Recurrence After Benign Fibroadenoma Surgery: What to Expect - Surgery

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Benign fibrous tumor


A few months ago, I underwent minimally invasive surgery to remove a benign breast fibroadenoma.
However, the area where it was removed seems to have developed a large lump again.
I would like to know if this is part of the healing process or something else.

Esther, 20~29 year old female. Ask Date: 2017/07/29

Dr. Yu Mingchang reply Surgery


Hello: Please come to the breast clinic for follow-up examinations at Changhua Hospital, Ministry of Health and Welfare.
We care about you.

Reply Date: 2017/07/29

More Info


After undergoing minimally invasive surgery to remove a benign breast fibroadenoma, it is not uncommon to experience some changes in the area where the tumor was excised. The presence of a new lump or swelling can be concerning, and it is essential to understand the potential reasons behind this phenomenon.

Firstly, it is important to recognize that the healing process after surgery can lead to the formation of scar tissue, which may feel like a lump. This scar tissue is a normal part of the healing process and can take several months to mature. During this time, the area may feel firm or even appear swollen. This is often referred to as "post-surgical fibrosis," and while it can be alarming, it is usually benign and resolves over time.

However, it is also crucial to differentiate between normal post-operative changes and the possibility of recurrence or the development of a new fibroadenoma. Fibroadenomas are benign tumors that can recur, especially in individuals who have a history of them. The recurrence rate for fibroadenomas is generally low, but it can happen. If the new lump is indeed a recurrence, it may not necessarily be harmful, but it should be evaluated by a healthcare professional.

To assess the nature of the lump, your doctor may recommend imaging studies such as an ultrasound or mammogram. These imaging techniques can help determine whether the lump is related to scar tissue or if it is a new fibroadenoma or another type of lesion. In some cases, a biopsy may be necessary to obtain a definitive diagnosis.

In terms of what to expect moving forward, it is essential to maintain regular follow-up appointments with your healthcare provider. They can monitor the area and provide guidance on any necessary interventions. If the lump persists or grows, further evaluation will be warranted to ensure that it is not a cause for concern.

In addition to medical follow-up, there are some self-care measures you can take to support your recovery. Gentle massage of the area may help alleviate discomfort and promote circulation, but it is essential to do this cautiously and only if it feels comfortable. Applying warm compresses can also help reduce swelling and promote healing.

In summary, while the appearance of a new lump after fibroadenoma surgery can be concerning, it is often a normal part of the healing process. However, it is crucial to have it evaluated by your healthcare provider to rule out any complications or recurrence. Regular follow-up and monitoring will be key in managing your health and ensuring that any changes are appropriately addressed.

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