Risk Factors for Breast Cancer-Related Lymphedema, Risk Reduction, and Myths about Precautionary Behaviors

Purpose of Review: Identifying and treating long-term complications of cancer treatment, including breast cancer-related lymphedema (BCRL), is important as BCRL negatively impacts the quality of life in both physical and psychosocial domains. The purpose of this review is to discuss recent literature regarding risk factors for lymphedema, review risk reduction strategies, and dispel myths about precautionary behaviors. Recent Findings: Early detection and treatment of BCRL, including subclinical lymphedema, is encouraged. Lymphovenous bypass and LYMPHA may reduce the incidence of BCRL. Patients no longer need to avoid blood pressure measurements, needle sticks, and flying as they do not increase the risk of nor incite BCRL. Summary: Risk factors such as the type of axillary surgery and radiation therapy remain the leading contributors to BCRL development. Blanketed recommendations regarding precautionary behaviors should be avoided. Surgical treatment and prevention of BCRL continue to mature and appropriate patients should be counseled regarding these options.