Problems with arms are common after breast surgery. Lymphedema is a frequent complication in elderly women treated for breast cancer
Tengrup, I.; Nittby, L.T.; Christiansson, I.; Laurin, M.
Lakartidningen 96(46): 5089-5091
1999
ISSN/ISBN: 0023-7205 PMID: 10608134 Document Number: 503923
75 women aged 70 years or more at the time of operation for breast carcinoma were monitored regarding arm morbidity; median follow-up was three years. 19 women (25%) developed lymphedema; of these, nine belonged to a group of 12 that had undergone both modified radical mastectomy and postoperative radiotherapy. Of this group of 12, ten had impaired arm mobility. Approximately 30% of those with lymphedema had not been identified at routine follow-up, while 20% reported moderate to severe pain. 15 of the 75 reported numbness and pricking sensations in the arm; of these, only one had lymphedema, while six had impaired arm mobility. Having thus found that a substantial number of elderly women experience complications in the upper extremity after primary treatment for breast carcinoma, we feel it essential to consider these factors when planning treatment protocols.