Post-Surgery Hard Lumps After Fibroadenoma Removal

Postoperative wound after a fibroepithelial tumor excision?

Hello doctor, I underwent a fibroepithelial tumor surgery on August 22, and the postoperative biopsy also confirmed it as a benign fibroepithelial tumor.
However, recently when I pressed on the wound, I noticed a lump inside my breast (the area where the surgery was performed).
I would like to ask what this lump might be.
Thank you.

Lai Xiaojie, 20~29 year old female. Ask Date: 2016/09/04

Dr. Li Zhonghuai reply Surgery

Hello! After surgery, the tissue may feel firm during the healing process, but it will gradually soften over time.
Regular follow-up appointments for monitoring are recommended.
Wishing you well! Changhua Hospital cares about you!

Reply Date: 2016/09/04

More Info

After undergoing surgery for a fibroadenoma, it is not uncommon to notice the presence of hard lumps in the breast tissue at the surgical site. These lumps can be attributed to several factors related to the healing process and the body's response to surgery.

Firstly, the hard lump you are feeling could be a result of post-surgical changes in the breast tissue. When a fibroadenoma is removed, the surrounding tissue may undergo a process called fibrosis, where the body produces scar tissue as part of the healing process. This can lead to the formation of a firm or hard area at the surgical site. It is important to note that this is generally a normal part of healing and does not necessarily indicate a problem.

Additionally, the presence of a hard lump could also be due to localized swelling or edema that occurs after surgery. The surgical procedure can cause trauma to the tissue, leading to inflammation and fluid accumulation. This swelling may feel firm to the touch and can take time to resolve as the body heals.

In some cases, the hard lump may also be related to the formation of a hematoma, which is a localized collection of blood outside of blood vessels that can occur after surgery. Hematomas can feel firm and may take time to be reabsorbed by the body. If the hematoma is small and not causing any significant symptoms, it may resolve on its own without the need for intervention.

While it is reassuring that your biopsy results indicated a benign fibroadenoma, it is still important to monitor the lump for any changes. If the lump persists, increases in size, or is accompanied by other symptoms such as pain, redness, or discharge, it is advisable to follow up with your healthcare provider. They may recommend imaging studies, such as an ultrasound, to assess the lump further and ensure that it is not indicative of any complications.

In terms of recovery, it is essential to give your body time to heal. The firmness you are experiencing may gradually soften as the healing progresses. Engaging in gentle breast massage may help improve circulation and promote healing, but it is crucial to do this carefully and avoid any aggressive manipulation of the area.

In conclusion, the hard lump you are feeling after your fibroadenoma surgery is likely a normal part of the healing process, resulting from fibrosis, swelling, or possibly a hematoma. It is important to keep an eye on it and maintain open communication with your healthcare provider regarding any concerns you may have. They can provide personalized advice and reassurance as you continue your recovery. Remember that healing can take time, and patience is key during this period.

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