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Topic: Trigger thumb surgery and lymphedema risk

Forum: Managing Side Effects of Breast Cancer and Its Treatment —

This is a place to discuss concerns, tips and strategies for all types of side effects from all types of medications and treatments, (chemo/rads/hormonal/targeted/pain meds/etc.

Posted on: Aug 18, 2020 10:26AM

KBeee wrote:

I have had lymphedema on and off since my ALND in 2015. Mine is much less serious than many have to endure, and mine is intermittent. I have trigger thumb on my cancer side nad am havingit released in 2 weeks with a very minor surgical procedure. My question..... orthopedic surgeon asked if it is best that he not use a tourniquet during teh surgery due to lymphedema risk. Thoughts???

Karen. Dx 8/5/2013, IDC, Right, 1cm, Grade 2, 0/1 nodes, ER+/PR+, HER2- (IHC) Surgery 8/25/2013 Mastectomy: Left, Right Chemotherapy 9/19/2013 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Hormonal Therapy 12/11/2013 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery 1/22/2014 Reconstruction (left); Reconstruction (right) Surgery 1/28/2015 Lumpectomy: Right Dx 2/2/2015, IDC, Right, 1cm, Grade 2, 0/0 nodes, ER+/PR-, HER2- (FISH) Surgery 2/24/2015 Lumpectomy: Right; Lymph node removal: Right, Sentinel, Underarm/Axillary; Prophylactic ovary removal Dx 2/25/2015, IDC, Right, 1cm, Grade 3, 0/13 nodes, ER+/PR-, HER2- (IHC) Chemotherapy 3/30/2015 AC + T (Taxol) Radiation Therapy 8/24/2015 Whole-breast: Breast, Lymph nodes, Chest wall Hormonal Therapy Femara (letrozole)
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Aug 18, 2020 11:10AM MinusTwo wrote:

KBeee - what a good question. I have trigger thumb(s) and so far have dealt with them by steroid injections since it originally came up right after my BC diagnosis. Luckily a series of 3 or 4 injections over a year and the problem has gone away for 5 years. Maybe forever - knock wood.

Anyway - I'd be tempted to say no tourniquet if he can do without. No valid science, just my gut feeling.

2/15/11 BMX-DCIS 2SNB clear-TEs; 9/15/11-410gummies; 3/20/13 recurrance-5.5cm,mets to lymphs, Stage IIIB IDC ER/PRneg,HER2+; TCH/Perjeta/Neulasta x6; ALND 9/24/13 1/18 nodes 4.5cm; AC chemo 10/30/13 x3; herceptin again; Rads Feb2014
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Aug 18, 2020 11:40AM MinusTwo wrote:

I hope some others weigh in. If not, maybe post this on the LE threads too.

2/15/11 BMX-DCIS 2SNB clear-TEs; 9/15/11-410gummies; 3/20/13 recurrance-5.5cm,mets to lymphs, Stage IIIB IDC ER/PRneg,HER2+; TCH/Perjeta/Neulasta x6; ALND 9/24/13 1/18 nodes 4.5cm; AC chemo 10/30/13 x3; herceptin again; Rads Feb2014
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Aug 18, 2020 11:48AM Spookiesmom wrote:

Sort of different here, I had a squamous cancer taken out of my LE hand last Tuesday. In office procedure. It’s a big spot, nickel size. It’s still oozing. So I think it shouldn’t be a problem, just watch for signs of infection.

I have BP done on this arm too. No problem.

Reoccurrence 3-19. Dx IDC, Stage IIIA, Grade 3
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Aug 18, 2020 12:15PM buttonsmachine wrote:

Hi KBeee, I've been dealing with a trigger thumb too, but mine was caused by Aromasin. I had the max number of cortisone injections, so if the problem persists I'll need that surgery on my LE arm too.

Anyway, this is what I've learned from my doctors in general about subsequent surgeries on the LE arm/side: 1.) the risk of worsening LE is probably "small, but not zero." 2.) My doctors suggested that I increase my daily compression wearing time to minimize swelling after the procedure. There will inevitably be more swelling and inflammation right after a surgery, hence the extra support for your arm. 3.) Avoid infections, and rest after surgery, take pain medicine if needed, etc.

I'll let you know if I think of anything else. Keep us posted on how it goes for you!

Diagnosed at 32. Local recurrences in skin one year later due to needle seeding at initial biopsy. Now dealing with MBC. Dx 8/2016, IDC, Right, Stage IA, Grade 3, 0/2 nodes, ER+/PR+, HER2- Dx 10/2017, IDC, Right, Grade 3, 2/12 nodes, ER+/PR+, HER2- Dx 8/2020, IDC, Stage IV, metastasized to bone/other, Grade 3, ER+/PR+, HER2-
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Aug 18, 2020 12:17PM buttonsmachine wrote:

I also agree that if you can go without the tourniquet, that's probably better.

Diagnosed at 32. Local recurrences in skin one year later due to needle seeding at initial biopsy. Now dealing with MBC. Dx 8/2016, IDC, Right, Stage IA, Grade 3, 0/2 nodes, ER+/PR+, HER2- Dx 10/2017, IDC, Right, Grade 3, 2/12 nodes, ER+/PR+, HER2- Dx 8/2020, IDC, Stage IV, metastasized to bone/other, Grade 3, ER+/PR+, HER2-
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Aug 18, 2020 12:36PM KBeee wrote:

Thanks for the tips gals! I think I'll request to do no tourniquet. Honestly, I was very pleased that he asked; it definitely shows at least an awareness of lymphedema, which many non-cancer docs seem to lack. I had a choice to start with cortisone shots, but did 2 on the other side when I had it and they had zero effect which was shocking to the doc I had at the time. I also had zero luck with them either time I had carpal tunnel. These do work well for most people, and since I had no luck previously, we both agreed that I could skip them since the chance of them working was extremely slim... I was relieved...I just want it fixed!

Karen. Dx 8/5/2013, IDC, Right, 1cm, Grade 2, 0/1 nodes, ER+/PR+, HER2- (IHC) Surgery 8/25/2013 Mastectomy: Left, Right Chemotherapy 9/19/2013 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Hormonal Therapy 12/11/2013 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery 1/22/2014 Reconstruction (left); Reconstruction (right) Surgery 1/28/2015 Lumpectomy: Right Dx 2/2/2015, IDC, Right, 1cm, Grade 2, 0/0 nodes, ER+/PR-, HER2- (FISH) Surgery 2/24/2015 Lumpectomy: Right; Lymph node removal: Right, Sentinel, Underarm/Axillary; Prophylactic ovary removal Dx 2/25/2015, IDC, Right, 1cm, Grade 3, 0/13 nodes, ER+/PR-, HER2- (IHC) Chemotherapy 3/30/2015 AC + T (Taxol) Radiation Therapy 8/24/2015 Whole-breast: Breast, Lymph nodes, Chest wall Hormonal Therapy Femara (letrozole)

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