Seroma - 7 months & counting
I was in good health until 2007 when I had a lumpectomy and sentinal node removal (left side). The lumpectomy scar healed quickly with no complications; the sentinal node scar opened whenever I wore a bra, so eventually I stopped wearing one and taped the incision closed. It healed without infection. This surgery was followed by 26 radiation treatments and 5+yr of Arimidex.
In October 2015 (at 70 yr old) I had an excisional biopsy (turned out benign) which left a long scar/deep crevice replacing the previous lumpectomy scar. Six (6) weeks after surgery the incision started to leak a wheat-coloured fluid. It was almost 2 weeks before I could get back in to see the surgeon. For 2 days during that time, the volume of leakage filled 4 taped-on sanitary napkins in a 24hour period. The surgeon called it a "lymphedema" and drained it 3 times in his office and prescried 10days of Cephalexin. I was then referred to another surgeon, who called it "seroma".
4 months following surgery, the incision became extremely red, and continued leaking the wheat-coloured fluid, although the volume was greatly reduced. Since the leak began, I have taken 2 rounds of Cephalexin antibiotic with no change in colour of the incision. This was followed by 3 ultrasounds, and 4 aspiration drainages but nothing was ever sent to the lab to determine bacterial content. The breast became hard, hot, thankfully not painful; the incision was bright red and leaking. There has never been swelling in the arm. During the second round of antibiotics, a small fleshy very sensitive protrusion (proud-flesh??) began growing from the incision where the leak was most pronounced. At that point I was referred to surgeon #3.
Three weeks later, Surgeon #3 prescribed the antibiotic Amoxicillin + Clavulanic Acid for 10days. About day 7, I developed thrush. Two weeks later (Rx is finished, thrush is full-blown) the surgeon probed the open area of the wound, packed it with gauze, and ordered home-care to come and replace the packing.every 2 days, as the opening was only 1cm deep. The large bandage covering everything is stained deep yellow/orange when it is removed. The packing strip and the covering bandage remained deep orange in colour, with a lot of drainage. Packing continued for 2 months, with Iodosorb and Intrasite gel sometimes mixed together and sometimes layered.
After 7-1/2 months skin irritation from the bandages became severe. Blood tests reveal nothing unusual. A recent ultrasound revealed a pocket of seroma about 1" x 1.5"; no aspiration was performed. MRI a month after that ultrasound confirmed the size and location of the seroma.
This week the surgeon (#3) has proposed another surgery (Incision and Drainage) of the incision site to clean the wound thoroughly, pack it with resorbable material, and count on that clearing the incision site.
I am told the extent and duration of this seroma is extremely unusual.
My questions: Is there anything I can do to speed resorption of the seroma fluid [and therefore stop the leaking and enable healing? ] and does anyone have any thoughts on the proposed surgical cleanup?
I am at my wits end.
Comments
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Hi!
I am so sorry to hear about your lengthy ordeal. My seroma was pretty big, but it was drained so that I could start radiation. I was told to wrap my chest or to wear a tight-fitting sports bra so there'd be no space for fluid to rush in. Good luck!
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MomKatie-
We're so sorry for what you're going through! Sounds like quite the ordeal. According to Dr. Alan Stolier, seroma can take up to a year to be reabsorbed back into the body, and longer healing times are not rare. It sounds like the latest plan from the surgeon could be successful, and hopefully once it's drained and cleaned out, your body can finally begin healing from this. We hope it works, and that you can put this all behind you soon!
The Mods
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Thanks for all the advice. I am learning that patience is the operative word here.
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