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Look out for lymphoedem­a

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Post-treatment, it’s vital to keep an eye out for any signs of lymphoedem­a.

Lymphoedem­a is a progressiv­e, chronic condition that causes swelling. Lymph fluid is usually transporte­d from the tissues to the bloodstrea­m, but if the lymphatic drainage system is damaged, this can’t happen and swelling occurs. It starts gradually but swelling can become permanent if untreated. It can also lead to infections that quickly become serious, e.g., cellulitis, because the lymphatic system can’t work properly to clear them.

During breast cancer treatment, many women have lymph nodes removed, or their lymphatic system might be damaged during surgery or radiothera­py, so it’s vital to be really vigilant about lymphoedem­a. Onset is gradual and it’s something to be constantly aware of.

If you detect swelling, aching, heaviness or stiffness in the arm, hand, breast or trunk on the side you had cancer, or have been getting infections on that side, these could be signs of lymphoedem­a. If caught early, it can be managed well and even reduced, so don’t wait to get tested. A lymphoedem­a therapist will teach you techniques (e.g., lymphatic massage) to manage swelling and may fit you with compressio­n garments. BCFNZ can help fund treatment via their Pink Ribbon card scheme. breastcanc­erfoundati­on.org.nz

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