MEME KANSERİ TEDAVİLERİNE BAĞLI LENFÖDEM VE DİĞER SEMPTOMLARDA BANTLAMA: GELENEKSEL DERLEME

Yıl 2026, Cilt: 6 Sayı: 1, 393 - 408, 31.01.2026

Aysel Özge Kemer , Serap Özgül

https://doi.org/10.52369/togusagbilderg.1655151

https://izlik.org/JA47WA34EB

Öz

Meme kanseri, kadınlar arasında en sık görülen kanser türü olup, tedavi yöntemlerindeki gelişmeler sayesinde sağ kalım oranlarında belirgin bir artış izlenmektedir. Bununla birlikte, kanser tedavilerinin yan etkileri ve tedavi sürecine bağlı semptomlar, bireylerin fiziksel ve psikolojik iyileşme süreçlerini zora sokmakta, yaşam kalitelerini olumsuz yönde etkilemektedir. Meme kanseri tedavileri sonrasında yaygın görülen semptomlar arasında lenfödem, seroma, periferik nöropati, artralji, ağrı, üst ekstremite eklem hareket açıklığı ve kas kuvvetinde kayıp, postüral bozukluklar ve emosyonel problemler yer almaktadır. Bununla birlikte hastalar etkilenen ekstremitelerinde lenfödemle ilişkili olarak şişlik, ağırlık hissi ve gerginlik semptomları da bildirmektedir. Bu semptomların yönetiminde farklı fizyoterapi ve rehabilitasyon yaklaşımları kullanılmakta olup, son yıllarda bantlama uygulamalarına olan ilgi giderek artış göstermiştir.
Bantlama uygulamaları, özellikle meme kanseri ile ilişkili lenfödem tedavisine odaklanmakla birlikte, lenfödem dışındaki semptomların yönetiminde de faydalı olabileceğine dair kanıtlar mevcuttur. Sınırlı sayıda çalışma bantlamanın meme cerrahisi sonrası seroma, duyusal semptomlar, eklem hareket açıklığı, kas kuvveti, fonksiyonellik ve yaşam kalitesi üzerine olumlu etkiler sağlayabileceği ve metastatik meme kanserindeki spesifik olmayan semptomların yönetiminde de faydalı olabileceğini göstermektedir.
Sonuç olarak, meme kanseri tedavileri sonrası gelişen semptomların yönetiminde bantlama uygulamaları, diğer tedavi yaklaşımlarına bir tamamlayıcı olarak değerlendirilmelidir. Bantlama uygulamalarının lenfödem dışındaki spesifik semptomlar üzerine etkilerine dair daha fazla bilimsel araştırma yapılması, bantlamanın klinik pratikteki potansiyel yararlarının daha iyi anlaşılmasına katkı sağlayacaktır.

Anahtar Kelimeler

Meme kanseri , lenfödem , bantlama , kinezyobantlama

Etik Beyan

geleneksel derlemeler için etik kurula ihtiyaç yoktur.

Destekleyen Kurum

yok

Teşekkür

yok

Kaynakça

• 1.Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2021;71(3):209-49.
• 2.Türkyılmaz MO, Makbule; Dündar, Selin; Aysun, Kavak, Ergun; Sevinç, Arzu; Tutuncu, Semra, Seymen, Elif. Türkiye Kanser İstatistikleri 2017 Ankara: T.C. Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü; 2021 [Available from: https://hsgm.saglik.gov.tr/depo/birimler/kanser-db/istatistik/Turkiye_Kanser_Istatistikleri_2017.pdf.
• 3.Perry N, Broeders M, de Wolf C, Törnberg S, Holland R, von Karsa L. European guidelines for quality assurance in breast cancer screening and diagnosis. Fourth edition--summary document. Ann Oncol. 2008;19(4):614-22.
• 4.Dharmarajan JP. Imaging: Controversies and Interventions in Early Breast Cancer. In: Kunheri B, Vijaykumar DK, editors. Management of Early Stage Breast Cancer: Basics and Controversies. Singapore: Springer Singapore; 2021. p. 23-41.
• 5.Sarpel U. Breast Surgery. Surgery, An Introductory Guide. New York, USA: Springer; 2014. 6.Borstad JD, Szucs KA. Three-dimensional scapula kinematics and shoulder function examined before and after surgical treatment for breast cancer. Hum Mov Sci. 2012;31(2):408-18.
• 7.Hande T. Erken Evre Meme Kanserinde Adjuvan Kemoterapi ve Hormonal Tedavi. Meme Kanseri Sempozyumu; İstanbul, Turkiye: İstanbul Üniversitesi; 2006. p. 105-9.
• 8.Uras C. Erken Evre Meme Kanserinde Cerrahi Tedavi. Meme Kanseri Sempozyumu; İstanbul, Turkiye: İstanbul Üniversitesi; 2006. p. 93.
• 9.Leysen L, Beckwée D, Nijs J, Pas R, Bilterys T, Vermeir S, et al. Risk factors of pain in breast cancer survivors: a systematic review and meta-analysis. Support Care Cancer. 2017;25(12):3607-43.
• 10.Özmen V, Özçınar B, Keçer M, Özkan M, Güllüoğlu BM, İğci A, et al. Meme kanserinde lokal/bölgesel tedavi sonrası görülen komplikasyonlar ve bunların hasta yaşam kalitesi üzerine etkileri. Meme Sağlığı Dergisi. 2010;6(1):9-16.
• 11.Basar S, Bakar Y, Keser I, Kaba H, Guzel NA, Ozdemir OC, et al. Does Lymphedema Affect the Postural Stability in Women After Breast Cancer? Topics in Geriatric Rehabilitation. 2012;28(4):287-94.
• 12.Armer JM, Radina ME, Porock D, Culbertson SD. Predicting breast cancer-related lymphedema using self-reported symptoms. Nurs Res. 2003;52(6):370-9.
• 13.Kilbreath SL, Refshauge KM, Beith JM, Ward LC, Ung OA, Dylke ES, et al. Risk factors for lymphoedema in women with breast cancer: A large prospective cohort. Breast. 2016;28:29-36.
• 14.Bakar Y, Berdici B, Sahin N, Pala OO. Lymphedema after Breast Cancer and its Treatment. 2014;10:6-14.
• 15.de Sire A, Losco L, Lippi L, Spadoni D, Kaciulyte J, Sert G, et al. Surgical Treatment and Rehabilitation Strategies for Upper and Lower Extremity Lymphedema: A Comprehensive Review. Medicina (Kaunas). 2022;58(7).
• 16.Paolucci T, Bernetti A, Bai AV, Capobianco SV, Bonifacino A, Maggi G, et al. The recovery of reaching movement in breast cancer survivors: two different rehabilitative protocols in comparison. Eur J Phys Rehabil Med. 2021;57(1):137-47.
• 17.Tran L, Makram AM, Makram OM, Elfaituri MK, Morsy S, Ghozy S, et al. Efficacy of Kinesio Taping Compared to Other Treatment Modalities in Musculoskeletal Disorders: A Systematic Review and Meta-Analysis. Res Sports Med. 2023;31(4):416-39.
• 18.Kase Kenzo WJ, Kase Tsuyoshi. Clinical Therapeutic Applications of the Kinesio Taping® Method. 2nd Edition ed. Dallas: Kinesio Taping Association; 2004.
• 19.Kase K, Stockheimer KR. Kinesio taping for lymphoedema and chronic swelling. Albuquerque, N.M.: Kinesio USA; 2006. 172, 4 p. p.
• 20.Lipińska A, Śliwiński Z, Kiebzak W, Senderek T, Kirenko J. The influence of kinesiotaping applications on lymphoedema of an upper limb in women after mastectomy. 2007;7:258-69.
• 21.Marchica P, D'Arpa S, Magno S, Rossi C, Forcina L, Capizzi V, et al. Integrated Treatment of Breast Cancer-related Lymphedema: A Descriptive Review of the State of the Art. Anticancer Res. 2021;41(7):3233-46.
• 22.Krajczy M, Krajczy E, Bogacz K, Łuniewski J, Lietz-Kijak D, Szczegielniak J. The possibility of the use of Kinesio Taping in internal, oncologic, and neurologic diseases: A systematic review and meta-analysis. Explore (NY). 2020;16(1):44-9.
• 23.Kasawara KT, Mapa JMR, Ferreira V, Added MAN, Shiwa SR, Carvas N, Jr., et al. Effects of Kinesio Taping on breast cancer-related lymphedema: A meta-analysis in clinical trials. Physiother Theory Pract. 2018;34(5):337-45.
• 24.Morris D, Jones D, Ryan H, Ryan CG. The clinical effects of Kinesio® Tex taping: A systematic review. Physiother Theory Pract. 2013;29(4):259-70.
• 25.Marotta N, Lippi L, Ammendolia V, Calafiore D, Inzitari MT, Pinto M, et al. Efficacy of kinesio taping on upper limb volume reduction in patients with breast cancer-related lymphedema: a systematic review of randomized controlled trials. Eur J Phys Rehabil Med. 2023;59(2):237-47.
• 26.Thomaz JP, Dias TDSM, de Rezende LF. Effect of taping as treatment to reduce breast cancer lymphedema: literature review. J Vasc Bras. 2018;17(2):136-40.
• 27.Gatt M, Willis S, Leuschner S. A meta-analysis of the effectiveness and safety of kinesiology taping in the management of cancer-related lymphoedema. Eur J Cancer Care (Engl). 2017;26(5).
• 28.Ozsoy-Unubol T, Sanal-Toprak C, Bahar-Ozdemir Y, Akyuz G. Efficacy of kinesio taping in early stage breast cancer associated lymphedema: A randomized single blinded study. Lymphology. 2019;52(4):166-76.
• 29.Tantawy SA, Abdelbasset WK, Nambi G, Kamel DM. Comparative Study Between the Effects of Kinesio Taping and Pressure Garment on Secondary Upper Extremity Lymphedema and Quality of Life Following Mastectomy: A Randomized Controlled Trial. Integr Cancer Ther. 2019;18:1534735419847276.
• 30.Pajero Otero V, García Delgado E, Martín Cortijo C, Romay Barrero HM, de Carlos Iriarte E, Avendaño-Coy J. Kinesio taping versus compression garments for treating breast cancer-related lymphedema: a randomized, cross-over, controlled trial. Clin Rehabil. 2019;33(12):1887-97.
• 31.Basoglu C, Sindel D, Corum M, Oral A. Comparison of complete decongestive therapy and kinesiology taping for unilateral upper limb breast cancer-related lymphedema: A randomized controlled trial. Lymphology. 2021;54(1):41-51.
• 32.Pekyavaş N, Tunay VB, Akbayrak T, Kaya S, Karataş M. Complex decongestive therapy and taping for patients with postmastectomy lymphedema: a randomized controlled study. Eur J Oncol Nurs. 2014;18(6):585-90.
• 33.Smykla A, Walewicz K, Trybulski R, Halski T, Kucharzewski M, Kucio C, et al. Effect of Kinesiology Taping on breast cancer-related lymphedema: a randomized single-blind controlled pilot study. Biomed Res Int. 2013;2013:767106.
• 34.Selcuk Yilmaz S, Ayhan FF. The Randomized Controlled Study of Low-Level Laser Therapy, Kinesio-Taping and Manual Lymphatic Drainage in Patients With Stage II Breast Cancer-Related Lymphedema. Eur J Breast Health. 2023;19(1):34-44.
• 35.Torres-Lacomba M, Navarro-Brazález B, Prieto-Gómez V, Ferrandez JC, Bouchet JY, Romay-Barrero H. Effectiveness of four types of bandages and kinesio-tape for treating breast-cancer-related lymphoedema: a randomized, single-blind, clinical trial. Clin Rehabil. 2020;34(9):1230-41.
• 36.Tsai HJ, Hung HC, Yang JL, Huang CS, Tsauo JY. Could Kinesio tape replace the bandage in decongestive lymphatic therapy for breast-cancer-related lymphedema? A pilot study. Support Care Cancer. 2009;17(11):1353-60.
• 37.Taradaj J, Halski T, Rosinczuk J, Dymarek R, Laurowski A, Smykla A. The influence of Kinesiology Taping on the volume of lymphoedema and manual dexterity of the upper limb in women after breast cancer treatment. Eur J Cancer Care (Engl). 2016;25(4):647-60.
• 38.Chou YH, Li SH, Liao SF, Tang HW. Case report: Manual lymphatic drainage and kinesio taping in the secondary malignant breast cancer-related lymphedema in an arm with arteriovenous (A-V) fistula for hemodialysis. Am J Hosp Palliat Care. 2013;30(5):503-6.
• 39.Özçete ZA, Eyigör S. Kinesio taping and low-level laser therapy in breast cancer-related lymphedema in an arm with arteriovenous fistula for hemodialysis. Turk J Phys Med Rehabil. 2020;66(2):214-8.
• 40.Fabro EAN, Teodózio CGC, Costa RM, Macedo FO, Cardoso ACDD, Jacob RBE, et al. Clinical Experience with Compression Taping to Treat Seroma After Breast Cancer Surgery: A Medical Device Clinical Study. Adv Skin Wound Care. 2022;35(7):1-6.
• 41.Bosman J, Piller N. Lymph taping and seroma formation post breast cancer. Journal of Lymphoedema. 2010;5:12-21.
• 42.Ramadan AM, ElDeeb AM, Ramadan AA, Aleshmawy DM. Effect of combined Kinesiotaping and resistive exercise on muscle strength and quality of life in breast cancer survivors: a randomized clinical trial. J Egypt Natl Canc Inst. 2024;36(1):1.
• 43.Conejo I, Pajares B, Alba E, Cuesta-Vargas AI. Effect of neuromuscular taping on musculoskeletal disorders secondary to the use of aromatase inhibitors in breast cancer survivors: a pragmatic randomised clinical trial. BMC Complement Altern Med. 2018;18(1):180.
• 44.Banerjee G, Rose A, Briggs M, Johnson MI. Could kinesiology taping help mitigate pain, breathlessness and abdominal-related symptoms in cancer? BMJ Case Rep. 2017;2017.
• 45.Banerjee G, Rebanks J, Briggs M, Johnson MI. Kinesiology taping as an adjunct for pain management in cancer? BMJ Case Rep. 2016;2016.
• 46.Nakip G, Çinar GN, Gürşen C, Baran E, Üzelpasacı E, Özgül S, et al. Meme kanseri cerrahisi sonrası aksillar web sendromu ile birlikte herpes zoster enfeksiyonu ile tetiklenen üst ekstremite lenfödeminde fizyoterapi ve rehabilitasyonun etkinliği: vaka raporu. Journal of Exercise Therapy and Rehabilitation. 2020;7(2):193-200.
• 47.Mostafavifar M, Wertz J, Borchers J. A systematic review of the effectiveness of kinesio taping for musculoskeletal injury. Phys Sportsmed. 2012;40(4):33-40.
• 48.Srivastava V, Basu S, Shukla VK. Seroma formation after breast cancer surgery: what we have learned in the last two decades. J Breast Cancer. 2012;15(4):373-80.
• 49.Kumar S, Lal B, Misra MC. Post-mastectomy seroma: a new look into the aetiology of an old problem. J R Coll Surg Edinb. 1995;40(5):292-4.
• 50.Crew KD, Greenlee H, Capodice J, Raptis G, Brafman L, Fuentes D, et al. Prevalence of joint symptoms in postmenopausal women taking aromatase inhibitors for early-stage breast cancer. J Clin Oncol. 2007;25(25):3877-83.
• 51.Kim S, Chen N, Reid P. Current and future advances in practice: aromatase inhibitor-induced arthralgia. Rheumatol Adv Pract. 2024;8(2):rkae024.
• 52.Reyhan Ç, AdİLe Zeynep G, Tolga A, Selda B, Ayçe A, YAĞCI ÇH, et al. Kinezyolojik bantlama tekniği ve uygulama alanları. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2011;57(4):225-35.
• 53.Atlı A, Düger T. TEDAVİ GÖREN ERİŞKİN KANSER HASTALARINDA YAŞAM KALİTESİ VE KAS KUVVETİNİN DEĞERLENDİRİLMESİ. Türk Fizyoterapi ve Rehabilitasyon Dergisi. 2020;31(3):288-97.
• 54.Yam ML, Yang Z, Zee BC, Chong KC. Effects of Kinesio tape on lower limb muscle strength, hop test, and vertical jump performances: a meta-analysis. BMC Musculoskelet Disord. 2019;20(1):212.
• 55.Boobphachart D, Manimmanakorn N, Manimmanakorn A, Thuwakum W, Hamlin MJ. Effects of elastic taping, non-elastic taping and static stretching on recovery after intensive eccentric exercise. Res Sports Med. 2017;25(2):181-90.
• 56.Jung D, Lee KM, Kim WH, Lee JY, Kim TY, Im SA, et al. Longitudinal Association of Poor Sleep Quality With Chemotherapy-Induced Nausea and Vomiting in Patients With Breast Cancer. Psychosom Med. 2016;78(8):959-65.