Post brachytherapy radiation and surgery effects

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  • Barbmak
    Barbmak Member Posts: 60
    edited June 2017

    Hi everyone. I was originally told by BS office staff that radiation would start on Friday. When I got to RO for scan and plan last week they said they do not start on Fridays. They don't like to have a weekend interrupt treatment. So I just finished day 4. I had a lot of pain Tuesday night until this morning. They said that was not normal. Looking at breast today it was red and doc believed infected. It was not red from radiation. However this afternoon much much better. It comes out tomorrow afternoon. IKeep you posted!

  • ceanna
    ceanna Member Posts: 5,270
    edited June 2017

    Barbmak, sorry for the delay but hope your last treatment goes (went) well today. Let us know how you're doing! You'll be so glad when the device is out!!! And you can shower again!!!


  • Barbmak
    Barbmak Member Posts: 60
    edited June 2017

    Well all 10 treatments are done and the device is out as of 4:30 this afternoon. Another 24 hours and I can shower!! YAY!!!! I was so worried about the pain of the device coming out- and I should not have been. The doctor put a numbing ointment around incision, waited a minute or two and the next thing I knew the device was out. It was great- so if anyone else is worried about that, this should ease your mind! I still have a small fever and if it gets worse I have to call RO over the weekend.....but I really just think my body did not like this foreign object in it!

  • ceanna
    ceanna Member Posts: 5,270
    edited July 2017

    Barbmak, congrats!!! That shower will feel wonderful. Best wishes on overcoming the fever!

  • Barbmak
    Barbmak Member Posts: 60
    edited July 2017

    Hi everyone...It's now 3 days since Savi was taken out. I had a difficult weekend with lethargy and nausea. (shower was great though). I am better today but the lack of energy is concerning as I am scheduled to go back to work on Wednesday. In addition, the steri strips covering the wound for the savi loosened up on day 2 which bothers me also, although my husband says it looks like it is healing to him. My breast is hard, thickened and discolored...Anyone else feel this lethargy and/or have the breast look/feel like this....I've been pretty down because I expected to feel better after the radiation was over and the savi was out.

  • ceanna
    ceanna Member Posts: 5,270
    edited July 2017

    Barbmak, sorry you're not feeling good. It's understandable to be tired, not from the rads necessarily, but from the stress of everything you've gone thru in the past couple of months. Not sure about the nausea. The discoloration might be a little burning from the rads (I had a small discolored spot that went away within a couple of weeks) and the hardness/thickening might be your body recovering from the wound. My doctor left the wound opened and said it needed to heal from the inside out, so a loosened steri-strip might not be a problem. This is all speculation so do check with your doctors if it continues. Do you have a followup app't scheduled with any of your doctors? You could also call the office to ask the nurses your questions and express your concerns. I had gone to a comprehensive breast center so I was able to ask any questions of a nurse navigator who explored the answers to my questions. Be good to yourself, eat healthy, and get some sunshine tomorrow and enjoy the 4th. Hope you feel well enough to return to work--perhaps you can make it a short day back. All the best for a quick return to full energy!!

  • Barbmak
    Barbmak Member Posts: 60
    edited July 2017

    Ceanna, I've been feeling stronger each day and nausea has gone away. I do have 3 follow up appointments with RO. I intend to go to work tomorrow and if necessary I will leave early. Thanks for listening and being there. It helps!

  • Barbmak
    Barbmak Member Posts: 60
    edited July 2017

    Thought I would post this experience in case anyone else comes across this situation. 5 days after radiation was done and the Savi was out, I went to take my bra off to go to bed and I had saturated 2 thick gauze pads and my padded sports bra. Not only that but it was just continuously leaking out of my surgery incision (not the Savi incision) & didn't look like it was going to stop. I called surgeon and was told to come in the next day. Apparently, I have a seroma and the radiation weakened my incision enough to open it up...Doc put me on different antibiotics & told me to keep antibiotic ointment on it. I've been sopping up fluid- but I actually think it is slowing down a little. pain is better today. It's been kind of a rough road with the brachytherapy....but then I think that I could also still be doing regular treatment instead of being done with it. Hoping that anyone else who finds this doesn't have to deal with this situation...but in case it happens- you're not the only one so call doctor and hang in there!

  • ceanna
    ceanna Member Posts: 5,270
    edited July 2017

    Barbmak, sorry to hear you have a problem, but you're right--you'd still be in radiation for a few more weeks if you had gone the traditional route. You kind of had the reverse of my experience. I had a leaking seroma at the SNB site before brachytherapy and it improved during radiation. I had about 3-4 weeks of moderate to lesser leaking after the initial breakthrough and mainly stopped by the time I ended rads. It did heal well and now I have only a slight scar.

    Hope your energy level is improving too and work is tolerable!

    Best wishes for continuing improvement.

  • kira1234
    kira1234 Member Posts: 3,091
    edited July 2017

    Barbmac I also had a similar situation. Unfortunately mine happened after the first chemo treatment. Unfortunately in my case I ended up with radiation burns and the skin wouldn't heal. I had 6 surgeries trying to find healthy tissue. I was never able to finish chemo because it took 4 months to heal.

    Fast forward 7 years the original tumor returned and this time required a mastectomy with no reconstruction because of the amount of damage from the radiation.

  • Barbmak
    Barbmak Member Posts: 60
    edited July 2017

    Kira1234, I'm sorry you had to go through all of that. Unfortunately, they don't tell us all of the possible side effects for this type of radiation; the nurse kind of alluded to that when I was in so much pain that week. Hope you are doing well now.

    Ceanna, I am doing much better. My energy level seems to be close to where I was pre surgery. Still 'leaking' but not as much and little to no real pain, thank goodness!


  • kira1234
    kira1234 Member Posts: 3,091
    edited July 2017

    Barbmac I'm doing okay. I'm 2 months out from a double mastectomy. I'll be going back to work in 2 weeks. No radiation nor chemo suggested this time. Change of Als about all but for 5 more years which will be 12 in all

  • Pyrrh
    Pyrrh Member Posts: 119
    edited July 2017

    Hi friends - for those of you considering SAVI or another brachytherapy method, and might be concerned about comments about blistering from the adhesive from the bandaging ...

    My nurses for radiation didn't like using anything adhesive at all for that very reason. So they just piled gause up, and there was this super sexy (not!) mesh tube top that held it on under my supportive bra. no tape, bandaids, or anything else of the sort during my week of treatment. While I was super glad to get rid of the tube top, my skin was very pleased with me for not constantly sticking things on and pulling off. Perhaps you can ask your treatment team if they can do the same.

    Glad everyone is doing well. I continue to improve - have been back to competing in taekwondo, won a District Championship title, then injured my hamstring at Worlds. LOL. I guess this really just wasn't my competitive year!

  • ceanna
    ceanna Member Posts: 5,270
    edited July 2017

    Pyrrh, glad to hear you're doing so well. I second that suggestion about adhesive. I've always reacted to bandaids so took no chances with medical tape. I too was given a thin little mesh top but it quickly ripped (I stuck my long fingernails thru it a few too many times!) and I just packed gauze into the cottony stretchy type breast binder I wore.

    Barbmak, I hope everything continues to heal and you have defeated that seroma!!!

    The best to all!!!!!!

  • Barbmak
    Barbmak Member Posts: 60
    edited July 2017

    Pyrrh, I also had no adhesives during radiation. I was afraid that all the gauze wouldn't stay in place- but it did! Ceanna I also wore a cottony bra that opened in front for radiation and I am still wearing it at night for some support. I just posted on the lumpectomy lounge about my recent issues. The radiation totally weakened my surgical incision which had been healing so nicely. I had follow up with RO last week and he did not like how it looked. I went to surgeon for a follow up after the seroma visit on Tuesday, and she told me that I needed a wound specialist...the white "stuff" that I thought was from an infection is actually my breast fat not being contained by this wound that won't heal. I have a protocol 2x a day now and I see wound specialist next Tuesday again. I still work full time and it seems like all I do are visit doctors and work! Staying positive though and counting my blessings because there are women on these boards who are dealing with a lot worse than me. Just hoping that it heals soon.

  • ceanna
    ceanna Member Posts: 5,270
    edited July 2017

    Barbmak, sorry to hear of your continued struggle. I pray you'll heal quickly now that they have zeroed in on a treatment. I'm sure it's difficult to work all day and deal with doctors too. Hang in there and be good to yourself!!

  • 6cats
    6cats Member Posts: 327
    edited August 2017

    My Mammosite was in 2013 and I developed a large seroma that has become permanent. I talked with my BS and we have scheduled a date to have it removed. My oncologist isn't thrilled about having it taken out, since irradiated tissue apparently has a hard time healing, but my BS wasn't worried. Hope to keep myself healthy in the meantime... and waiting to have this painful lump (I measure 4x8cm) removed this month.

    I'm actually excited to have surgery! She thought they could use propoflo instead of a general anesthetic.

    Has anyone had surgery on irradiated tissue?

  • kira1234
    kira1234 Member Posts: 3,091
    edited August 2017

    6 cats it's very difficult. My breast surgeon had to treat me many times. This year the tumor returned in the same breast and reconstruction wasn't possible because of the scaring

  • Irishgirl711
    Irishgirl711 Member Posts: 104
    edited August 2017

    Hi,

    I had my lumpectomy surgery last week and am going to have the SAVI put in on 08/22. I have to admit that I am scared and nervous about having something inside my breast, but at the same time glad that it will only be for a short time. I have seen my BS today and she will put in the device. I am concerned about pain and swelling and have joined this forum to find out what may occur. I will keep you posted. It sounds like the best option for me and everyone on this forum has given me hope that it won't be too bad, since it apparently is necessary and less of a problem than full breast radiation

  • gogrannygo2
    gogrannygo2 Member Posts: 1
    edited August 2017

    Hi all, 

    I had a lumpectomy middle of July, Savi radiation treatment done (last treatment & device removal 7/26/17).  I'm still as swollen as when the device was in......anyone out there with this problem?  At least I sleep better, but, my breast still feels heavy and hard. I see all my dr's again on the 28th.   I know everything takes time but I would like the swelling to subside.

  • Moderators
    Moderators Member Posts: 25,912
    edited August 2017

    Welcome, IrishGirl and GoGrannyGo! We're glad you've joined our community, and hope you find this to be a place of support as you continue down this road.

    The Mods

  • Barbmak
    Barbmak Member Posts: 60
    edited August 2017

    Irishgirl, there are so many people that have no issues with this type of radiation. Even knowing what happened to me I would probably still opt for it so as not to have to radiate the whole breast for 35 days! No doctor has given me an actual answer about why my incision opened....BS said radiation/ RO said possibly the device pushing on incision/ another doctor at the wound place said Methylene dye can do this. I asked my BS on phone last night and she said yes sometimes it can be a combination of radiation and the dye used in the surgery in certain people. I really think my situation is just an exception...so I wouldn't worry. I bought some cotton fruit of the loom -open in the front -racerback bras and still wear them at night. They were easy to get on and off for Radiation twice a day and didn't hurt my SNB incision under my arm. Take care of yourself. Especially during the week of radiation. Hang in there!

  • Irishgirl711
    Irishgirl711 Member Posts: 104
    edited August 2017

    thanks. I have been wearing a sports bra, but they do not open in the front. I think I will look into them. Sounds like a good idea.

  • ceanna
    ceanna Member Posts: 5,270
    edited August 2017

    IrishGirl, I wish you the best with the SAVI radiation. I have posted my experiences several times in this thread and if you don't find answers to your questions in my previous posts, please ask away!!! No matter what type of treatment we have, everyone's experience is going to be different and your body may respond differently. I had a good experience with SAVI rads and have not regretted my decision to shorten the treatment time from six weeks to 5 days.

    GoGrannyGo, I hope your swelling continues to improve each day. I don't specifically remember swelling, but I experienced different feelings in my breast throughout the healing process. I don't think anyone of us ever gets back to our original selves after BC treatment, but I just kept moving forward into a new normal after LX surgery and rads.

    Barbmak, I'm sorry you're still experiencing problems. Best wishes and prayers for speedy healing.

  • Barbmak
    Barbmak Member Posts: 60
    edited August 2017

    Gogrannygo- I think it just takes time. Your breast has gone through trauma and is still going through trauma with the radiation - even though you are finished the actual radiation therapy. My RO said radiation is doing its work inside my breast for 6 weeks after it is over...Hang in there. By the time you go back on the 28th it may be feeling better.

  • Irishgirl711
    Irishgirl711 Member Posts: 104
    edited August 2017

    Since I am having SAVI, I posted on that thread, as there is one for those going through that particular treatment. I will also post here, since it is brachytherapy.

    I am scheduled to have a SAVI catheter installed under local numbing by my BS on August 22. I will have simulation with RO on 08/24 and then begin the 5 day treatment on 08/28.

    Because of these community threads, I feel better informed on what to expect, and even though I am anxious, at least I am not fearful anymore.

    I am thankful for the useful tips and suggestions on how to get through this.

    I will keep you all informed as I progress so that others who are thinking about SAVI will have another source of reference

    Thank you all!

  • Irishgirl711
    Irishgirl711 Member Posts: 104
    edited August 2017

    I had the SAVI put in this afternoon. The numbing needles (one was HUGE) was the worst part and that was just a slight pinch with each one (total of three). The placement was done in only a few minutes. Unfortunately, due to the size of the cavity, I was a size 10, the biggest size. I was not prepared for the fluid leaking out of the site while the doc inserted the device, but she warned me about it, so I was not that concerned. It did feel weird, though.

    My breast feels full and a little "pinchy" and I don't know if that is all it will feel like because I had the surgery about two hours ago, but if so, not really bad.

    Of course, I am not thrilled about the support bra having to stay on for 24/7, and sleeping sitting upright, but this will all be done in 9 more days and I know I can do this.

    I must admit that I was a little depressed and apprehensive about going through this, but am now grateful that I could.

    Thanks to those in this community who told of their experiences and helped allay my fears.

    I will have simulation the day after tomorrow and begin radiation next week. I will update as treatment progresses.

  • 6cats
    6cats Member Posts: 327
    edited August 2017

    So my Mammosite was in 2013. I ended up with a large lump where the site was. I had blood clotting issues and the area filled with blood. Fast forward four years. The site became a hard lump that pulled and was painful.

    RO didn't want to do anything about it. MO didn't want to do anything about it. BS was OK removing it. Had it removed Friday. 3" incision. Yipes!

    Waiting for pathology. Don't expect any surprises. Praying the previously irradiated tissue heals well.

  • Barbmak
    Barbmak Member Posts: 60
    edited August 2017

    Irishgirl- wishing you well with your savi insertion and therapy. It's not the most comfortable thing in the world- but it is short term. Stay positive.

  • Irishgirl711
    Irishgirl711 Member Posts: 104
    edited August 2017

    Wow 6cats, sorry to hear about your need for further surgery and the resulting scar. It is a shame that no one caught it sooner orwas able to rectify the problem. At least you were finally able to have it removed and know that it is gone once and for all. I hope all heals well for you and you have a great recovery.

    I had my simulation today. Unfortunately, the preliminary cat scan showed fluid buildup in the cavity so the RO had to deflate the SAVI and manipulate the breast and insertion site to drain the fluid.

    I must say that this did hurt a bit but was necessary because they said they could not do the radiation treatments if there was more than 10% fluid in the cavity. A kind technician held my hand the whole time, even though it only took a few minutes.

    After this was done, they did another cat scan and found that the fluid was gone and they proceeded with the simulation where they insert guide wires into each catheter and take measurements to determine which catheters would be used for treatment.

    I begin the treatment on Monday. I go twice a day for five days and they will remove the SAVI after my last treatment on Friday.

    Before each treatment they will do a cat scan to make sure that the device has not moved or (hope not) fluid had built up, which would require more manipulation.

    They told me that I should feel no pain during the treatment, with the exception of some pain when the device is removed, which should be minimal and only for a short duration.

    They removed the dressings that my BS applied, cleaned the wound site and applied gauze. They said they prefer not to use tape and just use the bra to hold the gauze in place. That's fine with me because ripping tape off my bare skin is not a pleasant experience.

    8 more days to go!





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