Are the symptoms of trunk edema different than arm edema?
A. Although lymphedema is usually identified by swelling, there are typically other symptoms that are present before the onset of visible edema. Altered sensations in the breast and trunk can occur prior to the onset of swelling. These may include, but are not limited to, pins and needles, numbness, aching, and diffuse fullness.(1) The location of pain or discomfort may be ambiguous, as well, and may be outside of the immediate surgical site. It is not uncommon to experience edema in the armpit, around the scapular region, along the lateral chest wall, or around and including a reconstructed breast or implant. The affected breast may be larger than the unaffected breast, creating discomfort with bra or clothing fit. Pitting and fibrosis (hardening of tissue) may or may not be present. However, if fibrosis is present, it can appear on the trunk or breast. It has been reported that lymphedema of the breast also may mimic an infection and, in extreme cases, inflammatory breast cancer.(5)
