I had Lymph node transplant surgery last weekend

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  • texas94
    texas94 Member Posts: 204
    edited July 2015

    mira- You're more than welcome to PM me. I'm sure your dr didn't seem concerned because the number is different in everyone. FYI the scoop out of your underarm will slowly fill in. Mine doesn't look much different than the other underarm now. You'd know if you had a level 3 because she would have continued after removing the underarm chunk and headed up under your clavicle (unless she didn't tell you?). Lymphedema is a real pain in the rear, so fingers crossed you won't have it!

  • cookiegal
    cookiegal Member Posts: 3,296
    edited July 2015

    Go Christine.

    Even if some of us are skeptics we really really really hope your surgery is a success.

    Any sign of a cure is a big reason to hope.

    We are ROOTING for your arm to stay the hell shrunken!

  • carol57
    carol57 Member Posts: 3,567
    edited July 2015
    Cookie, well said!!!
  • mary625
    mary625 Member Posts: 1,056
    edited July 2015
    Mira--I don't think that lymphedema symptoms would appear within 10 days of the surgery. I know it would seem that it might be immediate, but it's slower and more subtle. Hopefully, you'll never see the signs!

    I'd love to know more about the percentage of lymph nodes being more important than the actual number and if there are any thresholds for the percentages as far as prognosis.
  • Christine2000
    Christine2000 Member Posts: 176
    edited August 2015

    hey all-- wanted to let you know that almost 8 weeks out of surgery my arm continues to improve-- down about 2 centimeters over all. in about a week I will move from bandage to sleeve.

  • AmyQ
    AmyQ Member Posts: 2,182
    edited August 2015

    Christine,

    That is wonderful news. I hope the reduction in swelling continues. And thank you too for the updates.

    Amy

  • sas-schatzi
    sas-schatzi Member Posts: 19,603
    edited August 2015

    Christine --wonderful. Thanks for keeping us updated. Marvelous!

  • cookiegal
    cookiegal Member Posts: 3,296
    edited August 2015

    Go Christine we are all rooting for you!!!!

  • Nordy
    Nordy Member Posts: 2,106
    edited August 2015

    Hooray! So glad to hear it!

  • patriciakono
    patriciakono Member Posts: 10
    edited August 2015

    I am new here, but a frequent Facebook user; I keep wanting to hit the Like button with each person's post on this thread, especially yours, Christine. Thank you so much. I am new to lymphodema, as my previous cancers resulted in lumpectomies, not the L side mod mastectomy I had in April. But like everything else we encounter here, it could be worse! Helps to share here.


  • Christine2000
    Christine2000 Member Posts: 176
    edited August 2015

    hey all-- I saw my surgeon yesterday. My arm hasn't gotten smaller since last report but it hasn't gotten bigger either. I am transitioning to compression garments (rather then bandages) -- my surgeon thinks based on experience that it will take about a year for the new lymph nodes to fully kick in. Over the year I will be gradually reducing my use of compression. She says a 30 to 40% reduction is typical (fine with me!!) but sometimes people get more. If I could "graduate" to compression only at night for example I would be dancing a jig!

  • Christine2000
    Christine2000 Member Posts: 176
    edited August 2015

    correction-- I had my arm measured again this AM by my PT and it is down ANOTHER centimeter-- so 3 in all!

  • sas-schatzi
    sas-schatzi Member Posts: 19,603
    edited August 2015

    YAY, Christine. Did you leave a message for your doc? :)

  • AmyQ
    AmyQ Member Posts: 2,182
    edited August 2015

    On my dream list...this surgery. Don't think I will find someone locally to do it, so just a wish. Thank you for your updates and so happy about your progress Christine.

    Amy

  • Nordy
    Nordy Member Posts: 2,106
    edited August 2015

    Christine --- I am so happy to hear this for you! Hooray!

  • Katiejane
    Katiejane Member Posts: 789
    edited August 2015

    Christine, Great news! I will be having a LNT on the 25th of this month so I have been following your posts! Thank you so much for the updates and I wish you only the best!!! Please keep us all posted! :)

  • Nordy
    Nordy Member Posts: 2,106
    edited August 2015

    Christine -- did you happen to say who did your surgery? I would love to know --- you can PM me if you would like.

  • ahdjdbcjdjdbkf
    ahdjdbcjdjdbkf Member Posts: 645
    edited August 2015

    I had VLNT in March and my insurance paid for it. Nothing great to report yet but hoping it will kick-in down the line. I had the courage to take action due to a situation that was making my hate my life, known as Secondary Lymphedema.

  • AmyQ
    AmyQ Member Posts: 2,182
    edited August 2015

    Maria, sorry you haven't seen great results just yet but hoping one morning you wake up and find a huge improvement. Please keep us posted.

    Amy

  • Christine2000
    Christine2000 Member Posts: 176
    edited August 2015

    My Dr said it could take as long as a year before I see results-- the nodes need time to "take' and grow. Her other patients have seen the results she told me I could conservatively expect-- a 30 to 40% reduction. SO FAR-- my arm has reduced about 3 cm on average and the few flares I've had have reduced very quickly. My insurance also paid.

  • runnergirl26
    runnergirl26 Member Posts: 82
    edited September 2015

    i am so thankful yo guys are willing to post. i have tried everything for over a year now. finally getting custom gloves sleeves after three different therapists and demanding that the four previous gloves and one sleeve that never fitted properly werent working. however i think i have permanent damage now. My hand and arm never reduce in size and i have lost dexteriry and range of motion in my hand beause my hand and fingers are swollen so bad. the lymphedema experts and certified fitters not so great. This has also had a huge negative time consuming impact on the quality of my life. As i sit here typing with one nondomnent hand beause i have wraps on beause my jovi pack is in getting altered for the third time because they ant seem to get it right. How is one suppose to work; its a full time job trying to manage it. i do everything i am supposed to do and nothing works. sorry for the rant.

  • runnergirl26
    runnergirl26 Member Posts: 82
    edited September 2015

    did you have to wrap constantly 24/7 afterwards and if so for how long? i cant tolerate the wraps

  • Katiejane
    Katiejane Member Posts: 789
    edited September 2015

    Hi runnergirl2, Boy, I can feel your frustrations!! I had LNT surgery 1 week ago. Obviously, it's much too early to say if this will work for me or not but I wanted to tell you what my Doc follows for post-op wrappings. I must be wrapped 23/7 for the next 3 months and have LE massage 5 days a week for those 3 months!!! The surgery wasn't a big deal like my DIEP-very little discomfort and the drains(2) were pulled at 1 week. The biggest challenge for me is getting this wrapping on correctly! Yes it gets in the way and drives me a little crazy at times but if it helps, I'm willing to give it a shot! I know this isn't what you wanted to hear but it is what it is. I wish you the best!! katiejane

  • KWKWKW68
    KWKWKW68 Member Posts: 1
    edited September 2015

    Oh my, I did not know that transplant of nodes was even available? Does anyone know how long after having the cancer can a person have that surgery?

  • Moderators
    Moderators Member Posts: 25,912
    edited September 2015

    Bumping for KWKWKW68 -- can anyone answer her question about if there is a timeframe that is ideal for this type of surgery?

    Thanks!

  • Nordy
    Nordy Member Posts: 2,106
    edited September 2015

    I think probably like any surgery -- there is a time period for healing. I know after rads they like somewhere between 3-6 months or longer. I am having this surgery this week. I am petrified, but my arm has progressed SO much despite the fact that I am a lymphedema trained therapist and have been wrapping nightly since it all started as well as going through several bouts of CDT and pretty much 23 hours a day 365 days a year compression. A reaction to MRI contrast finally tipped my arm over the edge where I can no longer get my hand to reduce. SO... after 4 years of fighting insurance, I finally got it approved and narrowed down to two docs. In-network and $$ tipped my choice in docs, but I think they are equally talented and am happy to be either of their patients. KWKWKW68 --- Check with your oncologist and surgeon and see how long they would want you to heal before another procedure. BUT in the meantime --- you should start researching docs. There really are only about a dozen here in the US that are doing this surgery consistently, and you are going to want someone with experience. I am not always on here --- but these ladies are really great resources. Good luck to you.

  • carol57
    carol57 Member Posts: 3,567
    edited September 2015

    Nordy! That's huge! I know you have wrestled with the surgery option for a long time, and you are so well qualified to weigh risks and benefits...even so, what a hard thought process, and you must feel relieved you reached a decision, despite being petrified. Hugs and more hugs to you during the week to come, and I know everyone in this forum will be looking forward to hearing from you when you are up to dropping in with an update, whether sooner or later.
  • Nordy
    Nordy Member Posts: 2,106
    edited September 2015

    Thank you, Carol. Yes, it has been a hard decision and not one that I have taken lightly. But I had the fortunate (or maybe it was unfortunate?!) opportunity to see first hand what my arm looks like with the SPY technology and there is not even a single working lymph vessel anymore... just a bunch of dermal back flow. To just look at my arm --- about stage 2 lymphedema... on Spy --- where they have 4 stages -- I am at a stage 4. And all these years I had a couple of docs telling me my arm wasn't bad enough to warrant surgery. Puhhhhhleasssse. All I would have had to do was leave my sleeve off for 24-48 hours to let it fill. But I wasn't about to do that, and I was nervous for surgery anyway. Plus with compression, it had stayed fairly stable... or so I thought. Well, it just goes to show that our traditional means of staging lymphedema is lacking. There IS a place for lymphoscintigraphy and SPY studies in the world of lymphedema. Circumferential measurements and skin integrity alone just do not cut it. Of course I will keep you all posted when I am out and coherent.

  • Nordy
    Nordy Member Posts: 2,106
    edited September 2015

    well, I am ibn the other side of muy VLNT on Thursday. Nodes transferred from left groin to right forearm . Forearm is very, very sore.My roommate is obnoxious and snores, but otherwise I am doing okay. Please know that I did not make this, decision lightly and that I probably would have kept holding off if my arm had just remained stable.i will keep you posted on my progress as I can.

  • AussieElaine
    AussieElaine Member Posts: 64
    edited September 2015

    Nordy, I'm in your pocket for sure that you have a good outcome from your surgery. I know how long it has taken for you to get there. You are correct, the scans really tell the story. Without the scan I would never have known that a new lymphatic pathway had formed deep in my upper arm all the way to the lymph nodes in my neck. I am doing OK my arm seems to be improving slowly but surely. Course it's coming into summer here which is a bit concerning for me. Have a funny story to tell about my custom made sleeve and glove. I trail all the way to the hospital 80 miles round trip. PT opened the package with the glove and the index finger was about 2 inches longer than the other fingers. I said who is that supposed to fit ET? Mind you I did feel a bit like an alien as the week before I fainted and fell of the vibration platform, fell flat on my face had the biggest most purple black eye and broke 3 front teeth, luckily teeth were fixed or I wouldn't even have ventured out haha. Still waiting on glove even though I have no lymphoedema in my hand . Go figure. Anyway good luck and please let us know how you are. HUGS (((())))

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