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Clinical and Experimental Obstetrics & Gynecology  2020, Vol. 47 Issue (6): 829-834    DOI: 10.31083/j.ceog.2020.06.5531
Original Research Previous articles | Next articles
Comparison of bilateral lymphedema and unilateral lymphedema in lower extremities after gynecologic cancer surgery
S.H. Ryu1, B.S. Jang1, J.H. Lee1, H.J. Jeong1, G.C. Kim1, Y.J. Sim1, *()
1Department of Physical Medicine and Rehabilitation, Kosin University Gospel Hospital, Kosin University College of Medicine, Republic of Korea
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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.
Key words:  Lymphedema      Gynecological cancer      Associated factor     
Submitted:  10 March 2020      Accepted:  28 June 2020      Published:  15 December 2020     
*Corresponding Author(s):  YOUNGJOO SIM     E-mail:  yooshs@naver.com

Cite this article: 

S.H. Ryu, B.S. Jang, J.H. Lee, H.J. Jeong, G.C. Kim, Y.J. Sim. Comparison of bilateral lymphedema and unilateral lymphedema in lower extremities after gynecologic cancer surgery. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(6): 829-834.

URL: 

https://ceog.imrpress.com/EN/10.31083/j.ceog.2020.06.5531     OR     https://ceog.imrpress.com/EN/Y2020/V47/I6/829

[1] D. Lu, X. Bao, Q. Wang. Increasd mRNA expression of TRAF-6 and MST-4 in the placenta of women with preterm premature rupture of membranes with histological chorioamnionitis[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(5): 749-754.
[2] M. de Fátima Guerreiro Godoy, A.C. Pereira de Godoy, J.M. Pereira de Godoy. Effect of exercise while utilizing a device with an arm compression sleeve to reduce lymphedema[J]. Clinical and Experimental Obstetrics & Gynecology, 2017, 44(1): 17-19.
[3] E. Barooti, M. Karimi-Zarchi, N. Sadeghi, S. Teimoori, Z. Chiti. Age of menarche as a risk factor for gynecological cancer in Iranian women and review of the literature[J]. Clinical and Experimental Obstetrics & Gynecology, 2014, 41(1): 48-51.
[4] A.L. Marcos, A.B. Ammar El Gaaied, F.B. Ayed, S.B. Hassen, S. Zervoudis, I. Navrozoglou, F. Pechlivani, G. Iatrakis. Lymphedema of the arm after surgery for breast cancer: new physiotherapy[J]. Clinical and Experimental Obstetrics & Gynecology, 2012, 39(4): 483-488.
[5] V. Dousias, T. Stefos, I. Navrozoglou, I. Staikos, A. Ditto, E. Paraskevaidis. Administration of recombinant human erythropoietin in patients with gynecological cancer before radical surgery[J]. Clinical and Experimental Obstetrics & Gynecology, 2005, 32(2): 129-131.
[6] S. Hitoglou-Hadji, G. Makedos, A. Papanicolaou, I. Dozi-Vasiliadou. Allotypes and gynecological cancer[J]. Clinical and Experimental Obstetrics & Gynecology, 1997, 24(3): 138-140.
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