Description
Lymphedema is the build-up of lymph fluid in an area of the body. The lymph fluid normally flows through a system of canals between lymph nodes and is eventually returned to the blood stream. The fluid carries infection and foreign material away from the skin and tissue. A disruption in this normal flow results in lymphedema and abnormal swelling. The disruption can be caused by surgery, cancer, certain infections and radiation therapy. Individuals with lymphedema are at a greater risk of developing infection in the affected body part.
Symptoms
Symptoms include swelling of an area of the body, usually an arm or leg. There may be a dull ache or a feeling of tightness in the affected body part. When severe there may be weeping of fluid from the affected limb.
Tests
Common tests used for diagnosis and treatment
Workup:
A complete history and physical exam will be performed. Blood tests and imaging tests may be required to make the diagnosis of lymphedema.
Tests:
Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan, Ultrasound
Other Specific Tests: Lymphangiography
Specialists:
General Surgery, Internal Medicine, Pediatrics, Family Practice, Blood and Cancer Care (hematology and oncology)
Workup:
A complete history and physical exam will be performed. Blood tests and imaging tests may be required to make the diagnosis of lymphedema.
Tests:
Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan, Ultrasound
Other Specific Tests: Lymphangiography
Specialists:
General Surgery, Internal Medicine, Pediatrics, Family Practice, Blood and Cancer Care (hematology and oncology)
Treatment
Treatment is directed at decreasing lymph build up in the affected area of the body by identifying and treating the cause of the fluid. Patients are frequently instructed to elevate their legs, eat a low salt diet, or wear compression stockings. Massage of the affected are of the body may be helpful depending on the cause of lymphedema.