IBC with open draining lesions
Our 84 yr old mother has triple negative IBC with several open wounds on the breast near the nipple with slight discomfort. She is now on weekly taxol. She had fevers two weeks ago but ER workup was negative. No fevers now. Prev. the docs at Kaiser said we need to wait until she is finished with the chemo before considering breast surgery. Does anyone have any information on the best way to treat these skin lesions? We're interested in wound care and suggestions for treatment of the lesions themselves (freezing, direct chem injection into the skin or other?).
Many thanks.
Mario
Comments
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Dear Mario; I want to welcome you to this site, but I am truly sorry that you had to join. I can't help with your questions, but I'm sure others will be along shortly. Hugs Angel
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Mario, open wounds under any conditions are awful to have. I have never heard of topical chemo or freezing being used with IBC wounds. It is not at all like the types of skin cancer where those treatments are commonly used. I am assuming that her oncologists are aware of and have seen her open wounds and if not, they certainly need to? It would be normal to think and hope that you can do something to make them heal. Unfortunately, getting open wounds associated with her IBC to heal may not be an option at this time. Her body is going through a lot right now and the systemic chemo does need time to kill the cancer cells. Her medical team should teach who ever is caring for your Mom how to keep her wounds clean and covered for the time being. There are wound care protocols in medicine for care of open wounds to prevent infection and it is important to have a trained professional either doing the dressing changes or to have the person doing them at least be trained by a professional, in order to keep the situation from becoming complicated by an infection. That person can teach what supplies to use and how to obtain them. And, make sure her doctors know her level of discomfort so that they can give her pain meds if needed. Is someone responsible with your Mom at all times? Tolerating Chemo and Breast Cancer treatment is a challenge even to a lot of younger women and under the best of circumstances.This is a good time to seek and follow medical advice from the oncology doctors and nurses and to possibley have visits from a home-health nurse if needed. Best wishes to you and your family.
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Hi Mario,
Sorry you had to join us but you came to the right place. You may want to ask your moms doctors about hyperbaric treatment at some point. It has really helped my problem wound from mastectomy.There may be some contraindications with chemo but you can ask.
Julie
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Thank you all for your answers. We will speak to our oncologist to schedule an appt. with wound care.
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