In inflammatory breast cancer, cancer has spread to the skin of the breast and the breast looks red and swollen and feels warm. The redness and warmth occur because the cancer cells block the lymph vessels in the skin. The skin of the breast may also show the dimpled appearance called peau d'orange (like the skin of an orange). There may not be any lumps in the breast that can be felt. Inflammatory breast cancer may be stage IIIB, stage IIIC, or stage IV.
Infection, including redness and/or swelling of the incision with pus or foul-smelling drainage, perhaps with fever; antibiotics can be used to treat post-surgical infections.
Lymphedema, swelling of the arm and/or hand on the side of the surgery due to the removal of the lymph nodes under the arm; lymphedema often goes away on its own, but sometimes requires treatment. Treatment is usually provided by physical or occupational therapists and includes:
Manually draining the fluid
Caring for the skin
Exercising the arm
Wearing compression bandages to keep the swelling from recurring
Seroma, the accumulation of fluid in the location of the surgery; most of the time the fluid is absorbed by the body. However, the area may be drained, using a needle, if it does not go away on its own.
Other complications may include stiffness of the shoulder and possible numbness or altered sensation in the upper arm or armpit.
Before breast cancer surgery, your surgeon should provide you with information about recovery and follow-up care. Make sure you get all your questions answered before surgery.
Print out these Questions to Ask to take to your appointment so you can better understand your care.