Is LE a symptom of breast cancer or result of treatment?
I've been experiencing some symptoms of BC and went to a doctor, who dismissed them. However, lately I've been feeling heaviness in my right arm and hand. I'm wondering if it is a tumor blocking the lymph node (or something, not quite sure of the exact logistics). Can lymphedema be a symptom of cancer in addition to a result of cancer treatment? I will add that I am 19. Thanks.
Comments
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My question is: can lymphedema be a symptom of cancer in addition to being a result of cancer treatments? Thanks.
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I don't think so. Lymphedema is a direct result of removing the lymphnodes during surgery...
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JerseyGirl, hello! I just went and read your other thread, where you mentioned that you'd already seen the doctor, who found no lump and thought your breast changes might be a cyst that she was not feeling. Clearly none of that has put your mind at rest. Though I'm not inclined to think what you're dealing with is breast cancer, still, if you were my daughter I'd insist on clearer answers, if for no other reason than peace of mind. Imaging could conceivably solve this dilemma. Any chance you could request further clarification?
As to your question here, any impingement on either nerves or lymphatics could conceivably cause feelings of heaviness in your arm and hand. Tumor growth is only one of several possibilities, all of them less worrisome than that. Again, if I were you I'd want answers. Is there anyone who can go with you and advocate with you for a more thoroughgoing diagnosis? It really helps to have another set of ears along when you're trying to gather potentially distressing information.
Another appointment, then. Or even another doctor? Let us know how it goes.
Hugs,
Binney -
There are two categories of lymphedema: primary and secondary. Primary lymphedema is something that a person is predisposed to from birth, though it doesn't necessarily show up at birth. The three categories of primary lymphedema show up at different ages: birth, adolescent, and 20s-40s. Secondary lymphedema is caused by something specific. Worldwide, the most common cause of secondary lymphedema is an infection called filariasis. In the western world, the most common cause of secondary lymphedema is cancer treatment. Is it possible for lymphedema that shows up in the absence of diagnosed breast cancer to be a symptom of it? Yes, it is an outside possibility, but in someone without known cancer who develops lymphedema, it is far more likely that it is either primary lymphedema or filarial lymphedema (if at risk).
The other thing I would point out is that examining your breasts is a learned art. You said in your other thread that the lumps were symmetrical and extremely large, but the doctor examined you and did not find any masses. Is it possible that you were feeling your ribs? I am a doctor and often have younger patients who come in after finding a rib. I use it as an opportunity to educate, but honestly, I'm just really glad that they are starting to do regular self-exams.
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Hi JerseyGirl, Yes, lymphedema can be a symptom of cancer if the tumor is blocking lymphatic drainage either within a node or lymph vessel, or pressing upon a lymph vessel. The Lymphedema PDQ for Patients says that lymphedema can be caused by "A tumor that affects or blocks the left lymph duct or lymph nodes or vessels in the neck, chest, underarm, pelvis, or abdomen." Swelling of the breast (breast lymphedema) has even been proposed by one researcher as a potential indication of breast cancer.
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DocSR: The classification of lymphedema as being primary VS secondary has become very inexact as we learn more about lymphedema. Susceptibility to lymphedema given a precipitating trauma is being found to be somewhat genetically determined,possibly related to robustness of the genetically-determined lymphatic system development. Susceptibility may be related to an intrinsic lymph transport margin. The distinction of primary VS secondary lymphedema is becoming less and less clinically relevant.
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Lymphactivist, totally tracking on that. I was trying to make it easier to understand for the OP, especially that there are other causes of lymphedema besides cancer.
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