haddad,4 DW Hunter,5 TM Tuttle3,6 1Division of Physical Therapy, 2Division of Rehabilitation Medicine, Department of Rehabilitation Medicine, Medical School, University of Minnesota, Minneapolis, MN, USA; 3University of Minnesota, Masonic Cancer Center, Minneapolis, MN, U...

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Autores principales:	Koehler LA, Haddad TC, Hunter DW, Tuttle TM
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	Axillary Web Syndrome Breast Cancer Lymphedema Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
Acceso en línea:	https://doaj.org/article/1993888c30dd455996ea3be1845d622d
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spelling	oai:doaj.org-article:1993888c30dd455996ea3be1845d622d2021-12-02T07:00:29ZAxillary web syndrome following breast cancer surgery: symptoms, complications, and management strategies1179-1314https://doaj.org/article/1993888c30dd455996ea3be1845d622d2018-12-01T00:00:00Zhttps://www.dovepress.com/axillary-web-syndrome-following-breast-cancer-surgery-symptoms-complic-peer-reviewed-article-BCTThttps://doaj.org/toc/1179-1314LA Koehler,1–3 TC Haddad,4 DW Hunter,5 TM Tuttle3,6 1Division of Physical Therapy, 2Division of Rehabilitation Medicine, Department of Rehabilitation Medicine, Medical School, University of Minnesota, Minneapolis, MN, USA; 3University of Minnesota, Masonic Cancer Center, Minneapolis, MN, USA; 4Mayo Clinic, Division of Medical Oncology, Department of Oncology, Rochester, MN, USA; 5Department of Radiology, Medical School, University of Minnesota, Minneapolis, MN, USA; 6Department of Surgery, Medical School, University of Minnesota, Minneapolis, MN, USA Abstract: Axillary web syndrome (AWS) is a common condition occurring in up to 86% of patients following breast cancer surgery with ipsilateral lymphadenectomy of one or more nodes. AWS presents as a single cord or multiple thin cords in the subcutaneous tissues of the ipsilateral axilla. The cords may extend variable distances “down” the ipsilateral arm and/or chest wall. The cords frequently result in painful shoulder abduction and limited shoulder range of motion. AWS most frequently becomes symptomatic between 2 and 8 weeks postoperatively but can also develop and recur months to years after surgery. Education about and increased awareness of AWS should be promoted for patients and caregivers. Assessments for AWS should be performed on a regular basis following breast cancer surgery especially if there has been associated lymphadenectomy. Physical therapy, which consists of manual therapy, exercise, education, and other rehabilitation modalities to improve range of motion and decrease pain, is recommended in the treatment of AWS. Keywords: cording, Mondor’s disease, rehabilitation, axillary lymphadenectomyKoehler LAHaddad TCHunter DWTuttle TMDove Medical PressarticleAxillary Web SyndromeBreast CancerLymphedemaNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENBreast Cancer: Targets and Therapy, Vol Volume 11, Pp 13-19 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Axillary Web Syndrome Breast Cancer Lymphedema Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
spellingShingle	Axillary Web Syndrome Breast Cancer Lymphedema Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Koehler LA Haddad TC Hunter DW Tuttle TM Axillary web syndrome following breast cancer surgery: symptoms, complications, and management strategies
description	LA Koehler,1–3 TC Haddad,4 DW Hunter,5 TM Tuttle3,6 1Division of Physical Therapy, 2Division of Rehabilitation Medicine, Department of Rehabilitation Medicine, Medical School, University of Minnesota, Minneapolis, MN, USA; 3University of Minnesota, Masonic Cancer Center, Minneapolis, MN, USA; 4Mayo Clinic, Division of Medical Oncology, Department of Oncology, Rochester, MN, USA; 5Department of Radiology, Medical School, University of Minnesota, Minneapolis, MN, USA; 6Department of Surgery, Medical School, University of Minnesota, Minneapolis, MN, USA Abstract: Axillary web syndrome (AWS) is a common condition occurring in up to 86% of patients following breast cancer surgery with ipsilateral lymphadenectomy of one or more nodes. AWS presents as a single cord or multiple thin cords in the subcutaneous tissues of the ipsilateral axilla. The cords may extend variable distances “down” the ipsilateral arm and/or chest wall. The cords frequently result in painful shoulder abduction and limited shoulder range of motion. AWS most frequently becomes symptomatic between 2 and 8 weeks postoperatively but can also develop and recur months to years after surgery. Education about and increased awareness of AWS should be promoted for patients and caregivers. Assessments for AWS should be performed on a regular basis following breast cancer surgery especially if there has been associated lymphadenectomy. Physical therapy, which consists of manual therapy, exercise, education, and other rehabilitation modalities to improve range of motion and decrease pain, is recommended in the treatment of AWS. Keywords: cording, Mondor’s disease, rehabilitation, axillary lymphadenectomy
format	article
author	Koehler LA Haddad TC Hunter DW Tuttle TM
author_facet	Koehler LA Haddad TC Hunter DW Tuttle TM
author_sort	Koehler LA
title	Axillary web syndrome following breast cancer surgery: symptoms, complications, and management strategies
title_short	Axillary web syndrome following breast cancer surgery: symptoms, complications, and management strategies
title_full	Axillary web syndrome following breast cancer surgery: symptoms, complications, and management strategies
title_fullStr	Axillary web syndrome following breast cancer surgery: symptoms, complications, and management strategies
title_full_unstemmed	Axillary web syndrome following breast cancer surgery: symptoms, complications, and management strategies
title_sort	axillary web syndrome following breast cancer surgery: symptoms, complications, and management strategies
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/1993888c30dd455996ea3be1845d622d
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Axillary web syndrome following breast cancer surgery: symptoms, complications, and management strategies

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