Post-Surgery Pain and Complications After Breast Biopsy - Surgery

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Breast biopsy surgery


Hello Doctor: About a month ago, I underwent a breast calcification localization excision surgery.
The surgical wound healed well, but a month later, I have been experiencing some pain below the wound, and I can feel a protrusion that resembles a varicose vein, extending downward (it has reached below the rib cage).
Is this a hematoma? Does it require treatment? I would appreciate your response, thank you!

Lin, 50~59 year old female. Ask Date: 2020/02/15

Dr. Li Zhonghuai reply Surgery


Hello! The wound is healing well, and since it has been over a month, the likelihood of a hematoma is low.
It is recommended to follow up with your original surgeon for an ultrasound.
Take care! Changhua Hospital cares about you!

Reply Date: 2020/02/15

More Info


Post-surgery pain and complications are common concerns for patients who have undergone breast procedures, such as a breast biopsy or excision of calcifications. It is important to understand that experiencing some degree of pain or discomfort after surgery is generally considered normal, as the body goes through a healing process. However, specific symptoms, such as the ones you described, warrant further investigation.

In your case, the presence of pain one month after surgery, along with a noticeable protrusion that resembles a varicose vein extending down toward the ribcage, raises a few possibilities. One potential explanation for this symptom is the formation of a hematoma, which is a localized collection of blood outside of blood vessels. Hematomas can occur after surgical procedures due to bleeding, and they may present as a lump or swelling in the area. They can sometimes cause discomfort or pain, especially if they are pressing on surrounding tissues or nerves.

Another possibility is that the protrusion you are feeling could be related to scar tissue formation or fibrosis. After surgery, the body creates scar tissue as part of the healing process, and this can sometimes lead to areas of tightness or discomfort. In some cases, the scar tissue can become more pronounced and may feel like a firm band or cord under the skin.

Regardless of the cause, it is essential to monitor your symptoms closely. If the pain persists, worsens, or if you notice any changes in the appearance of the area (such as increased swelling, redness, or warmth), it is advisable to seek medical attention. A healthcare professional can perform a physical examination and may recommend imaging studies, such as an ultrasound, to assess the area more thoroughly. This will help determine whether the protrusion is indeed a hematoma, scar tissue, or something else entirely.

In terms of treatment, if a hematoma is confirmed, the management may vary depending on its size and symptoms. Small hematomas often resolve on their own without intervention, while larger or symptomatic ones may require drainage. If the issue is related to scar tissue, physical therapy or specific exercises may be recommended to help improve mobility and reduce discomfort.

Additionally, it is important to follow post-operative care instructions provided by your surgeon, including any recommendations for activity restrictions, wound care, and follow-up appointments. Keeping your healthcare provider informed about any new or ongoing symptoms is crucial for ensuring proper healing and addressing any complications that may arise.

In summary, while some pain and discomfort after breast surgery can be normal, the specific symptoms you are experiencing should be evaluated by a healthcare professional. They can provide a proper diagnosis and recommend appropriate treatment options to help alleviate your concerns and promote healing. Always prioritize open communication with your healthcare team to ensure the best possible outcomes following your surgery.

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