Mass in upper arm + Lymphodema

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Hi, I am new to the forum.

Background  story my wife was diagnosed with low grade follicular NHL nearly 5 years ago. She has been OK but 6 months ago she started to get a pain in her upper arm which began to swell during the day, then go down during the night after a couple of months. Not really bothering her much initially it has got much worse.

She saw the Specialist nurse in August and she thought it could be a blood clot so had an ultrasound scan and a CT scan which was reported as negative so the consultant said go back to the GP. All the while there has been a mass getting bigger under here upper arm and the pain and lymphoedema  getting worse.

Took another 6 weeks for another USS and he suspected Sarcoma. The Sarcoma team thinks its Lymphoma related so referred back to them. They have now taken it more seriously and has to have a biopsy tomorrow which will be very painful, and she has to have a PET scan.

She cannot use her arm for anything now, and cannot touch or move it, having to wear my T shirts and coat. The pain is horrendous and is on codeine.

If it is lymphoma related do they operate to remove the mass, or is it chemo based treatment? She is very disabled at the moment.

Thanks

  • Hi  and a warm welcome to this corner of the Community although I am sorry to see you joining us and to hear about your wife……. I am Mike and I help out around our various Lymphoma groups. 

    I don’t have Follicular Lymphoma (FL) but for some context I was diagnosed way back in 1999 at 43 with a rare (8 in a million) incurable but treatable type of Cutaneous T-Cell NHL (a type of slow growing Low-grade non-Hodgkin lymphoma) ……. eventually reaching Stage 4a in late 2013 when a second, also rare (4 in a million) type of aggressive Peripheral T-Cell - NOS NHL (a type of fast growing High-grade non-Hodgkin lymphoma) was then presenting so although my Lymphoma ‘type’ is different I most definitely appreciate the challenges of this journey rather well.

    As you will know Lymphoma is a blood cancer and basically it can’t be cut out…… although surgery can be used if there is immediate risk to life……. Chemotherapy is one of the main weapons that are used to treat this as well as targeted therapy and radiotherapy.

    Back in late 2013…… by the time I went for my first chemotherapy it looked like I had swallowed a brick!! It was something out of a Tom and Jerry film.

    My jaw had seized, my gums had swollen and were coming up to cover my teeth. I was having great difficulty eating and was living on a liquid diet and my breathing was being restricted and the pain was off the scale.

    I had an initial 15min blast of chemo and that got me through our family Christmas. It was amazing the difference that first a Chemo blast made to the point I actually had some Christmas dinner.

    This is going to take time as the biopsy and PET scan are needed to check exactly what this is and also to check that her low-grade FL has not transformed into a different type of Lymphoma often a more aggressive high-grade NHL - yes this often happens.

    Mike (Thehighlander)

    It always seems impossible until its done - Nelson Mandela

    Community Champion Badge

  • So sorry to hear of this. As difficult as it may seem, one must take a day at a time and allow the biopsy to determine exactly what is occurring. Once the problem is identified, possible courses of action may then be considered. There has been a marked increase in clotting in the past few years, and one certainly wants to eliminate that possibility.

    ______________________________________________________________________
    One cancer (PTCL-NOS) 3 times. Two other cancers: Angioimmunoblastic T-Cell Lymphoma 2 times, and 20q deletion MyeloDysplastic Syndrome) were chemo refractory. All three cancers simultaneously in 2015. Stage IV twice + MDS @ 23% of marrow. 12/22 diagnosed with Squamous Cell Carcinoma. Thus far, 14+ years, 20 drugs, 4 clinical trials, Total Body Irradiation, 1,000+ years of background radiation from scans. 7th remission so far. Haploidentical stem cell transplant, acute > chronic Graft-versus-Host-disease. Currently receiving my 7th GvHD regimen.

  • Thanks for your reply.

    The biopsy couldn't be done due to her arm being so swollen, painful and immobile. He could se the mass but couldn't get her arm in the correct position. They said PET/CAT scan may show it up enough which she had yesterday.

    I think its lymphoma related, and a lymph node is blocked causing the lymphedema, but something is blocking the lymphatic system in that arm. 

  • Thanks for your reply

  • Let's look for a plan to be put together to move this forward.

    Mike (Thehighlander)

    It always seems impossible until its done - Nelson Mandela

    Community Champion Badge

  • I am 100% with Mike on this. Please press for an answer, as such edema greatly increases the chance of a thrombus. Being hat close to the lungs and heart, the risk would appear to be substantial.

    ______________________________________________________________________
    One cancer (PTCL-NOS) 3 times. Two other cancers: Angioimmunoblastic T-Cell Lymphoma 2 times, and 20q deletion MyeloDysplastic Syndrome) were chemo refractory. All three cancers simultaneously in 2015. Stage IV twice + MDS @ 23% of marrow. 12/22 diagnosed with Squamous Cell Carcinoma. Thus far, 14+ years, 20 drugs, 4 clinical trials, Total Body Irradiation, 1,000+ years of background radiation from scans. 7th remission so far. Haploidentical stem cell transplant, acute > chronic Graft-versus-Host-disease. Currently receiving my 7th GvHD regimen.