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Topic: Fluid won’t drain under arm after sentinel node biopsy

Forum: Lymphedema — Risks, tips for prevention, and info about products that can address the symptoms of lymphedema.

Posted on: Nov 2, 2017 11:12PM

Phadley wrote:

I had a lumpectomy and sentinel node biopsy a week ago. No drain tubes but now I have a large pocket of fluid under my arm that won’t drain. It’s starting to get more painful. Anyone else have these symptoms or know how to get rid of the fluid

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Nov 3, 2017 02:55AM hugz4u wrote:

Welcome here. You really need to address this to your surgeon or doc. Your still early out of surgery so they should still be able to help you with this. It may not be lymphedema but just part of the surgery aftermath.

Either way you should get measured and educated by a well qualified lymphedema therapist where they can be a good judge and educator on precautions for LE. stepup-speakout.org is a great website that our girls here made and you can find a therapist near where you live on that website and learn lots there. Keep asking us questions if in doubt.
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Nov 3, 2017 02:57AM Pessa wrote:

likely a seroma, which is a fluid collection, not blood. Also, not uncommon. Can be drained. You need to discuss with your surgeon.

Dx 2/20/2010, IDC, <1cm, 0/3 nodes, ER+/PR-, HER2- Chemotherapy 5/5/2010 AC Surgery 10/22/2010 Lumpectomy: Right; Mastectomy: Right; Prophylactic mastectomy: Left Hormonal Therapy 11/20/2010 Arimidex (anastrozole)
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Nov 3, 2017 09:24AM BrooksideVT wrote:

I had the same thing. Went to the ER. It was midnight before they saw me, so nothing happened then, but the surgeon took care of it the next day.

Please call your surgeon. It's an easy--and necessary--fix.

Dx 11/21/2012, IDC, 1cm, Stage I, Grade 1, 0/2 nodes, ER+/PR+, HER2- Surgery 1/7/2013 Lumpectomy: Right; Lymph node removal: Right, Sentinel Radiation Therapy 2/21/2013 Breast Hormonal Therapy 4/1/2013 Arimidex (anastrozole), Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Hormonal Therapy 7/4/2014 Aromasin (exemestane) Hormonal Therapy 11/21/2014 Arimidex (anastrozole), Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Hormonal Therapy 9/28/2015 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Nov 6, 2017 11:54AM Phadley wrote:

thanks I have a call into surgeon.

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Nov 6, 2017 12:10PM - edited Nov 6, 2017 12:13PM by Polly413

I had swelling after SNB in June of 2017 that turned out to be a seroma. It was uncomfortable but it drained without a doctor's intervention. I was concerned that the drainage procedure itself would trigger lymphedema. Your surgeon will be able to advise you on that. Have had no evidence of lymphedema to date.

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Nov 8, 2017 09:11AM Phadley wrote:

I had it drained yesterday the pressure just got to much for me to handle. However it filled back up so I guess I’m just going to have to tough it out till it goes away on its own. Thanks for responding!

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Nov 8, 2017 03:07PM corky60 wrote:

I had fluid build-up after the SNB. The oncologist said it was a seroma. The ultrasound showed it was a seroma. The surgeon said it was a seroma and drained it three times. When it came back a fourth time he surgically removed it. The pathology report showed it was a pseudocyst. It would never have drained away.

Dx 3/25/2013, IDC, Right, <1cm, Stage IA, Grade 1, 0/1 nodes, ER+/PR+, HER2- Surgery 4/25/2013 Lumpectomy: Right; Lymph node removal: Right Radiation Therapy 5/28/2013 Breast
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Nov 8, 2017 03:30PM BrooksideVT wrote:

Phadley, please contact your surgeon. S/he may think it best for you to tough it out, or may have another idea. In my case, he had to surgically correct the issue. (It was no biggie.)

Dx 11/21/2012, IDC, 1cm, Stage I, Grade 1, 0/2 nodes, ER+/PR+, HER2- Surgery 1/7/2013 Lumpectomy: Right; Lymph node removal: Right, Sentinel Radiation Therapy 2/21/2013 Breast Hormonal Therapy 4/1/2013 Arimidex (anastrozole), Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Hormonal Therapy 7/4/2014 Aromasin (exemestane) Hormonal Therapy 11/21/2014 Arimidex (anastrozole), Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Hormonal Therapy 9/28/2015 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Nov 8, 2017 05:04PM Phadley wrote:

thanks for the info. I’ve not heard of pseudocyst before. I will check into it

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