Developed a hematoma after my lumpectomy

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LLS1993
LLS1993 Member Posts: 7

I'm a 66 year old woman who had a lumpectomy and sentinel lymph node removal on 6/29/17. I have a very active lifestyle -- strength training -- power walking -- yoga, grandchildren and family activity, etc and I work full time. I felt so great after my surgery, so happy it was over, that I really messed up. While I did refrain from using my right arm and doing anything strenuous with my upper body, I resumed walking and even went to the Y and used the recumbent bike. I went to 2 family bbq's where I drank more wine that I probably should have. I definitely overdid it. This was a week after my surgery. I developed a hematoma as a result of my lack of using any common sense, it had to be drained and packed twice and will probably need to be drained one more time. I know I cannot offer advice on this site, which I just joined, so I will say that what I learned was this....before any of my follow up treatment begins, I will tell my doctors exactly what my normal activity level is, what my life style involves and I will ask specifically what and when I can resume any activity. I've been reading some of the posts on this community and am so happy I found it.

Comments

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

    HI LLS, and welcome to Breastcancer.org!

    We're so sorry to hear of your complications, but try not to be too hard on yourself. You obviously felt pretty good after surgery, and if your body wasn't giving you signs to slow down, how would you know any better. Things happen!

    Thanks for giving others here a heads up -- we're glad you found us too! We hope to hear more from you soon, and that you heal quickly. We're all here to support you!

    --The Mods

  • ChiSandy
    ChiSandy Member Posts: 12,133
    edited July 2017

    No, you developed a hematoma because $#*+ happens. Some of us get seromas, some hematomas. It's the luck of the draw, where your tumor & nodes were, the size of the breast relative to the incision, your general ability to heal, and the general characteristics of your blood and tissues and how they respond locally to surgery. That’s how your particular body reacts to injuries—and surgery is an injury.

    NONE of the behaviors you describe having done have ANY bearing on what complications you suffered after surgery. You did the one thing—avoiding straining your arm and upper body--designed to prevent complications, so you did the right thing.

    All that cardio-exercise activity? No effect except to keep you supple, your spirits strong, your heart healthy and your strength up. And it will make your treatment easier for your system to handle. That wine “binge" (which different people define different ways) might have added a pound or two or kept you from losing it. Or not.

    You did not “mess up." You got a hematoma because you would have gotten one anyway no matter what.

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

    I agree you did nothing wrong. Some of us just heal better than others. Walking, riding a bike, and continuing a normal life have no effect on how we heal. To your comment about alcohol, that also has no effect in healing.

    Our surgeries put a strain on our bodies.

  • LLS1993
    LLS1993 Member Posts: 7
    edited July 2017

    I just read this and find myself crying. Thank you so much.

  • LLS1993
    LLS1993 Member Posts: 7
    edited July 2017

    Thank you for your kind words and comfort. My right breast, which I've renamed, "the Beast" will come around I'm sure. In the meantime, I can't believe I found this amazing group of people.

  • LLS1993
    LLS1993 Member Posts: 7
    edited July 2017

    Me again, and I'm overwhelmed that my post got responses that uplifted my spirits. Thank you from the bottom of my heart. I will post on Monday after round 3 of draining and packing.

  • gb2115
    gb2115 Member Posts: 1,894
    edited July 2017

    Sorry you have a hematoma... I developed a large and painful one about 6 hours after an MRI biopsy....that was the worst pain...it took about 3 months to fully dissolve. We sure go through a lot!!!

  • Tomboy
    Tomboy Member Posts: 3,945
    edited July 2017

    I am here to agree with Chi and the others! I got one too, but I am surprised they packed yours.They were reluctant to even drain mine once, which they did, there really wasn't that much fluid, just a big lovely green black blue and brown and yellow color, changing over time. I did have a seroma in my axilla, which they would NOT touch, I guess because of fear of infection, but that hematoma was HUGE, and persistent! it lasted forever, I wish I would have taken pictures. What did piss me off, was them asking,'what did you DO'?!?!. I didn't 'DO' anything. I read quite a bit about it at that time, and it really is random.

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

    Healing thoughts for you tonight. Just remember we all heal diffently. I was like you. A very slow process.

  • mustlovepoodles
    mustlovepoodles Member Posts: 2,825
    edited July 2017

    I got an enormous hematoma after LX, for no good reason. My whole breast turned black. My B.S. drained about 10-oz of blood off it. Yikes!

    Then I had to have re-excision for margins and darned if that cavernous space didnt full up with fluid, causing a seroma. She drained 15-oz off the seroma over the course of two weeks. This doesnt even count all the fluid that gushed out the three times it broke open on its own. What a mess!

    And then, after I had a BMX, dang it! Another huge seroma on the OTHER side that took 16 weeks to heal.

    The common denominator is...nothing. I did nothing to cause the hematoma or seromas. I don't know why they happened and neither does my surgeon. Just bad luck.

    Don't beat yourself up about something you can't control.

  • BrooksideVT
    BrooksideVT Member Posts: 2,211
    edited July 2017

    Ditto what everyone else said. Seromas and hematomas are a normal (and not infrequent) side effect of surgery. Like you, I developed a seroma (racketball-sized lump) just below my sentinel node incision. A very minor surgery located the bleeder, fixed and drained it. I did develop the absolutely most gorgeous royal purple hematoma on that breast. All my doctors were impressed with the color.

    Of course it is a good idea to discuss your normal activity with your surgeon, but, really, after breast surgery, the main objective is to avoid stressing the arm on your surgical side, both to allow surgical healing and to protect your lymph system. Nothing you report could have done any damage.


  • LLS1993
    LLS1993 Member Posts: 7
    edited July 2017

    Thank you. Today, a lot more drained out on its own to my and my wife's surprise. I called my surgeon who said this is what we want to happen. My wife, usually squeamish, did a bang up job replacing pads and rebinding my boobs. I took a peek and even though its multicolored, it looks more like the other one. Hopefully, when I see my surgeon tomorrow, I'll be in the clear. Now onto the treatments.

  • Meredithcope
    Meredithcope Member Posts: 1
    edited March 2018

    I am 3 weeks post lumpectomy with swelling at its worst yet. I've had the breast drained twice, but it filled right back up within a couple of Hours after each treatment. That's not much incentive to do it again. I read one posting above that mentioned some surgical procedure to stop The fluid and clean out the area. Any information on that would be appreciated

  • Moderators
    Moderators Member Posts: 25,912
    edited March 2018

    Meredithcope, welcome to BCO. You may want to start a new topic with your question, as we see this topic hasn't been active in quite awhile.

    Have the doctors suggested anything to you to manage the fluid? Have they called it a seroma (http://www.breastcancer.org/treatment/side_effects...)?

    Probably worth getting it looked at again soon, to see what they can do to help you.


  • BrooksideVT
    BrooksideVT Member Posts: 2,211
    edited March 2018

    I guess you're referring to my post from July 2017.  My surgeon examined the lump and recommended a surgical procedure which completely remedied the problem.  I'm aware of others whose surgeons strongly advise against surgery. I'd suggest calling your bs and asking whether a surgical fix is possible in your particular case.  

  • Tomboy
    Tomboy Member Posts: 3,945
    edited March 2018

    My surgeon offered a washout, which just the name of freaked me out a little. truthfully, more than a little. That was after one needle draining. I refused. Ew. It took several months, but the fluid finally did resorb, I guess. Some doctors don't like to do needle aspiration, because of the risk of infection, so they say. Some other I've read about here on BCO don't mind at all, they are pretty careful today with sterile techniques. I hope it all turns out ok for you.

  • Cdartsfly
    Cdartsfly Member Posts: 2
    edited August 2018

    I got the same comment. "What did you do?" I did nothing but follow directions of wearing your sports bra, apply ice, limit movement of that arm. I thought all the bruising was post op surgical bruising. Perhaps a slide show on the progression of NORMAL bruising and NOT NORMAL bruising should be shown. Giving it another week...hopefully it will go down and i wont need and drains.

  • Cdartsfly
    Cdartsfly Member Posts: 2
    edited August 2018

    I got the same comment. "What did you do?" I did nothing but follow directions of wearing your sports bra, apply ice, limit movement of that arm. I thought all the bruising was post op surgical bruising. Perhaps a slide show on the progression of NORMAL bruising and NOT NORMAL bruising should be shown. Giving it another week...hopefully it will go down and i wont need and drains.

  • Moderators
    Moderators Member Posts: 25,912
    edited August 2018

    Thanks for sharing your story, Cdartsfly! We hope things start to resolve soon!

    The Mods

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