Lymphedema first time

I had intraductal breast cancer in 1993 at age 38 . Right segmental mastectomy, removal of 12 lymph nodes and with F/U chemo and XRT. since then I have never had lymphedema in my right arm or hand only in my breast.  Now I have swollen hand and arm with redness at the antecubital and a lump above antecubital. Why now after so many years?
I have also recently had shingles on right abd, severe pressure in RUQ and pain in my ribs and whenI raise my arm. I do not feel swelling of lymph nodes under my arm. Any suggestions as my physician has none and actually dismissed as a pt because of too many problems.

[Cleveland Clinic]

Dear carolT,  Lymphedema is swelling in the arm or leg caused by excess fluid that collects after lymph nodes and vessels are removed by surgery or treated by radiation.  Lymphedema can occur within a few days, months or even years after surgery.  

The key with lymphedema is to prevent it from occurring.   Treatment of this condition needs to be individualized to the specific situation, after assessment of the extent of the problem.  Goals of treatment would be to try to prevent further swelling, measures to relieve pain and discomfort, and prevent further problems such as skin breakdown and infection.   You may want to check in your area if there is a specialist who works with persons with lymphedema, who may be able to offer other suggestions for your individual situation.  

For more information about lymphedema prevention and treatment we have information on our Cleveland Clinic Website. Which is www.clevelandclinic.org once there click on Health Information Center, then type in lymphedema.

[carme]

My mom had breast cancer 1976 and 1989. Her lymphedema showed up in one arm about 1995.
pt?

[Joanpurple]

I had a mastectomy and months later developed lymphedema (swelling of my right arm, hand).  Went to a lymphedema center at my hospital for physical therapy specifically for lymphedema.  It was very worth while and helpful to go for approx. 10 sessions for manual lymph drainage and my arm is definitely better-almost back to normal.  I hope you see a lynphedema physical therapist.  good luck, Joan