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Medical Forum / Diseases and Disorders / Breast Cancer / December 2003

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Sentinel Node Biopsy

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darla - 04 Dec 2003 05:54 GMT
I had a sentinel node biopsy and removal of the lymph nodes done on
11-19.  I'm having significant swelling under that arm.  I have seen
the doctor twice but have been told that draining the accumulated
fluid would result in more fluid appearing and there didn't seem to be
anything he could suggest that would make me more comfortable. Does
anybody have any experience with this? Is there something besides ice
bags, that I can do until this fluid goes away?  Any suggestions would
be welcomed!

Darla
Sandy L - 04 Dec 2003 07:10 GMT
> I had a sentinel node biopsy and removal of the lymph nodes done on
> 11-19.  I'm having significant swelling under that arm.  I have seen
[quoted text clipped - 6 lines]
>
> Darla

If this is a fluid-filled pocket (a seroma), I would think that draining
it with use of a pressure dressing would be the best way to prevent
re-forming of the sac.  Wounds heal best from side to side, nt end to
end.  The seroma is caused when fluid accumulates in the space where
tissue was removed.  The healing cannot cross the fluid; the healing
edges need to be in direct contact.  It is often necessary to drain
these repeatedly, one hopes getting less fluid each time.  The down side
is that each time you introduce a needle to drain it, there is a risk of
introducing bacteria and getting a secondary infection.   The dressing
with mild pressure will help limit the reaccumulation of fluid, but
probably won't stop it completely.
darla - 04 Dec 2003 23:55 GMT
Thanks Sandy, I'll recommend this to the doc.  

> > I had a sentinel node biopsy and removal of the lymph nodes done on
> > 11-19.  I'm having significant swelling under that arm.  I have seen
[quoted text clipped - 18 lines]
> with mild pressure will help limit the reaccumulation of fluid, but
> probably won't stop it completely.
Marianne - 05 Dec 2003 01:00 GMT
Darla,

I also had swelling and pain from fluid accumulation.  I had to go back to
the doctor 3 times to have him remove some of the fluid with a syringe,
because it hurt so much and felt like it would burst. Eventually the rest of
the extra fluid was reabsorbed into my body.

Marianne

> I had a sentinel node biopsy and removal of the lymph nodes done on
> 11-19.  I'm having significant swelling under that arm.  I have seen
[quoted text clipped - 6 lines]
>
> Darla
*shaz^ - 05 Dec 2003 17:09 GMT
Hi Marianne,
Your situation with your pain and swelling, due to Node biopsy, sounded just
like mine. I also had to return to my doctors surgery, to have him drain my
excess fluid with a syringe, 3 times also.
For a minute, when I was reading your post, I thought it was one which I had
written!
I had the same outcome as you also, the remainder of the fluid which wasn't
drained, was eventually absorbed by my body.
Hope our stories give you a little hope Darla, if you happen to be reading
this?

Take care,

Shaz x
> Darla,
>
[quoted text clipped - 15 lines]
> >
> > Darla
 
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