BREAST CANCER/POST-SURGERY: LYMPHEDEMA
An annoying complication of axillary dissection (done either with mastectomy or lumpectomy) is lymphedema of the arm. Lymphedema is chronic swelling of the arm due to the accumulation of fluid as a result of lymph node surgery. This surgery can interfere with normal drainage. Lymphedema occurs very rarely following the limited type of axillary dissection usually done at the present time, but it does sometimes occur. Another temporary complication is limited motion of the shoulder. Normal activity right after surgery and active exercise ten to fourteen days later will alleviate this. If you find that you have limited use of your arm, ask for a referral to a physical therapist. If you have a problem, choose loose-fitting tops with deep, roomy armholes and be careful not to wear tight cuffs at the wrist or tight jewelry on that side. Try to avoid cuts or scrapes on the affected arm. Also be very careful about hangnails, paper cuts, and fissures in the cuticles. Be sure to apply a topical antiseptic and an adhesive bandage to speed healing. When you have a manicure, be sure to tell the manicurist to exercise extra caution. Wear gloves when you garden. Keep your hands moisturized. Seek medical attention immediately if you see signs or symptoms of an infection in that arm or hand (redness, pain, swelling, warmth). YOU WILL ALWAYS BE AT RISK FOR LYMPHEDEMA FOR ALL OF YOUR LIFE. THESE RULES APPLY NOW AND ALWAYS.
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Tagged as: Women’s Health
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