{"title":"斋月禁食后引发和加重乳腺癌相关淋巴水肿：两例报告。","authors":"Hossein Yarmohammadi, Amirmahdi Taromiha, Masood Soltanipur, Zahra Sheikhi","doi":"10.1177/14782715251362064","DOIUrl":null,"url":null,"abstract":"<p><p>Breast cancer-related lymphedema (BCRL) is a chronic condition affecting breast cancer survivors (BCSs), leading to symptoms such as swelling. We present two cases of BCSs who developed complications related to BCRL after fasting during Ramadan month. The first case involved a 47-year-old woman who experienced stage 2a BCRL, while the second case was a 64-year-old woman with stage 3 BCRL complicated by cellulitis. Both patients underwent treatment, including complete decongestive therapy, resulting in significant symptom improvement. These cases suggest that fasting may exacerbate or develop BCRL symptoms, emphasising the need for individualised dietary guidance for BCSs to prevent complications. Further research is essential to assess dietary effects on BCRL management. This association warrants further prospective evaluation in larger cohorts to better understand the relationship between fasting and BCRL.</p>","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"193-196"},"PeriodicalIF":0.9000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Breast cancer-related lymphedema triggered and exacerbated following Ramadan fasting: Report of two cases.\",\"authors\":\"Hossein Yarmohammadi, Amirmahdi Taromiha, Masood Soltanipur, Zahra Sheikhi\",\"doi\":\"10.1177/14782715251362064\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Breast cancer-related lymphedema (BCRL) is a chronic condition affecting breast cancer survivors (BCSs), leading to symptoms such as swelling. We present two cases of BCSs who developed complications related to BCRL after fasting during Ramadan month. The first case involved a 47-year-old woman who experienced stage 2a BCRL, while the second case was a 64-year-old woman with stage 3 BCRL complicated by cellulitis. Both patients underwent treatment, including complete decongestive therapy, resulting in significant symptom improvement. These cases suggest that fasting may exacerbate or develop BCRL symptoms, emphasising the need for individualised dietary guidance for BCSs to prevent complications. Further research is essential to assess dietary effects on BCRL management. This association warrants further prospective evaluation in larger cohorts to better understand the relationship between fasting and BCRL.</p>\",\"PeriodicalId\":46606,\"journal\":{\"name\":\"Journal of the Royal College of Physicians of Edinburgh\",\"volume\":\" \",\"pages\":\"193-196\"},\"PeriodicalIF\":0.9000,\"publicationDate\":\"2025-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of the Royal College of Physicians of Edinburgh\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/14782715251362064\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/7/30 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the Royal College of Physicians of Edinburgh","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/14782715251362064","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/7/30 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Breast cancer-related lymphedema triggered and exacerbated following Ramadan fasting: Report of two cases.
Breast cancer-related lymphedema (BCRL) is a chronic condition affecting breast cancer survivors (BCSs), leading to symptoms such as swelling. We present two cases of BCSs who developed complications related to BCRL after fasting during Ramadan month. The first case involved a 47-year-old woman who experienced stage 2a BCRL, while the second case was a 64-year-old woman with stage 3 BCRL complicated by cellulitis. Both patients underwent treatment, including complete decongestive therapy, resulting in significant symptom improvement. These cases suggest that fasting may exacerbate or develop BCRL symptoms, emphasising the need for individualised dietary guidance for BCSs to prevent complications. Further research is essential to assess dietary effects on BCRL management. This association warrants further prospective evaluation in larger cohorts to better understand the relationship between fasting and BCRL.
期刊介绍：
The Journal of the Royal College of Physicians of Edinburgh (JRCPE) is the College’s quarterly, peer-reviewed journal, with an international circulation of 8,000. It has three main emphases – clinical medicine, education and medical history. The online JRCPE provides full access to the contents of the print journal and has a number of additional features including advance online publication of recently accepted papers, an online archive, online-only papers, online symposia abstracts, and a series of topic-specific supplements, primarily based on the College’s consensus conferences.
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