Arm pit swelling
Just a quick question, I have been searching through the topics and did not find this. After surgery (mastectomy with 9 nodes removed, all nodes negative for cancer) immediately my armpit had swelling. it does not hurt, and is jello -like, not hard...but anyway, with this hot summer I see it getting bigger. It sort of rests right in my arm pit and stays swollen until the scar cinches it in. The remaining lymph nodes are always a bit enlarged and sore if you press in. Several doctors have confirmed this is the "new me" (the lymph node swelling)
In this rural area, I still don't know what to do. My breast surgeon is ill and had to close his practice, my medical doctor is not informed, and honestly I don't even know if there is any garment that could be worn for compressing that area.
Any thoughts? I did have a "skin tag" in that armpit and I shaved it off by mistake (I am just shaking my head because while I don't post often in the LE area, I DO know better) and I wonder if that is related?
Comments
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It sounds like a possible seroma and they can linger, mine stayed for 5 months until aspirated. It can be diagnosed by a simple ultrasound.
If it is one, and is aspirated, be sure to apply compression so it doesn't recollect. I used a swell pad, held on by hair bands. The broad elastic fabric ones. -
Thank you Kira, it is not a seroma, but your idea of a swell spot with a hairband is a very good one. It is always smaller when I waker up, but if I wear a cami or bra, the fabric loosely cuts right there, and it will be swollen by night. It looks to me like the nodes just can't move the lymph fast enough, and it collects when there is any fabric on it.
I am going to get my rings sized bigger, I am frustrated to be told my doctors I don't have LE but yet I have not worn rings in 3 years, I went from a 6 ring size to an 8 1/2. It seems significant to me, yet doctors look visually at me, don't see that huge trademark of LE and say I worry too much. Yet I know the key to this is to be vigilant with it.
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I agree this is trademark LE and you should be worried about, especially if it's still reversable. Find another doc who takes LE seriously and get in for an evaluation. I've had significant improvement with PT by a LE specialist and wearing a compression sleeve and I only had 3 nodes removed. Good luck - please don't wait until it's too late.
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Crystal, there is no single diagnostic criteria for LE, so it's easy for doctors to dismiss it--or apply arbitrary rules, like it has to be 2 cm greater than the other limb (try to apply that to hand swelling...), or a 10% volume increase.
There was a great article by AW Stanton that said that early LE does not "obey" these rules and you have to be alert to symptoms and subtle anatomical changes--like less veins seen, smoothing of the elbow contour
On bc.org, Andrea Cheville says essentially the same thing:
http://www.breastcancer.org/treatment/lymphedema/evaluation/diagnosis
According to Andrea Cheville, MD, associate professor of physical medicine and rehabilitation at Mayo Clinic, it’s important to look at the whole picture: not just size and volume measurements, but the appearance of the limb or other body part. “There is no one value or standard you can use to say, ‘OK, if you meet that you have lymphedema, and if you don’t, well then you don’t have it,’” says Dr. Cheville. “For example, there may be no size or volume changes in the arm, but you could have subtle hand swelling or pitting on the arm. So it’s important not to be too locked into arm measurements alone, as that can create a false sense of security. You also need to be watching the arm and looking for the loss of what we call ‘anatomic architecture’ — an inability to see the veins and tendons in the arm as clearly, or less pronounced knuckles, or skin that is less wrinkled and therefore looks younger.”
There are some axilla swell spots by ?Jovi that may help you: I had a hard time finding it, and it's pricey!
http://www.biohorizondirect.com/JoviPak-AxillaPad
I think I used a Solaris swell spot for the dorsum of the hand--which I find large, held on with the hair bands--cost around $17
http://www.lymphedemaproducts.com/products/dorsal-swell-spot.html
And I totally second the idea that you should see a LE therapist
http://www.stepup-speakout.org/Finding_a_Qualified_Lymphedema_Therapist.htm
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Crystal, besides Kira's suggestions, Solaris makes a Swell Spot that I find works well for the armpit, and less pricey if that's an issue for you:
http://www.lymphedemaproducts.com/products/kimbe-swell-spot.htmlI hope you can find a way to get help from a really good lymphedema therapist--they're worth their weight in gold!
Gentle hugs,
Binney -
Crystal, I have LE in my left arm and trunk, some in the armpit. I'm thinking of trying an Under Armour Compresson Tee (men's style, so no extra fabric in missing boob area -- I'm bmx as well). I have noticed that some tube-type tops (strapless) can work well for compression in my trunk area.
Ellen
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Oh, and as for having shaved off the skin tag... I think that could very well have caused some swelling, as for myself I've noticed an increase with even slight scrapes on my fingers (the rest of my hand/arm usually covered with compression garments).
Ellen
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Chrystal I agree shaving the skin tag off could very well have done something. Theres nothing worse than having med profession downplaying/minimising what you know darned fine well is an issue. I hope you find someone more competent.
Kira, how interesting you mentioning about the seroma and in particular about the time frame! I had a seroma after my prophy mx. I had it aspirated but a couple of times after that it swelled up again within less than about a month. Months later ny BS told me it was "just fat". Yeah right, my BC side has NOTHING like it and is flat and it was not included in the surgery area. NOw rewind to the month following surgery. This is a round about what I was told... there was a real risk from continuing to try to aspirate it as the tissue starts to "web" thereby making many pockets of fluid and making it impossible to aspirate the fluid . Of course I had no reason to doubt this. It sounded plausable. I still have an area that is spongy and flabby. How interesting you said you can still aspirate after 5 months!
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