Breast Masses: Healing or Hormonal Changes?

Q: Breast Masses: Healing or Hormonal Changes?

Hello： It is normal to feel a sense of hardness when touching the surgical wound during the initial healing process, as fibrosis and scar tissue will develop.

Breast lump

Hello Doctor: I have a mass of 0.66 in my left breast, and I had a biopsy done a week ago.
The results came back benign.
I would like to ask if the noticeable hardness I feel at the biopsy site is due to the healing of the tissue, or could it be related to my menstrual period approaching on the 25th? Thank you.

shungyu, 30~39 year old female. Ask Date: 2017/01/22

Dr. Xu Kaixi reply Surgery

Hello: It is normal to feel a sense of hardness when touching the surgical wound during the initial healing process, as fibrosis and scar tissue will develop.

Reply Date: 2017/01/22

More Info

Understanding breast masses, particularly after a biopsy, can be a source of concern for many patients. In your case, you mentioned that you have a benign mass measuring 0.66 cm in your left breast, and you recently underwent a biopsy. It is common to feel a noticeable hard lump at the biopsy site, and there are a few factors that could contribute to this sensation.

Firstly, after a biopsy, the body initiates a healing process. This process can involve inflammation, which is a normal response to any injury, including the trauma caused by a needle during a biopsy. The area around the biopsy site may become firm as the body works to repair the tissue. This firmness is often due to the accumulation of scar tissue, which can develop as part of the healing process. It is not unusual for this hard area to persist for several weeks or even months after the procedure.

Secondly, hormonal changes associated with your menstrual cycle can also affect breast tissue. The breast is sensitive to hormonal fluctuations, particularly estrogen and progesterone, which can cause changes in breast density and texture. As you approach your menstrual period, you may experience breast tenderness, swelling, or changes in the firmness of the breast tissue. This could contribute to the sensation of a hard lump at the biopsy site.

It is essential to monitor the area for any changes. If the hardness persists or if you notice any new symptoms such as increased pain, redness, or swelling, it would be prudent to follow up with your healthcare provider. They may recommend an ultrasound or additional imaging to ensure that the area is healing appropriately and that there are no complications.

In summary, the hard lump you are feeling at the biopsy site is likely a combination of the healing process and hormonal changes related to your menstrual cycle. Since the biopsy results indicate that the mass is benign, this is reassuring. However, maintaining open communication with your healthcare provider is crucial for ongoing monitoring and peace of mind. Regular follow-ups and self-examinations are essential components of breast health, particularly after any breast procedure. If you have any further questions or concerns, do not hesitate to reach out to your doctor for personalized advice and guidance.

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