possible seroma

[irene393]

My mother is elderly 76 and holding  -- she unable to use the internet - so I am serving this purpose. She had a mastectomy in 1998. Since her surgery for years she has experienced pain and recently of the last 3 years developed a seemingly fluid filled lump beneath the removed breast.  She can palpate the lump with no pain or discomfort. However, when she attempts to wear a bra with a prosthetic within several hours she has to have the bra removed immediately. She describes the pain as constrictive, stabbing and horrible. Her primary tells her not worry and that it all in her head, moreover, her weight and race have added to his dismissal of her suffering. She has continued to see an oncologist and all subsequent tests are clear.
I would appreciate any insight into the cause and ultimate solution regarding this matter.

[irene393]

thank you for the reponse - I will push for the ultrasound of the area - -

[PaulMD]

Hi there.

The continued follow ups with the oncologist as well as all the negative tests are all comforting, in the sense that the cancer is indeed silent and has not returned.  This present symptoms of pain may be a long term consequence of the treatment such as surgery, or if previously she had radiation (these two interventions can really cause unavoidable damage to the nerves causing neuropathic type of pain).

An ultrasound of the area may determine if this is really a seroma (fluid collection).  If indeed there is fluid, then aspiration or drainage by your surgeon may be warranted.  You can also ask her oncologist regarding medications specific for neuropathic pain such as Gabapentin or Pregabalin.

Regards.