What is lymphoedema?
Lymphoedema means a build up of lymph fluid that causes swelling in a part of the body. It can develop if there are problems with the lymphatic system.
Lymphoedema is pronounced lim-fo-dee-ma.
Lymph fluid is in all body tissues. It comes from the tiny blood vessels into the body tissues. Usually, it drains back into the bloodstream through channels called lymph vessels. These are part of the lymphatic system.
A build up of lymph fluid in an area of the body can happen if lymph drainage channels or lymph nodes are blocked, removed or damaged. This causes swelling called lymphoedema.
In some people, lymphoedema can be due to cancer causing changes in the lymphatic system. In others, cancer treatments, such as surgery or radiotherapy to lymph nodes, can cause lymphoedema.
Lymphoedema mostly affects the arms or legs. But it can develop in other body areas such as the:
- chest or back
- abdomen (tummy area)
- head, neck or face
- pelvic area
It is a long-term (chronic) condition. It can’t be cured, but it can usually be well controlled.
The lymphatic system
What it is
The lymphatic system is a system of drainage tubes and lymph nodes (also called lymph glands). It runs throughout the body.
The tubes are called lymph vessels or lymphatic vessels. They start as tiny tubes in the body tissues and join up to form bigger lymph vessels in the chest and abdomen.
Along the lymph vessels are small bean shaped lymph nodes. The ones you're most likely to know about are under your arm, in your neck and in your groin. You may be able to feel these. But there are also nodes in other areas including your chest, abdomen and pelvis.
The lymphatic system also includes body organs such as the:
How the lymphatic system works
The lymphatic system carries clear watery fluid called lymph. The lymph drains out from the small blood vessels (capillaries) into the body tissues. It is a one-way drainage system.
Proteins can also move out of the capillaries and the lymph carries them back to the bloodstream. It also drains waste and harmful substances away from body tissues. These include bacteria, viruses and bits of old cells.
When muscles near the lymph vessels contract, they press on the lymph vessels. This helps to push the fluid through the lymph system. Some of the larger lymphatic vessels have valves so that the lymph can only flow one way.
Lymph nodes filter the lymph. They also make and store white blood cells that circulate around the body. White blood cells help fight infections.
The lymph vessels join up into 2 main lymphatic ducts. These are both in the chest. They are:
- the thoracic duct
- the right lymphatic duct
The thoracic duct
The thoracic duct drains lymph fluid from:
- both legs
- the left half of the chest (thorax)
- the pelvis and abdomen
- the head and neck
- the left arm
The right lymphatic duct
The right lymphatic duct drains fluid from:
- the right half of the chest (thorax)
- the head and neck
- the right arm
These main ducts then drain into the large blood vessels in the neck, carrying the waste products from the body into the blood. The kidneys filter the blood and get rid of the waste products in the urine.
Knowing how lymph drains helps us to understand how lymphoedema treatment works.
Here is a short video explaining how the lymphatic system works.
The lymphatic system helps our bodies get rid of toxins, waste and other unwanted materials including infections and cancer cells. It is a system of thin tubes called lymph vessels and lymph nodes or glands. These run throughout the body. The spleen, thymus, tonsils and adenoids are also part of the lymphatic system.
Along the lymph vessels are small, bean-shaped lymph glands. You might be able to feel these in your neck, under your arm and in your groin. But they are also throughout the body including the chest, abdomen and pelvis.
The lymphatic system carries a colourless liquid called lymph. As the blood circulates around the body, fluid passes from the blood into the body tissues, carrying food to the cells. This fluid bathes the tissues, to form tissue fluid, which collects waste products, bacteria, damaged cells and cancer cells if there are any. The fluid then drains back into the lymph vessels where it is transported towards the lymph glands. The glands then filter the lymph, taking out any harmful products. The lymph also contains lots of white blood cells, called lymphocytes, which help us fight infections.
The lymph eventfully reaches a large vessel at the base of the neck, called the thoracic duct which passes the filtered lymph back into the blood circulation. If the lymph vessels or nodes are blocked, removed or damaged, it can cause a build up of fluid. This can cause swelling, known as lymphoedema.
For more information about lymphoedema and cancers of the lymphatic system go to Cancer Research UK.org slash lymphoedema.