Lymphedema concern

In 2003 I was treated for invasive ductal breast cancer of the left breast, for which I underwent sentinel node biopsy, lumpectomy for 1.6 cm. tumor, followed by 6 months of chemo and radiation. I was recently diagnosed with basal cell carcinoma in two places on my left arm and will shortly undergo Mohs surgery.  I am concerned about the surgery, which will be fairly extensive and will require either stitches, flap surgery or a skin graft to close the incision sights, which may be 1 - 2 inches in size. Since we are cautioned at the time of bc treatment not to have injections, blood pressure readings or anything else done on the affected arm, I am worried about the possibility of developing lymphedema. Is this something I should be concerned about?  Any suggestions?  Thank you.

[CCF-RN,MSN-JS]

Dear epgync,  After breast cancer surgery particularly surgery with axillary lymph node dissection, and/or radiation to the lymphnode area there is a risk of lymphedema to the affected arm.  In general, with sentinel lymph node dissection alone, the risk of lymphedema is lessened.  Guidelines such as avoidance of injections, blood pressure readings, blood draws etc, are recommended to help to prevent injury, risk of infection, or compromise of circulation to the arm.  These factors could lead to problems with lymphedema.  Past surgical procedures would be taken into account with this current surgery - in terms of minimizing trauma as much as possible to the affected arm.  Discuss with your dermatologist your concerns regarding the upcoming surgery.  They will be able to discuss with you, based on the planned surgery, the risks in terms of lymphedema, and measures being taken to decrease that risk.

[japdip]

I had a revision of the mastectomy scar and removal of some excess tissue in the axillary region several months after my mastectomy. I had developed mild lymphedema and was being treated for that with good results. The surgery made no difference in my condition. Since your surgery will be on the same side as your previous procedure at least you won't have to worry about IVs, injections and B/P in that arm. I have had another surgical procedure and would NEVER allow IV or B/P in my left arm. So far everyone has been very cooperative about this. Best of Luck ........

[jamiwilliams7]

A related discussion, swelling after breast biopsy was started.