September 28, 2009

What is lymphedema?

Our bodies have a network of lymph (limf) nodes and lymph vessels that carry lymph fluid, much like blood vessels carry blood to all parts of the body. The lymph fluid contains white blood cells which help us fight infections. During surgery for breast cancer, the doctor usually removes at least 1 lymph node (sentinel node) from the underarm area to see if the cancer has spread. Some lymph vessels that carry fluid from the arm to the rest of the body are also removed because they are wrapped around the nodes.

Removing lymph nodes and vessels from the underarm changes the way the lymph fluid flows in that side of the upper body. This makes it harder for fluid in the arm to get to other parts of the body. If the remaining lymph vessels cannot drain enough of the fluid from the breast and underarm areas, the excess fluid builds up and causes swelling, or lymphedema. Radiation treatment to the lymph nodes in the underarm can affect the flow of lymph fluid in the arm and breast area in the same way, increasing the risk of lymphedema.

Lymphedema usually develops slowly over time. The swelling can range from mild to severe. It can start soon after surgery or radiation treatment. It can also begin months or even years later. Women who have many lymph nodes removed and women who have had radiation therapy to the underarm area may have a higher risk of getting lymphedema.

My visit today to the doctor

I visited the doctor today that specializes in lymphademia. She gave me an exam and said my shoulder was a little tight but as to be expected. I am in protection mode on that side. She taught me exercises that take 5 minutes a day and should be done for the rest of my life to avoid this swelling. Easy stuff. It was very informative and good to be proactive on prevention.

She also removed a couple of stitches today, put new dressing on my breast incision and said it is healing nicely.

My next appt. are with my rad and med oncologists on Monday and wed. We should have the results back from the Onco test and know more about my treatment plan. October is breast cancer awareness month. I have decided if I have to do chemo and I lose my hair I will get a baby pink wig and a biker bandana with pink breast cancer ribbons to wear on my head. Cute, huh? I LOVE pink. Grin!!

Have a great week.

Shawnae