Post-Surgery Concerns: Subcutaneous Tumor Removal Recovery

Postoperative care after subcutaneous tumor excision?

Due to a subcutaneous tumor in the thigh, surgery was performed on February 4th for excision.
During the follow-up visit to discuss the pathology report, it was confirmed to be nodular fasciitis measuring 2x1.2x0.9 cm.
It has been 16 days since the surgery, and I have noticed that the area above the sutured wound feels hard to the touch, and there is a palpable mass underneath, approximately covering the entire area of the sutured wound.
Is this considered normal, or should I schedule another follow-up appointment?

Niming, 20~29 year old female. Ask Date: 2020/02/20

Dr. Li Zhonghuai reply Surgery

Hello! After surgery, the wound may swell for a while, but as long as there are no signs of infection, everything is fine.
Take care! Changhua Hospital cares about you!

Reply Date: 2020/02/20

More Info

After undergoing surgery for the removal of a subcutaneous tumor, it is common to have concerns about the recovery process and any potential complications. In your case, the pathology report confirmed that the tumor was a nodular fasciitis, which is generally considered a benign condition. However, it is essential to monitor the recovery closely to ensure that everything is healing properly.

Firstly, it is not unusual to feel a firm or hard area around the surgical site after surgery. This can be due to several factors, including swelling, scar tissue formation, or even the presence of residual tissue from the tumor. The body undergoes a natural healing process that can involve inflammation and the accumulation of fluid, which may contribute to the firmness you are feeling. In many cases, this hard area will gradually soften and resolve as the healing progresses.

However, it is crucial to differentiate between normal post-surgical changes and signs of potential complications. If the hardness is accompanied by other symptoms such as increased pain, redness, warmth, or discharge from the wound, it may indicate an infection or other complications that would require medical attention. Additionally, if the lump continues to grow or does not improve over time, it is advisable to consult your healthcare provider for further evaluation.

In terms of follow-up care, it is generally recommended to have a post-operative check-up within a few weeks after surgery. Since you are 16 days post-surgery, it would be prudent to schedule a follow-up appointment with your surgeon or healthcare provider. They can assess the surgical site, evaluate the firmness you are experiencing, and determine if any further imaging or intervention is necessary.

Regarding your concerns about the recovery timeline, most patients can expect to return to their normal activities within a few weeks, but this can vary based on individual healing rates and the extent of the surgery. It is essential to listen to your body and avoid any strenuous activities until you have received clearance from your healthcare provider.

In summary, while some firmness around the surgical site can be normal, it is essential to monitor for any concerning symptoms. A follow-up appointment with your healthcare provider is recommended to ensure proper healing and address any questions or concerns you may have. Your healthcare team is there to support you through your recovery, so do not hesitate to reach out for guidance.

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