Date Published

August 20, 2024

Updated For

ALS PCS Version 5.2

#SWORBHPTips

Breast Cancer Related Lymphedema

People with a history of Breast Cancer are at risk of developing breast cancer related lymphedema (BCRL) – a chronic condition resulting in swelling of the upper limb or trunk.

The risk of developing BCRL varies depending on treatment type but is most likely to occur within the first 3 years post-treatment. 

Health care providers can help reduce the incidence of BCRL by using practices which reduce the pressure placed on the lymphatic system on the affected side.   ​ ​

Treatment Considerations for Patients with Breast Cancer

  • Respect patient autonomy
    • Patients may request no BP or venipuncture on the at-risk side.
    • Continue best-practices:
  • Limit the number of venipuncture attempts
    • Limit time of maximal cuff inflation (using manual cuff, if necessary)
  • Avoid unsuitable sites:
    • Avoid arm where lymphedema, swelling, or redness are present
    • Avoid sites that have recently undergone radiation therapy

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