Post-operative issues related to breast fibroadenoma?
Hello Doctor, I would like to consult you.
I just had surgery for a breast fibroadenoma last week, and it was a minimally invasive procedure.
I had a follow-up appointment three days post-surgery, and there were no significant issues or palpable lumps.
However, I have noticed that a lump has reappeared at the surgical site in the past few days.
Could you please explain the reason for this? Thank you.
Zeng, 20~29 year old female. Ask Date: 2018/08/17
Dr. Li Zhonghuai reply Surgery
Hello! A slight swelling of the surgical wound is acceptable; if there is no redness, you can follow up at the outpatient clinic.
Take care! Changhua Hospital cares about you!
Reply Date: 2018/08/17
More Info
After undergoing a fibroadenoma removal surgery, it is not uncommon to experience some changes in the texture and firmness of the surgical site. The presence of hardness or lumps in the area where the surgery was performed can be attributed to several factors, primarily related to the body's healing process.
Firstly, during the healing phase, the body forms scar tissue as part of the natural recovery process. This scar tissue can feel firmer than the surrounding tissue, leading to the sensation of a hard lump. This is particularly true after minimally invasive procedures, where the body may respond by creating a localized area of fibrosis (thickening and scarring of connective tissue). The hardness you are feeling could be a result of this normal healing process.
Additionally, the formation of hematomas (localized collections of blood outside of blood vessels) can occur post-surgery. If there was any bleeding during or after the procedure, blood can accumulate in the tissue, leading to a hard lump. Hematomas may resolve on their own over time, but if they become large or painful, further evaluation may be necessary.
Another possibility is the development of seromas, which are pockets of clear fluid that can accumulate in the surgical area. Like hematomas, seromas can create a feeling of fullness or hardness, and they may also resolve spontaneously. However, if a seroma persists or causes discomfort, it may require drainage.
It's also important to consider that tenderness or discomfort around the surgical site can be a normal part of the healing process. As the nerves and tissues heal, you may experience varying sensations, including hardness, tenderness, or even numbness. These sensations can fluctuate as your body continues to heal.
In terms of what to do next, it is advisable to maintain regular follow-up appointments with your surgeon or healthcare provider. They can perform a physical examination to assess the surgical site and determine whether the hardness is a normal part of healing or if further investigation is needed. Imaging studies, such as an ultrasound, may be utilized to evaluate the area if there are concerns about the nature of the lump.
In summary, the hardness you are experiencing after fibroadenoma removal is likely a normal part of the healing process, resulting from scar tissue formation, possible hematomas, or seromas. However, it is essential to keep an open line of communication with your healthcare provider to ensure that your recovery is progressing as expected and to address any concerns you may have. Regular monitoring and follow-up care are crucial in ensuring a smooth recovery and identifying any potential complications early on.
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