4 Things Women With Breast Cancer Should Know About Lymphedema

By Mimi Quade, Owner

Women who have been treated for breast cancer may be at risk for lymphedema, or arm swelling. Not all women who have had breast cancer will develop this side effect, but many will. This months article tests your knowledge of lymphedema.
The following is a self-quiz developed by the American Cancer Society (ACS) to help you gauge your knowledge of the topic.
1. To help prevent and control chronic swelling, you should remember hand and arm precautions
a. for six weeks after discharge.
b. for six months after discharge.
c. until your doctor says you have developed new lymph pathways.
d. until you feel fine.
e. always.
2. To prevent infection in the affected arm (mastectomy side)
a. cut your cuticles every week.
b. wear gloves when working with hot or sharp objects.
c. use an electric shaver.
d. stay out of bright sunlight.
e. b and c only.
3. If swelling appears in the affected arm or hand soon after surgery
a. elevate the arm 45 minutes.
b. call your doctor or nurse immediately.
c. elevate your hand or arm above the level of the heart, then open and close your your hand 15 to 25 times.
d. a and c only.
e. a, b, and c.
4. Call your doctor or nurse
a. if the affected hand, arm, or axilla (underarm) feels hot or is red or swollen.
b. if you develop a temperature over 100.5 F.
c. if you want to shave your underarm with an electric shaver.
d. a and b only.
e. a, b, and c.
Answers
1. e – Always. Remember these precautions to help protect your arm and reduce the risk of lymphedema occurring.
2. e – Wear gloves when working with hot or sharp objects. Use an electric shaver to prevent skin injury. Use a sunblock (SPF of 15 or higher) to prevent sunburn. Do not cut your cuticles; use lotion and a cuticle stick instead.
3. d – a and c only. Elevate your arm 45 minutes, and open and close your hand 15 to 25 times. Repeat this 2 to 3 times.
4. d – a and b only. Call your doctor or nurse if you have symptoms that might mean an infection, such as if the affected arm or axilla feels hot or is red or swollen, or if you develop a fever that is not related to a cold or flu.
If you notice swelling, be sure to take precautions; check with your physician to avoid the negative effects of chronic lymphedema.