m. It got a lot more tender after radiation. Late toxicity was defined as adverse reactions occurring after three months. Breast-conserving surgery (lumpectomy) removes the cancer and just enough tissue to get all the cancer. Some days they are sharp and in the center of the lumpectomy, other times around the outside of it but less sharp . The most common signs are changes in the look or feel of the breast or the nipple and nipple discharge. There can, however, be long-term. You usually have radiotherapy after this. Hope this helps - please, please don't go away and worry about a recurrence as I'm sure you are still having. The pain of the lumpectomy finally gone. A variety of complications may occur after surgical treatment for breast cancer, one such complication is chronic pain, which may. (the incision was made along the nipple). Postmastectomy pain syndrome has been described as a burning, aching or stabbing pain or tightness, which may be exacerbated by movement of the shoulder/shoulder blade. Breast-conserving surgery (lumpectomy) removes the cancer and just enough tissue to get all the cancer. More common than nerve pain is stiffness and diffuse pain. These hormones cause your breasts to swell and can lead to tenderness. In the past, when concern was predominantly on patient survival, this pain. Research shows that about half of women who have breast cancer surgery have continuing pain problems a year or more after surgery. The occurrence of persistent pain following breast cancer surgery is a well-documented pain condition. Sensations like these are normal. Dr. Self-care: Apply ice on your breast for 15 to 20 minutes every hour or as directed. This means that about 66% of the women had mild to severe pain 1 year after breast cancer surgery. Ice application is usually recommended for 10 minutes an hour. If you had breast surgery for breast cancer, such as a lumpectomy, mastectomy, or lymph node removal, and are still experiencing pain, you’re not alone. Lumpectomy is a surgical procedure that carries a risk of side effects, including: Bleeding; Infection; Pain; Temporary swelling; Tenderness; Formation of hard scar tissue at the. You will go home with a breast binder. Hello! It is common for the breast to undergo shrinkage from the radiation. Unfortunately, however, when nipple inversion is present, it is often because the removal of the diseased tissue created a void behind the nipple, and this is. Lymph. Collections of fluid or blood. 0). Breast conservation surgery removes the breast tumor and a margin of surrounding normal tissues. Had ACT/33 rads. Yes, I still get shooting pains that I and my surgeon call phantom pain. Dr. Treatment options might include: Medications, including over-the-counter or prescription pain medications, such as painkillers, drugs used to treat depression and drugs used to prevent seizures A lumpectomy is a surgical procedure that’s performed when you have cancer and need to have some of the cancerous tissue and nearby areas removed. A seroma is a build-up of clear bodily fluids in a place on your body where tissue has been removed by surgery. Dressings. This helped me for sure. The look and feel of your breast will continue to change during the first 1-2 years after surgery and radiation therapy. 6. I also had 2 Sentinel Lymph Nodes removed, in 2008, and that was clear. Breast-conserving surgery is sometimes called lumpectomy, quadrantectomy, partial mastectomy, or segmental mastectomy depending on how much tissue is removed. It can also involve removing lymph nodes in the armpit area if the cancer has spread there or is at risk of spreading there, or if there is. It also caused axial webbing for me about three times now. skin that feels thicker or leathery. For 1 or 2 days after the surgery, you will probably feel tired and have some pain. Adhesions. I’ve had pain in my left breast for at least 4 years now and still remember the night I felt a sharp stabbing pain in my chest. I remember the doctor saying that I could shower the next day. No bc in muscle and clear margins. They can feel like a tight band or ‘ropeyness’ in the armpit, upper arm, elbow, or even the wrist/thumb. Some women have reported. I just finished radiation (and also got a nice case of shingles early on during radiation). The postmastectomy pain syndrome: an epidemiological study on the prevalence of chronic pain after surgery for breast cancer. The phone number to call is 416-480-5000. The past 2 weeks have been very painful. Radiation therapy (usually given after a lumpectomy) can also affect the look of the breast. You may also hear this procedure called by a few other names, such as: Breast-conserving surgery (BCS) When paired with the right surveillance after treatment, a lumpectomy may also be an option for breast cancer patients who carry genetic mutations like BRCA1 and BRCA2 that put them at a greater risk for cancer. ago. The pain can be on one side, in a specific area or around a wide area of the breast. Some women may also have redness or pain in the arm,. I know there were 6 or more metal staples put in my left breast to secure blood vessels. My whole breast aches and the pain goes through to my back. It feels like a burning, sharp, sore, inflamed swollen mess. My pet scans are clear in my breast. INTRODUCTION. The collection of fluid (called seroma) is a normal body process to heal the area. Phantom sensations after mastectomy might not involve pain, but there are reports of 17 per cent of women up to. Symptoms. The trial included 2,262 women with early-stage breast cancer who had a lumpectomy and an elevated risk of recurrence in the same breast. The pain may be due to damage to the intercostobrachial nerve, the lateral. infections like mastitis or a breast abscess. Contact us today by calling (410) 709-3868 and our staff will be glad to assist you. Other symptoms of metastatic breast cancer include: headaches, vision problems, seizures, nausea, or vomiting if it’s spread to. I also had 2 Sentinel Lymph Nodes removed, in 2008, and that was clear. Radiation therapy (usually given after a lumpectomy) can also affect the look of the breast. In Study 1, women who received mastectomy had lower physical functioning than lumpectomy (ps < 0. Lumpectomy is performed under anesthesia; hence, the procedure itself is not painful. 5 years (SD, ± 7. numbness, tingling. It may cause swelling, discoloration, or discomfort. Together we will beat cancer. Many women describe it as feeling like the vibration of a muted cell phone. , 1997, Smith et al. , 1989, de Vries et al. November 2010 #2. You are likely to experience this sensation in either one or both breasts. lumpectomy chest pain. Medically Reviewed by Brunilda Nazario, MD on October 24, 2023. However, long term shooting pain may be due to Post Mastectomy Pain Syndrome. A number of treatment options are available for treating rib pain that continues after breast cancer surgery. 1 Post-mastectomy pain syndrome (PMPS) is a neuropathic condition defined as pain located in the anterior surface of the chest axilla, shoulder or upper half. It also affects the normal cells of the breast as well. I was getting worried but have been reading many women do feel the pain and stabbing sensations a long time after surgery. I have a concern that I need to see if someone has the same problem. sudden, sharp, stabbing, or shock-like pain sensations. The photos below show the breasts of some typical patients who underwent lumpectomy and radiation therapy for treatment at the Comprehensive Breast Program for their breast cancer. Sore throat. I had chemo and radiation. Some people may experience pain in the chest area, armpit, or arm after lumpectomy surgery. ago I was diagnosed with infiltrating ductal carcinoma with 3 positive nodes and had a lumpectomy (left breast) followed by chemo & radiation. with lumpectomy and then re-excision). Make the breast feel firmer. If scar tissue forms around a stitch from surgery it’s called a suture granuloma and also feels like a lump. under the arm and. 7% of the women said they had severe pain. Additional deep breast pain occurred between the first and second physical therapist visits, after the performance of an exercise that, probably, vigorously stretched the operated. 6% in breast cancer after lumpectomy and the locoregional recurrence from 32. Here are some solutions to help you find the. It can also happen after radiotherapy. 2013 Aug 12. The goal of this. Breast pain may be described as: sharp, stabbing or shooting pain. 9 causes of breast pain. A common cause is the limited range of motion that most of us experience immediately after surgery. Try to repeat this exercise 3 to 5 times a day. A lumpectomy also includes removing a small amount of healthy breast tissue around a cancerous tumor. Damage to the ICBN can also happen during other surgeries and radiation therapy in the axillary area. chest pressure uncomfortable squeezing or fullness in the center of the chest that lasts for more than a couple of moments, or that goes away but then comes back trouble. Believe it was a fairly large lumpectomy because it was coded partial mastectomy -- definitely within 3 weeks I had no pain, but the scar line/node area still causes discomfort from time to time and that's been 3 months. In fact, close to 90% of breast cancer treatments may result in one of a number of possible upper-extremity complications, including arm paresthesia, neuropathy, rotator cuff tendonitis and adhesive capsulities, and post mastectomy syndrome. I am really really sore over the breast where the lump was removed. Some common causes of sharp pain in breast. It took weeks for the pain from surgery to go away. Pain may be felt in part or all of a breast. 6. Treatment options might include: Medications, including over-the-counter. Search. I actually jump at times causing my husband to look at me strangely!! Another shared their story of long-lasting pain after breast reconstruction surgery. My lumpectomy healed faster than the wound from the node removal. Severe or ongoing headaches. Undergarments and sleeves fit tighter. Called postmastectomy reconstruction syndrome. I went through chemo from January through April and finished radiation in mid June. This procedure is also called lymph node dissection. numbness or pins and needles. November 2007 edited November 2007. Hi had anyone suffered any new pain several months after lumpectomy? i recovered well but last week it so started to have significant stabbing pains in same breast. The accurate interpretation of images of the postsurgical breast depends on the availability of high-quality pictures and pertinent medical and surgical breast history. Changes to the skin of your breast. 1 kg/m 2 (SD, ± 3. 5 months after Lumpectomy, pain and tenderness. The pain can last for some time. I had a lumpectomy October 31, 2011 and a revision to the surgery in mid-December. Some common causes of sharp pain in breast. December 22, 2020 / 9 Comments. This is called peripheral neuropathy or chemotherapy-induced peripheral neuropathy (CIPN), and it can cause weakness, numbness, pins and needles and, occasionally, burning or shooting pain. 6. but chose to stop taking med. , 1995, Tasmuth et al. The inside of the arm to just above the elbow. There was no lymph node involvement. It usually occurs after trauma, irradiation, or surgical intervention and can be commonly seen in mastectomy patients after revisions, breast reconstruction, implant removal, or infection . It took weeks for the pain from surgery to go away. 1 Introduction. “The pain isn’t constant,” a third member shared in regard to post-lumpectomy pain. This type of pain can also be felt if pressure is applied to the area on the chest wall. Pain in your bones, for example in the back, hips or ribs, that doesn’t get better with pain relief and may be worse at night. Diagnosis. A lumpectomy (also called a breast-conserving surgery, a partial mastectomy or a wide excision) is often done under general anesthesia. I have recently felt a little tightness and some very minor pain but in my scar since I've been diagnosed metastatic to the bone and was very ill. on your affected side, especially at your nipple. This group includes individuals with small nonpalpable tumors detected at screening mammography and those. I don't think the burning is. Hi Renee, I also had Hi Renee, I also had lumpectomy w/ re-excision. I have been so frustrated, but it helps to see that this is still fairly normal. doi: 10. Just wondering if this is normal and if anyone else has notice the swollen and tenderness still especially since its been a year. The patient will likely have pain immediately after surgery as well. Check in with your breast surgeon or the RO, whoever you're meeting with next. Pain from surgery (breast, lymph node or reconstruction), radiation, rotator cuff tendonitis, nerve damage, cording, or other side effects of breast cancer treatment including lymphedema can lead to shoulder underuse, either consciously or subconsciously. Hi I had a lumpectomy in march. Visit the peripheral nerve surgery page or contact our clinic at 734-998-6022 to learn more about. However, you may lose some hair in the underarm area or on the breast or chest area getting radiation (this may be a concern for some men with breast cancer). throbbing. I know there were 6 or more metal staples put in my left breast to secure blood vessels. After undergoing breast cancer surgery, many women experience lasting pain or discomfort in the breast or chest area. While radiation therapy itself isn’t painful, there are side effects that can feel uncomfortable. I just finished radiation (and also got a nice case of shingles early on during radiation). My whole breast aches and the pain goes through to my back. I am experiencing a lot of upper arm pain and armpit pain. The researchers found that. New; Breast cancer forum requires membership for participation - click to join. Skin inflammation or area of redness. Patients generally do not have significant pain after a lumpectomy, but the breast can be swollen, bruised or tender for a few days to a week or two after surgery depending on a patient’s breast size and size of the tumor removed. I remember the doctor saying that I could shower the next day. PMPS is often described as a typical neuropathic pain consisting of burning pain, shooting pain, pain evoked by pressure and deep blunt pain. If you have radiotherapy to the area around your collarbone or near your breastbone, you may develop a sore throat or discomfort when swallowing. As with all operations, bleeding and infection at the surgery site are possible. 1 – 4 This chronic pain is believed to be related to injury of the sensory nerves to the breast, chest, and upper arm/axilla. Causes. Use an ice pack, or put crushed ice in a plastic bag. An herbal oil helped relieve the sting better than anything I tried. Although rare with modern treatment, the side effects below may occur a few months or years after radiation therapy. I’ve had a lumpectomy and lymph nodes removal 14 months ago because of a triple negative breast cancer at 31. Prevention. Summary. Pain in breast years After lumpectomy. It is also known by other names: lumpectomy, partial mastectomy, segmental mastectomy or quadrantectomy. I have more pain in my armpit compared to my breast. numbness. Some health experts refer to it as a noninvasive precancer. 7% of the women said they had severe pain. I am 4. At first I had pain along my arm but now it has moved to my breast. 1136/eb-2013-101418. A lumpectomy is a type of surgery for breast cancer to remove cancer or other abnormal tissue from your breast. My whole breast aches and the pain goes through to my back. While the pain associated with breast surgery resolves in the majority of patients, chronic pain, defined as pain lasting greater than 3–6 months after surgery, affects a significant minority of patients, with an estimated incidence of 20–30%. It ended up being an intraductal papilloma, with a few abnormal features. For the last few days the pain in my breast is awful, but is also radiating down my right side through my ribs, they feel really bruised. It was horrible. my wife is still in excessive pain 3. Posted by beckyf @beckyf, Oct 14 1:26am. Serous fluid is a clear, pale yellow fluid that contains protein but no blood cells or pus. HugsBreast-conserving surgery (lumpectomy) removes the cancer and just enough tissue to get all the cancer. They leave behind as much normal breast tissue as possible. Just over 10% said their symptoms were severe. I went to oncologist yesterday and told her. This may be permanent. Lumpectomy is also. Only the tumor and a small area of normal tissue around it are removed. Anyone else having. This can include not only pain, but non-painful sensations such as itching, heaviness, and more. It may occur: Once the lumpectomy site of your breast "wakes up" after the shock of surgery,it recovers some of it's senses and you can experience discomfort. Fading of scars (although they may always be noticeable) Loss of breast sensation after a mastectomy due to delicate nerves getting severed when the breast tissue is removed. Hormonal fluctuations are the number one reason women have breast pain. What are the causes and different types of pains found after breast surgery? Pain may persist after surgery due to numerous reasons such as surgical injury- nerve or. Things are good for me and I am blessed. After treating patients for 20 years, I am deeply concerned about the pain and associated postural deformity that follows some post -surgical breast patients. Lymphoedema is swelling caused by a build-up of fluid in the body’s tissues. seroma (excessive fluid collection in the lumpectomy cavity), wound healing issues and change in breast size and shape. Most of the time this occurs because of injury to a nerve. Damage to the nerve can cause pain or numbness in the surgical site area. I had a lumpectomy was stage 2, grade 3 er/pr+, 7+nodes and brca2+. That means it lets you to keep your breast shape and, usually, your nipple. , 1999. If you have neuropathic pain, you may feel a shooting or burning. Do check in with your doctor to be on the safe side, but those nerve regeneration areas from surgery can last for years. A dry cough or feeling of breathlessness. After radiation treatment, the breast can remain swollen for months or even years — this is known as edema. The skin around the cut (incision) may feel firm, swollen, and tender, and be bruised. S. They may be diagnosed on ultrasound or other breast imaging. Symptoms can include a tingling sensation, pain, and weakness in the shoulder, arm, and hand. Breast pain when there’s no visible or physical lump may still cause concerns about breast cancer. 26, 2010, on my post-op appt. Sensitivity and Nerve Pain. pain in the surgical scar. normal? 1 doctor answer • 3 doctors weighed inAlmost a year ago I had a lumpectomy in my right breast followed by radiotherapy and I now take tamoxifen. A lumpectomy, also known as a partial mastectomy, is a surgical breast cancer treatment option that aims to preserve healthy breast tissue. Nerve pain 17 years after breast implants. It's a common phenomenon in at least 25 percent of women. Shooting or burning pain going to the nipple can be caused by the stretching of your breast tissue and muscle to accommodate your implants. Tenderness should go away in about 2 or 3 days, and the. . In contrast, during a mastectomy, all of the breast tissue is removed. I don't think the burning is. Most hematomas resolve on their own, but larger ones may require medical attention. They were…. Just tell your doctor and see what he says before too much freaking. You may get a blood clot. Our experience indicates that post-mastectomy. Many patients with breast cancer are candidates for breast conservation therapy. Brachial. Radial Scar. In 1996, Smith et al identified a prevalence rate of PMPS of 43% among 408 women in the Grampian Region, Northeast Scotland. The lump and some of the normal breast tissue around it is. These symptoms are usually temporary and start to get better over a matter of months, but they can be permanent. It usually describes as feeling of burning, stabbing, and pulling around the treatment side. Objective To describe surgeons’ approach to surgical margins for invasive breast cancer, and changes in postlumpectomy surgery rates, and final surgical treatment following a 2014 consensus statement endorsing a margin of. For some people, it may last for 1 or 2 years. Has anyone else experienced this?Initial diagnosis: DCIS left breast Had first lumpectomy. You’re probably right that the pain is nerve regrowth. However, bruising on the breast can also be caused by a hematoma, a pooling of blood that results from injury to larger blood vessels. Laura Esserman, the director of the Carol Franc Buck Breast Care Center in San Francisco, said she was shocked to learn of the prevalence of the problem when one of the speakers at a 2011 symposium she led on the management of breast cancer symptoms said that 20 to 40 percent of women complained of persistent pain after. pain/cording after lumpectomy and SNB. 0% in 1998 to 12. The lumpectomy only took a day or so to heal and no pain but under my left arm pit is really painful. Had lumpectomy about exactly same time. It seems I'm a patient now! 2099218 views 10311 replies Latest: 45 minutes ago by moomy. In 2017, acellular dermal matrix was used in 56% of breast reconstructive procedures, with complication rates similar to operations without AlloDerm. An analysis of 30 past studies has shown that women who have lymph nodes removed are more likely to develop ongoing, or persistent, pain after breast cancer surgery. The swelling commonly affects the arm and can include the hand and fingers. Telling someone on your care team if you’re in pain. 7% of the women said they had severe pain. It can occur in just one breast. 6. Sensations like these are normal. A separate drainage tube is often placed if you have a lymph node dissection. pregnancy. Shooting pains like I was getting before it was removed but worse. Iniah Member Posts: 3. I had to get a LOT of lidocaine shots. Seromas can happen after the following surgeries to treat breast cancer: Seromas can appear about 7 to 10 days after surgery, after the drainage tubes have been removed. You can carry doing these. Katrina, this could be from radiation after effects where the radiation can cause a "ridge" in the breast tissue. You might also have an itchy sensation or numbness as your body heals. About cancerFor enquiries, please call. This procedure preserves breast tissue. sharp shooting pains, hardness in breast Hi, I have just completed 6 weeks of rads, post lumpectomy. This is called peripheral neuropathy or chemotherapy-induced peripheral neuropathy (CIPN), and it can cause weakness, numbness, pins and needles and, occasionally, burning or shooting pain. Long-term localcontrol is achieved in approximately 85% of patients, and the therapy isgenerally well tolerated. Not constant and periodically which I believe involved the implant shifting to my left side (think laying on back sleeping). Symptoms of chest wall pain. and 4 p. If you have any questions, contact a member of your care team directly. So very similar to you. A part of the breast. One theory is that this arises because nerves cut during a mastectomy try to grow back without any place to go. For 1 or 2 days after the surgery, you will probably feel tired and have some pain. The reported prevalence of post-mastectomy pain syndrome (PMPS) ranges from less than 10% to more than 50% of patients after mastectomy. Breast cancer is the most common cancer of women in the United States. Some people have shoulder pain due to nerve damage from radiation therapy or a lumpectomy, mastectomy, or lymph node removal. I had chemo and radiation. The two types of breast cancer most likely to recur are inflammatory breast cancer (IBC) and triple-negative breast cancer (TNBC). Generally, when they have this syndrome, women will feel pain, numbness, and burning under the armpit and across the chest. Importance Surgery after initial lumpectomy to obtain more widely clear margins is common and may lead to mastectomy. “It’s just occasional sharp jabbing pain, like a knife. I have had CHRONIC PAIN since lumpectomy! Used Duragesic pain patch for 1 yr. Most women can return to normal activities within a few weeks of surgery. It is tender to touch and if I try to bend down or tip on my side I get a strong burning pressure and it. After surgery, it's important to follow your doctor’s instructions carefully for a speedy recovery. We offer a support group at our Evelyn H. Sunday, March 12, 2023. I haven't stretched my arms and upper chest so I feel like it's coming from that. This is because while radiation destroys cancer cells, it also. Signs and symptoms of local recurrence on the chest wall after a mastectomy may include: One or more painless nodules on or under the skin of your chest wall. Summary: Nearly 50 percent of women surveyed indicate they experience pain symptoms 2 to 3 years after breast cancer treatment, with women who were younger or. Shooting pain or pins and needles. I sometimes. Apparently this is quite normal and can go on for 5 years. 24 However, considerable variation in the precise definition of this pain condition has limited the identification of definitive risk factors. I hopped in, screamed when the water hit my breast and I was right back out. Other signs include: swelling of the chest wall. I did chemo, rads and had a mastectomy a year ago with diep reconstruction. The mean age of patients with breast cancer who underwent breast reconstruction after partial or total mastectomy was 45. With a lumpectomy, it’s not so much the outer scars which feel like an issue right now as the stitches inside my body. In one study, just over 40% of participants reported symptoms of neuropathy 2 years after taxane-based chemotherapy to treat breast cancer. Feeling much more tired than usual. A lumpectomy is known as “breast-conserving” surgery. I've been told that one is a seroma, but I am experiencing sharp pains, tenderness dull aches in these spots. My whole breast aches and the pain goes through to my back. Has anyone else experienced this?Almost a year ago I had a lumpectomy in my right breast followed by radiotherapy and I now take tamoxifen. ” In addition, pain medications prescribed after breast surgery may cause itching as a side effect. More than 50% of women will have pain one year after treatment. will have had a diagnosis of invasive breast cancer in their lifetime. It seriously affects quality of life. A new lump with the onset of the pain; lump does not go away after your menstrual period. Tiredness is probably the most common side effect of breast cancer treatment. December 2016 edited December 2016. Even in skilled surgical hands, about 30% of patients develop lymphedema after lymph node dissection, in which 5-30 lymph nodes. lumpectomy was done July 6, reexicion for margians on July 27th and was reopened on August 17th due to an infection. Breast-conserving surgery is sometimes called lumpectomy, quadrantectomy, partial mastectomy, or segmental mastectomy depending on how much tissue is removed. Appointments: You can expect to have a follow-up appointment with your breast cancer surgeon or oncologist (specialist who diagnoses and treats cancer) one to two weeks after your surgery. I had a lumpectomy in 2008 for stage 1 breast cancer in my left breast. Scars or dimples. It is important to recognize the signs and symptoms of potentially life-threatening conditions, such as a pulmonary embolism (sudden blockage in your. , during the weekend, or on a holiday, call 212-639-2000. Charlotteanne over 2 years ago. org. The stinging and shooting pains from my lumpectomy went on for months. For many people, breast reconstruction is an important part of their. Nerve damage. You will have some pain after breast surgery (lumpectomy, mastectomy or breast reconstruction). It is considered "breast-conserving" surgery because only the malignant tumor and a surrounding margin of normal breast tissue are removed. 5 years after Mammogram Mammography tech's do not believe some women have intense pain during mammogaphy information of breast cancer Pain after mammogram Breast Pain After Mammogram burning and peeling skin on face after mammogram Pain after mammogram, It's been 8 days now and I'm wondering if. When pathology came back my diagnosis was changed to Invasive Ductal Carcinoma and I was told I'd need to have a second lumpectomy, which they scheduled for later that week to get bigger margins or whatever it's called. 5C or below 36C red or swollen breast your breast feels warm a painful breast fluid seeping from the wound (discharge). . Hi everyone, I’m here tonight cos I’ve been looking for support and reassurance. Pain from surgery (breast, lymph node or reconstruction), radiation, rotator cuff tendonitis, nerve damage, cording, or other side effects of breast cancer treatment including lymphedema can lead to shoulder underuse, either consciously or subconsciously. Here I am, 9 weeks out from lumpectomy (7 weeks out from follow-up surgery to place drains) and I still get shots of pain in the breast. Mine is, especially around the areola which is where the tumor was removed from. A fibroadenoma is a common type of benign or noncancerous lump that can develop in the breast. Risk factors for recurrence included higher tumor grade, being younger than 50 years old, having cancer in lymph nodes in the armpit region, and having a hormone receptor–negative breast cancer. Sensations or Pain After Breast Cancer Surgery. Self-Advocacy. Lumpectomy. Hi all. The old term, Post-Mastectomy (after breast. Other causes of a rash include an allergy or infection. Some symptoms to be aware of include: Unexpected weight loss and a loss of appetite. 05), and those who received bilateral mastectomy had worse pain (p < 0. Wire Guided Localization Before Lumpectomy. New breast pain 20 years post lumpectomy.