Breast Cancer
Conditions
Keywords
Breast Cancer, Lymphedema, Sentinel Node Biopsy, Axillary Dissection
Brief summary
Primary Objective: To determine whether early intervention (with garment sleeve and gauntlet) in patients with pre-clinical lymphedema can halt the progression of lymphedema. Secondary Objectives:To evaluate whether bioimpedance is an accurate, reliable method to measure pre-clinical and clinical lymphedema. Tertiary Objective: To determine whether bioimpedance analysis is better than the gold standard of volume displacement to measure lymphedema. The successful completion of this study will address whether bioimpedance analysis is a reliable, accurate method to measure pre-clinical and clinical lymphedema. In addition, we intend to evaluate whether bioimpedance analysis is better than the gold standard of volume displacement for measuring lymphedema. And most importantly, we will evaluate whether a short trial of compression garments in women identified to have pre-clinical lymphedema can actually halt the progression of disease. Bryn Mawr Hospital would propose to publish the research and findings of this study, which may have future bearing on the post-operative therapeutic management of subjects with pre-clinical lymphedema following axillary surgery. Study Design:Randomized, Pilot Study
Detailed description
Primary Objective: To determine whether early intervention (with garment sleeve and gauntlet) in patients with pre-clinical lymphedema can halt the progression of lymphedema. Secondary Objectives:To evaluate whether bioimpedance is an accurate, reliable method to measure pre-clinical and clinical lymphedema. Tertiary Objective: To determine whether bioimpedance analysis is better than the gold standard of volume displacement to measure lymphedema.
Interventions
compression sleeve (20 to 30 mm of Hg)
Sponsors
Study design
Eligibility
Inclusion criteria
* are female * have operable, early stage breast cancer stage 0 - IIIA * undergo axillary evaluation with either sentinel lymph node biopsy or axillary lymph node dissection * are aged \> 18 years of age at the date of enrollment * are willing to sign an informed consent form
Exclusion criteria
* are male * have had a bilateral axillary surgery * do not undergo axillary evaluation * are a minor * cannot consider the issues involved in making an informed and autonomous decision.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To determine whether early intervention in patients with pre-clinical lymphedema can halt the progression of lymphedema. | 2 years | Evaluate whether a short trial of compression garments in women identified to have pre-clinical lymphedema can actually halt the progression of disease. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 200 women will have bioimpedance and volume displacement measurements to evaluate whether bioimpedance is an accurate, reliable method to measure pre-clinical and clinical lymphedema as compared to standard (volume displacement) | 2 years | Evaluate whether bioimpedance analysis is better than the gold standard of volume displacement for measuring lymphedema. |
Countries
United States