What is lymphoedema?
Lymphoedema is a build-up of fluid in body tissues. This happens when your lymphatic system is blocked.
The lymphatic system is a network of vessels and glands which filter and clear out extra fluid in your body. It is part of the immune system and collects bacteria, toxins, and waste from your cells to get rid of them. If your lymphatic system becomes blocked, the fluid which it usually clears out will build up in tissues under your skin and lead to swelling. This fluid is called lymph fluid.
If you have ovarian cancer this fluid is most likely to collect in your lower tummy, pelvic area (between your hip bones), legs or ankles. If you are diagnosed with lymphoedema, you should be referred to a lymphoedema specialist practitioner. They will share treatments to help manage lymphoedema. These may include a specialist massage to help drain the lymph fluid. It may also include support stockings, pressure pads and bandages which can be provided on prescription.
- Who is at risk of lymphoedema?
If you have had surgery for ovarian cancer you may be at risk of lymphoedema if the surgery involved removing parts of the lymphatic system like lymph nodes. Lymph nodes are found throughout the body and fluid passes through them. Lymphoedema can also be caused by cancer cells blocking a lymph node and stopping it from draining properly.
Lymphoedema caused by cancer is known as secondary lymphoedema. It can happen in the months or years following treatment.
- How can I reduce the risk of developing lymphoedema?
You can reduce the risk of developing lymphoedema by:
- Doing gentle exercise and moving regularly, as this encourages lymph fluid to drain.
- Taking care of your skin by keeping it moisturised, using sunscreen to avoid sunburn and treating cuts with antiseptic spray or cream. It is also best to avoid shaving or waxing as this can cause small cuts. This is because skin injury or infection can make lymphoedema more likely.
- Eating healthy to maintain a healthy weight.
- What are the symptoms of lymphoedema?
Early symptoms of lymphoedema include:
- A feeling of heaviness
- Tight skin or,
- A tingling in the affected area.
Without treatment the symptoms can get worse, so it's important to let your medical team know if you notice these.
As it develops, lymphoedema can cause:- Swollen and heavy legs
- Reduced mobility and,
- Pain, tightness or aching in the affected area.
Your team will be able to give you advice on how to improve these symptoms and reduce the swelling.
Swollen and painful legs can have other causes which need immediate medical attention, such as blood clots. Tell your treatment team if you notice any new swelling or pain.
