Postoperative Issues Related to Breast Masses
Hello Doctor, I underwent a breast tumor excision surgery last October, and the biopsy revealed it was a phyllodes tumor.
During my postoperative follow-up, the doctor told me that I could wash the area and not to remove the adhesive, but did not provide instructions on how to manage the cosmetic adhesive, only mentioning that it was sutured in place and should not be disturbed to avoid wound dehiscence.
There was no further mention of follow-up appointments.
I initially thought it would heal over time and the adhesive would fall off on its own, but it has been over four months, and only a small piece has come off.
The area appears to have healed, but the spot where the lump was remains firm, feeling as if no surgery had been performed.
Is this normal, or could it have regrown in these months? I have heard that phyllodes tumors have a high recurrence rate...
Also, how should I manage the cosmetic adhesive? Should I just leave it and let it fall off eventually?
Lin, 20~29 year old female. Ask Date: 2019/03/18
Dr. Li Zhonghuai reply Surgery
Hello, the phyllodes tumor requires close monitoring.
The area where the mass was located still feels hard.
It is recommended to return for a follow-up as soon as possible.
After surgery, there will be swelling for a period of time, but it has been five months; how has the situation changed in these five months? Please return for a follow-up promptly.
The cosmetic gel is only to reduce tension after the wound has healed, making the scar less noticeable; just change it when it gets dirty.
Take care! Changhua Hospital cares about you!
Reply Date: 2019/03/18
More Info
Dear Patient,
Thank you for reaching out with your concerns regarding your post-surgery recovery after the removal of a phyllodes tumor. It's understandable to have questions about the healing process, especially considering the nature of the tumor and the surgical procedure involved.
First and foremost, it's important to clarify that the healing process can vary significantly from person to person. After a surgical procedure like yours, it is not uncommon for the area where the tumor was removed to feel firm or hard for an extended period. This firmness can be due to several factors, including scar tissue formation, inflammation, or residual changes in the tissue where the tumor was excised. In many cases, this hardening will gradually resolve over time as the body continues to heal.
Regarding your concern about the recurrence of the tumor, phyllodes tumors can indeed have a higher rate of recurrence compared to other types of breast tumors. However, the likelihood of recurrence depends on various factors, including the tumor's size, grade, and whether the margins were clear during the surgery. If your surgeon indicated that the margins were clear, this is a positive sign. Regular follow-up appointments and imaging studies are essential to monitor for any signs of recurrence. If you have not been scheduled for follow-up visits, I recommend contacting your healthcare provider to discuss your concerns and establish a follow-up plan.
As for the surgical adhesive or "beauty glue" that you mentioned, it is common for such adhesives to remain on the skin for some time after surgery. These adhesives are designed to dissolve or fall off on their own as the skin heals. If the adhesive is still present after four months, it may be worth discussing with your doctor. They can assess whether it is appropriate to leave it in place or if it should be removed. It is crucial not to attempt to remove it yourself, as this could risk opening the wound or causing irritation.
In terms of managing the area post-surgery, here are some general recommendations:
1. Keep the Area Clean: Follow your doctor's advice regarding cleaning the area. If you have been advised to rinse it, ensure you do so gently to avoid disrupting the healing tissue.
2. Monitor for Changes: Keep an eye on the area for any changes, such as increased redness, swelling, or discharge, which could indicate infection or other complications.
3. Avoid Strain: Refrain from activities that may strain the surgical site, especially heavy lifting or vigorous exercise, until you receive clearance from your healthcare provider.
4. Follow-Up Care: If you have concerns about the hardness of the area or any other symptoms, do not hesitate to reach out to your healthcare provider. They may recommend imaging studies, such as an ultrasound, to evaluate the area further.
5. Emotional Support: Dealing with a diagnosis like a phyllodes tumor can be emotionally taxing. Consider seeking support from friends, family, or support groups for individuals who have undergone similar experiences.
In conclusion, while it is normal for the surgical site to feel firm and for the adhesive to take time to dissolve, it is essential to maintain open communication with your healthcare provider regarding your recovery. They can provide personalized advice and reassurance based on your specific situation. Please do not hesitate to reach out for further clarification or to schedule a follow-up appointment.
Wishing you a smooth recovery and good health.
Best regards,
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