{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:10:23Z","timestamp":1777410623279,"version":"3.51.4"},"reference-count":30,"publisher":"University of Toronto Press Inc. (UTPress)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Physiotherapy Canada"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:p> Purpose: Malignant lymphedema is an accumulation of interstitial fluid caused by tumour infiltration or compression of lymphatic vessels. Our objective is to describe self-management strategies for malignant lymphedema using a case report. Client Description: A 50-year-old woman with advanced breast cancer was referred to our centre with a 3-month history of unexplained left-arm edema, subsequently diagnosed as malignant lymphedema caused by tumour compression of the axillary lymph nodes. Intervention: She undertook a physiotherapist-guided, modified lymphedema treatment programme, with self-management interventions including self-bandaging and exercise. Limb volumes and leisure exercise levels were measured over a 1-year period. Data were collected from her follow-up visit 4 years post-diagnosis of lymphedema. Measures and Outcome: Within the first month, the patient's excess limb volume reduced from 26.8% to 5.9% and, 1 year later, remained stable at 3%. Over time, her exercise levels increased (1-year follow-up: 33.5 MET-hours per week). At 4 years, her excess limb volume was 9.7%, and exercise levels were at 36 MET-hours per week. Implications: A woman with moderate malignant arm lymphedema caused by advanced breast cancer successfully adhered to a guided self-management programme and benefited from reduced swelling and improved self-reported physical function in the long term. This case provides oncology health professionals with knowledge about self-management options for malignant lymphedema. <\/jats:p>","DOI":"10.3138\/ptc.2016-94","type":"journal-article","created":{"date-parts":[[2017,11,10]],"date-time":"2017-11-10T19:45:09Z","timestamp":1510343109000},"page":"204-211","source":"Crossref","is-referenced-by-count":7,"title":["Self-Management Strategies for Malignant Lymphedema: A Case Report with 1-Year and 4-Year Follow-Up Data"],"prefix":"10.3138","volume":"70","author":[{"given":"Shirin M.","family":"Shallwani","sequence":"first","affiliation":[{"name":"Lymphedema Program"},{"name":"Physiotherapy Department, McGill University Health Centre"},{"name":"Department of Oncology, McGill University, Montreal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Towers","sequence":"additional","affiliation":[{"name":"Lymphedema Program"},{"name":"School of Rehabilitation Sciences, University of Ottawa, Ottawa"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1696","reference":[{"key":"B1","unstructured":"National Lymphedema Network Medical Advisory Committee. 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