Breast Cancer - Radiotherapy and Lymphedema risk?

My mother is 77 years old and had a double mastectomy (left side - 7 cm lobular cancer; right side - some evidence of cancerous cells)  lymph axillary clearance and right lymph dissection at the end of October this year.  On her left side 2 lymph nodes were found to have cancer cells.

She has got her oncotype test results back and her score of 7 so chemotherapy is not recommended. The cancer is highly ER+ and PR+; and HER2-. She started taking Femara 3 days ago. Her oncologist has recommended that she have radiotherapy on her chest wall, the lymph nodes just behind her breastbone. The doctor also said that she is borderline for a recomendation of having the lymph nodes above her collar bone zapped. What experiences do people have of having radiotherapy after having axillary clearance? My mother is concerned about increased the risk of lymphedema if she has radiotherapy on the lymph nodes near her collar bone.

Can anyone offer any advice? My mother is unsure of whether to have the additional radiotherapy.

 

  • Hi Marjan

    I too had bi-lateral breast cancer last year, although I opted for wide area incisions. my lymph nodes were clear but still had three lympth nodes removed and received full breast radiotherapy. I did have pain in arms for a couple of weeks but haven't had anything since and no sign of lymphedema. 

  • Hello and thanks for your reply. I spoke to my mother's oncologist who advised that there is a 15% chance of spread to her collarbone node area and that if my mother is concerned about quality of life (e.g., lymphedema)  then she recommends that she does not have radiotherapy there. She will show my mother how to check the area and if there are any growths, then she has advised that my mother can go ahead and have radiotherapy in that area.

    I hope you are doing well now and experiencing less pain.