Breast lymphedema after excisional biopsy
Hi all. Does anyone know if you can get breast lymphedema after excisional biopsy without lymph node removal or biopsy? I'm trying to figure out why I have redness, thick skin and localized swelling that wax and wanes in severity and started three or four weeks after my procedure. My BS doesn't know what it is. It did seem to improve drastically when I took a week off from weightlifting. I think I read weightlifting usually aggregates it?? I was told I could go back to gym three weeks after the procedure, so I did. Any input would be appreciated. Thanks.
Comments
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Hi, deedee,
I'm really sorry you're dealing with this. It's certainly possible to develop breast lymphedema after a biopsy, but the risk is lower than if you'd have nodes removed. Any doctor on your team can write a referral for an evaluation by a well-qualified lymphedema therapist, who will be able to help you sort out what you're dealing with and, if necessary, begin treatment to reduce and control the swelling. Here's how to find one near you:
http://www.stepup-speakout.org/Finding_a_Qualified_Lymphedema_Therapist.htmHere's information about breast/chest lymphedema (it's called truncal lymphedema):
http://www.stepup-speakout.org/breast_chest_trunckal_lymphedema.htmThe other issue here is the weight-lifting, which can be done in a safe manner, but it requires returning to it with care and caution--low weight and reps and very slow progression. Hopefully Carol57 will be along soon with a fuller explanation about that. In the meantime, here are links to exercise guidelines for both you and your trainer following bc treatment:
stepup-speakout.org/Trainer%20...stepup-speakout.org/Handout%20...
Hoping you soon have good help with this! Please let us know what you discover. Gentle hugs,
Binney -
Deedee, I'm minutes from heading off on a camping trip, so no time to write a long post. The documents Binney linked to will tell you what you need to know about lifting precautions. One thing that strikes me from your post, however, is that your issue is in the breast area, and our document talks about arm precautions, mostly. I'd say that the precautions are still good ones for you, but add that if it were me, I'd be wearing a compression shirt along with a sleeve and gauntlet when lifting. An UnderArmour or similar; we find that men's short-sleeve versions work better than womens shirts because they cut the womens sleeves too high up and they cut into our armpits. Try for a size that's incredibly snug but doesn't cut off circulation; lots of trial and error there! The goal is to compress your problem area to minimize the opportunity for fluid to pool while you're lifting and afterward.
Lifting weight is a very very good long-term LE strategy, because you can minimize the lymphatic response to the stress of hefting unaccustomed weight, by building strength so that lifting stuff is not unaccustomed. Unfortunately, weight training does push our muscles to the limit, by design, and that in itself can provoke problems. So, the idea is to go slowly but surely, adding weights in tiny increments, not increasing reps the same time you increase weight, etc.
Good luck with it!
Carol
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Thank you Binney and Carol for your replies. I think I definitely need some compression. I will be sure to check out the links you provided. It is so hard to cut back on the weights when I'm used to lifting heavy. Oh we'll, guess I have to bite the bullet and cut back with the upper body exercises. When I started back after the procedure I used lighter weights but within a week went up and that is about the time all my symptoms started. I work at a cancer center and talked to one of the lymphedema therapists there. I'm hoping to get in to get evaluated as well. I see a different BS (not the one who did my surgery) for a second opinion in about a week, so hopefully I can get referred to the therapist. I will let you know how it goes!
Take care,
Denise
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