Post-Surgery Concerns: Swelling and Bruising After Breast Cancer Surgery

Postoperative issues?

Hello Doctor, I am a stage II breast cancer patient who just underwent surgery on December 20th to remove the tumor and sentinel lymph nodes.
The surgical site has been healing well, but I am currently experiencing swelling in my breast and armpit areas, with large, dark purple bruises.
Is this considered normal? I would appreciate your response.
Thank you.

Michi, 40~49 year old female. Ask Date: 2023/12/27

Dr. Chen Bingze reply Surgery

Hello, some patients may experience hematoma at the surgical site after the procedure.
Generally, it can be monitored, and during your next follow-up appointment, your physician should check for any accumulation of blood or fluid.

Reply Date: 2023/12/27

More Info

After undergoing surgery for stage II breast cancer, it is not uncommon to experience swelling and bruising in the chest and underarm areas. These symptoms can be attributed to several factors related to the surgical procedure and the body’s healing process.
Firstly, the surgical removal of a tumor and sentinel lymph nodes can lead to trauma in the surrounding tissues, which often results in localized swelling and bruising. The surgical incision, as well as the manipulation of tissues during the procedure, can cause blood vessels to break, leading to bruising. This bruising may appear as dark purple or black areas on the skin, which is a normal response to the trauma of surgery.
Swelling, or edema, is also a typical part of the healing process. After surgery, the body responds by sending fluid to the affected area to aid in healing, which can result in noticeable swelling. This is particularly common in the breast and axillary (underarm) regions due to the removal of lymph nodes, which can disrupt normal lymphatic drainage.
In most cases, these symptoms are temporary and should gradually improve over time. However, it is essential to monitor the swelling and bruising for any signs of complications. If the swelling worsens, if you experience significant pain, or if there are signs of infection (such as increased redness, warmth, or discharge from the incision site), it is crucial to contact your healthcare provider promptly.

Additionally, engaging in gentle movement and exercises as recommended by your healthcare team can help reduce swelling and improve circulation. Physical therapy may also be beneficial in managing post-surgical symptoms and preventing complications such as lymphedema, which is a condition characterized by chronic swelling due to lymph fluid buildup.

In summary, while swelling and bruising after breast cancer surgery can be concerning, they are often normal parts of the healing process. However, it is always best to keep an open line of communication with your healthcare provider, who can provide personalized advice and reassurance based on your specific situation. If you have any further concerns or if your symptoms change, do not hesitate to reach out for medical advice. Your health and peace of mind are paramount during your recovery journey.

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