Anyone have experience with APBI (Partial Breast Irradiation)?

Posted by daisyviolet @daisyviolet, Sep 6, 2022

Anyone familiar with external partial radiation for early stage BC? I am 8 weeks post lumpectomy and deciding on radiation for my left breast...which has me concerned about my heart. I am 64 years old and my Stage 1 cancer was caught early at 4mm, ER+, PR+, HER2 Neg, Neg Nodes. Might just skip the radiation and try the hormones or skip it all. Totally unsure at this point. Onco 14, and no genetic predisposition.

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Profile picture for Rubyslippers @triciaot

@susanmfc Yes, this process means learning a whole new vocabulary! Seroma, what!?
I am able to view the full mammograms and MRIs and first noticed a round “something” kind of in the middle of the breast on the left non-cancer side that they surgically matched to right. Seems that when the various tissue was cut and brought together a pocket formed. It’s still there - hope is that it won’t harden.

I’m not sure what they’ll recommend for the large seroma, and smaller one on the right. So far it doesn't seem to have absorbed any. From yours and others comments, draining isn’t necessarily a permanent fix.
The surgeon and radiologist had said they prefer not to stick a needle in it because of chance of infection. So it’s a waiting game.

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@triciaot How long have you been waiting? If the surgical area hasn't opened, you should be ok. Did you have radiation before or after surgery?

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Profile picture for ritalu @ritalu

@triciaot How long have you been waiting? If the surgical area hasn't opened, you should be ok. Did you have radiation before or after surgery?

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@ritalu First surgery in 2022, smaller seroma internal left breast, radiation to LOQ right breast only. Second surgery 2 years later on right breast. Two seromas along suture line - that skin was in the radiated area. It’s been 15 months since that surgery. There are no breaks in the skin.
The surgeon never said to put compression on it, but I did go to PT for a while. She suggested this really interesting bumpy silicone pad that can be put in the bra. I bought it from Amazon, Amoena Lymph Flow Silicone Pressure Pad - Compression Pad. The bumpy side is intended to break up the fluid, help it flow - at that time I did not know what I had was a seroma. PT was prescribed to soften the sutures and reduce chance of developing ridged lines. She also suggested Roylan mini massager, it has a nice small surface and light vibration to press along breast area. Not very expensive, also available on Amazon.
@susanmfc The decisions are difficult especially because the true outcome is pretty unknown. I’m on tamoxifen, have mixed feelings about it, but not many issues with the 5 mg.

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Profile picture for Rubyslippers @triciaot

@ritalu First surgery in 2022, smaller seroma internal left breast, radiation to LOQ right breast only. Second surgery 2 years later on right breast. Two seromas along suture line - that skin was in the radiated area. It’s been 15 months since that surgery. There are no breaks in the skin.
The surgeon never said to put compression on it, but I did go to PT for a while. She suggested this really interesting bumpy silicone pad that can be put in the bra. I bought it from Amazon, Amoena Lymph Flow Silicone Pressure Pad - Compression Pad. The bumpy side is intended to break up the fluid, help it flow - at that time I did not know what I had was a seroma. PT was prescribed to soften the sutures and reduce chance of developing ridged lines. She also suggested Roylan mini massager, it has a nice small surface and light vibration to press along breast area. Not very expensive, also available on Amazon.
@susanmfc The decisions are difficult especially because the true outcome is pretty unknown. I’m on tamoxifen, have mixed feelings about it, but not many issues with the 5 mg.

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@triciaot Thank you so much. I have not heard of these devices (Silicone Pressure Pad and & Roylan mini massager). I believe my seroma is going to collapse soon. Time will tell.

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