Kapoşi Sarkomu İle İlişkili Lenfödem: Bir Olgu Sunumu

Lymphedema is a common but often underemphasized complication of Kaposi’s Sarcoma (KS). During the oncological process, it directly affects patients’ functional capacities, quality of life, and adherence to treatment. The aim of this case report is to demonstrate the clinical and functional outcomes of lymphedema secondary to KS. A 56-year-old male patient was diagnosed with KS and started on systemic chemotherapy and antiretroviral therapy. Doppler ultrasonography revealed no signs of venous insufficiency or thrombosis in the right lower extremity; however, segmental slowing of lymphatic flow and an increase in subcutaneous edema were observed. These findings were evaluated as consistent with lymphatic obstruction. The patient underwent a rehabilitation program consisting of manual lymph drainage, compression therapy, exercise, and skin care for a total of 18 sessions over 6 weeks, three days per week. Each session lasted approximately 45–60 minutes. The exercise program included 30 minutes of brisk walking five days a week, ankle pumping exercises to enhance peripheral circulation, and diaphragmatic breathing (10 repetitions × 3 sets). Lymphedema was assessed using tape measurement for limb circumference, tonometry for skin elasticity, the 6-Minute Walk Test (6MWT) for functional capacity, and the Lymphedema Quality of Life Questionnaire (LYMQOL) for quality of life. The applied rehabilitation program was shown to improve edema control and skin elasticity while simultaneously enhancing the patient’s functional capacity and overall quality of life.