Breast Lump Excision: Surgery, Recovery, and Concerns - Surgery

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Breast lump excision?


Hello Doctor, I previously asked questions regarding cases #112982, #113475, and #113684.
After an ultrasound on November 8th, it was found that the tumor size increased from 1.2 cm to 2 cm.
The doctor mentioned that it is growing quite rapidly and recommended complete excision followed by a biopsy.
After discussing with my family, we decided to proceed with the surgery.
I would like to ask if my upcoming menstrual period coinciding with the surgery date will have any impact? Additionally, the doctor mentioned that the incision will be approximately 2.5 cm, but I forgot to ask if stitches will need to be removed afterward.
Lastly, I have been experiencing swollen and painful gums due to teething; will this have any effect? Thank you for your response, Doctor.

Ann, 20~29 year old female. Ask Date: 2016/11/15

Dr. Li Zhonghuai reply Surgery


Hello! There will be no impact.
Whether or not to remove the stitches depends on the type of sutures used.
Take care! Changhua Hospital cares about you!

Reply Date: 2016/11/15

More Info


Dear Patient,
Thank you for your inquiry regarding your upcoming breast lump excision surgery. It's understandable to have concerns about the procedure, recovery, and any potential complications. Let's address your questions one by one.

1. Timing of Surgery and Menstrual Cycle: It is generally advisable to schedule surgery when you are not on your menstrual cycle, as menstruation can sometimes complicate surgical procedures. However, if your surgery coincides with your menstrual period, it typically should not pose a significant risk to the surgery itself. Surgeons are accustomed to working around such schedules, and they can take necessary precautions. If you are experiencing heavy bleeding or severe cramps, it might be worth discussing with your surgeon to see if rescheduling is advisable.

2. Wound Size and Stitch Removal: Regarding the size of your incision, a 2.5 cm wound is relatively standard for a lump excision. Whether or not you will need stitches removed depends on the type of sutures used. If your surgeon uses absorbable sutures, they will dissolve on their own, and no removal will be necessary. If non-absorbable sutures are used, they will need to be removed, typically within 7 to 14 days post-surgery. Your surgeon will provide specific instructions on this during your follow-up appointment.

3. Dental Issues and Surgery: As for your dental concerns, having swollen gums or dental pain should not directly affect your breast surgery. However, it is essential to inform your surgeon about any health issues, including dental problems, as they may want to ensure that you are in optimal health before undergoing anesthesia. If you are experiencing significant discomfort, it might be wise to consult your dentist prior to your surgery.

4. Post-Surgery Recovery: After your surgery, you can expect some swelling and discomfort at the incision site. It is crucial to follow your surgeon's post-operative care instructions, which may include keeping the area clean, monitoring for signs of infection (such as increased redness, swelling, or discharge), and managing pain with prescribed medications. Engaging in light activities is usually encouraged, but heavy lifting and strenuous exercise should be avoided until your surgeon gives you the green light.

5. Potential Complications: As with any surgical procedure, there are risks involved, including infection, bleeding, and delayed healing. It is essential to keep an eye on your incision site and report any unusual symptoms to your healthcare provider promptly. Regular follow-up appointments will help ensure that your recovery is progressing as expected.

6. Emotional Well-being: Lastly, it’s important to acknowledge the emotional aspect of undergoing surgery for a breast lump. It’s normal to feel anxious or worried about the outcome. Consider discussing your feelings with your healthcare team or seeking support from friends, family, or support groups.

In conclusion, while there are several factors to consider regarding your surgery, open communication with your healthcare provider is key. They can provide personalized advice based on your specific health situation. Wishing you a smooth surgery and a speedy recovery!
Best regards,
Doctor Q&A Teams

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