Lymphedema therapy in head & neck cancer with carotid stenosis: a systematic review and care pathway.
Aaron Chang, Douglas Jacoby, Alexander Lin et al.
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In 30 seconds
This systematic review aimed to develop a clinical care pathway for managing lymphedema in head and neck cancer survivors at risk for carotid atherosclerosis. Despite identifying 85 articles, none provided direct guidance on this overlap. The working group proposed a preliminary pathway based on available evidence and expert consensus.
Key findings
- No articles directly addressed lymphedema management in irradiated head and neck cancer survivors with carotid atherosclerosis.
- A preliminary clinical care pathway was developed based on limited evidence and expert consensus.
- The review highlights a significant gap in clinical practice guidelines for this patient population.
Why it matters
The coexistence of lymphedema and carotid artery atherosclerosis in head and neck cancer survivors complicates management. Establishing a care pathway can help clinicians navigate these challenges and improve patient outcomes.