Swollen Arms after Breast Cancer Treatment | Lymphedema Treatment - Dr. Srikanth V | Doctors' C

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Dr. Srikanth V | Phone 📞 +91948220240 (Online & in-person appointment can be booked online or by call) Consultant Plastic & Cosmetic Surgeon | Clinique Belle Koramangala, Bangalore, India
In some patients with breast cancer what happens is that the cancer would spread regionally to the lymph nodes. The lymph nodes are typically the lymph nodes in the axilla which also are the lymph nodes which drain the upper limb. If it is on the right side on the right or on the left. Now what happens is that these lymph nodes when they are removed it means that there lymphatic from the arm have nowhere to go. In a small percentage of people anywhere between 12 to 14% of the people the lymphatics reroute themselves and there is no obvious lymphedema in the upper limb. But in the remainder of the people they may develop some amount of lymphedema of the arm that is it is gradually swelling of the arm over a period of time. This is slow, it is progressive, it is relentless unless we do something. Treatment of this is fairly straightforward depending on the stage either you will be advised something known as MLD that is a manual lymphatic drainage along with compression stockings. These are non-surgical. This is something that you do regularly and over a period of time your lymphedema disappears. However if this doesn't happen then you need to undergo further investigations like a volumetry and icg lymphography which will tell us what kind of lymphedema you have. Depending on the stage of the lymphedema there are very many surgical options that you can look into. It may be a lymphovenous anastomosis, it may be a lymph node transfer and or maybe a combination of both and in certain cases of lymphedema you can even do liposuction and it provide you relief. If you ever don't want to do all this or if the patient is very elderly or if there are other problems which prevent us from doing this you can use something known as a lymphatic pump which will something that you can buy and use at home and that will provide a regular massage for your upper limb and this will help you to control your lymphedema. So lymphedema has got plenty of options non-surgical use of mechanical devices or surgical solutions for a more permanent solution.
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  Lymphedema and Cancer