Radiotherapy on lymphoedema

Following lumpectomy in April this year I have developed lymphoedema in my breast and arm. Is it ok to have radiotherapy on the lymphoedema? I’m doing self massage and have a compression sleeve for my arm and hand.

Hi longmuir1949

Thanks for your post asking if it’s okay to have radiotherapy if you have lymphoedema .

Radiotherapy is usually given after surgery to reduce the risk of breast cancer returning (recurrence), like all treatments radiotherapy has side effects. Swelling and lymphoedema of the breast are both possible side effects. You say you had surgery in April, but it’s not clear if you have had any previous radiotherapy. Your breast care nurse or treatment team will be best placed to discuss about having radiotherapy in the area that you already have lymphoedema.

Lymphoedema is swelling caused by a build-up of lymph fluid in the surface tissues of the body. This can happen as a result of damage to the lymphatic system following surgery to the breast or armpit (axilla). It sounds like you may have already been seen by a lymphoedema specialist for self-massage advice and a compression sleeve, however, our managing lymphoedema after breast cancer booklet explains more about these. You may also find it helpful to listen to our podcast Living with lymphoedema or read about top tips for managing lymphoedema from someone who has lymphoedema.

Jen Mckenzie is a breast cancer physiotherapist based in Australia and has produced some videos which you may find helpful. The organisation Lymphoedema support network may also have further information that you may find helpful.

We offer a range of free supportive services for anyone who has had a diagnosis of breast cancer which you may be interested in. They include face to face and online courses and events.

Do call our helpline if you would like to talk this through or have any further questions. The helpline team have time to listen, talk things through and signpost you to more support and information if necessary. Your call will be confidential, and the number is free from UK landlines and all mobile networks. The number is 0808 800 6000. If you have hearing or speech difficulties prefix our number with 18001 and the call will go through Relay UK. Our helpline has access to telephone interpreters if language translation is required.

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Best wishes

Helen

Breast Care Nurse

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