Breast biopsy issues?
I recently had a breast biopsy, and the doctor said it was benign sclerosing adenosis.
They recommended surgery to remove it because I seemed very anxious.
The procedure is not minimally invasive, as it requires an incision of about 2 to 3 centimeters.
If I choose not to have surgery, I would need to be monitored for six months.
Should I really have surgery even though the biopsy results are benign? I'm really worried that not having surgery could lead to it becoming malignant, and I'm also scared of the surgery! Will there be a scar left?
Mei Ling, 50~59 year old female. Ask Date: 2020/05/07
Dr. Yu Mingchang reply Surgery
Hello: Please go to the breast surgery outpatient clinic.
Reply Date: 2020/05/07
More Info
When faced with a diagnosis of a benign breast condition such as sclerosing adenosis, it's natural to feel anxious about the recommended surgical options. Sclerosing adenosis is a benign condition characterized by the proliferation of glandular tissue in the breast, which can sometimes lead to the formation of palpable lumps or changes in breast tissue. While it is not cancerous, the recommendation for surgery often stems from the need to alleviate symptoms, ensure accurate diagnosis, and rule out any potential malignancy.
Understanding the Need for Surgery
1. Diagnosis Confirmation: Even though your biopsy results indicate a benign condition, surgery may be recommended to remove the affected tissue for a more thorough examination. This helps confirm the diagnosis and ensures that no atypical or malignant cells are present.
2. Symptom Relief: If the sclerosing adenosis is causing discomfort, pain, or anxiety due to the presence of lumps, surgical removal can provide relief.
3. Monitoring: If you choose not to undergo surgery, your doctor may recommend regular monitoring through follow-up appointments and imaging studies. This is typically done every six months to ensure that there are no changes in the condition. However, this approach can lead to anxiety for some patients, as the uncertainty of potential changes can be stressful.
Concerns About Surgery
1. Scarring: It is understandable to be concerned about scarring from surgery. Most surgical procedures for benign breast conditions can be performed with minimal incisions, often resulting in scars that fade over time. The size of the incision can vary based on the specific procedure and the location of the lesion, but many surgeons aim for cosmetic results that minimize visible scarring.
2. Surgical Risks: Like any surgical procedure, there are risks involved, including infection, bleeding, and complications related to anesthesia. However, these risks are generally low, especially for outpatient procedures.
3. Emotional Impact: The emotional toll of surgery can be significant. It is important to discuss your fears and concerns with your healthcare provider. They can provide reassurance, explain the procedure in detail, and discuss the benefits versus the risks.
Making an Informed Decision
Ultimately, the decision to proceed with surgery should be made after a thorough discussion with your healthcare provider. Here are some steps to consider:
- Ask Questions: Don’t hesitate to ask your doctor about the necessity of surgery, the potential risks, and the expected outcomes. Understanding the rationale behind the recommendation can help alleviate some of your concerns.
- Consider a Second Opinion: If you are uncertain about the recommendation for surgery, seeking a second opinion from another qualified healthcare professional can provide additional perspective.
- Discuss Alternatives: If you are particularly anxious about surgery, discuss with your doctor the possibility of monitoring the condition instead, and what that would entail.
- Support System: Engage with friends, family, or support groups to share your feelings and experiences. Having a support system can help you cope with the emotional aspects of your diagnosis and treatment.
In conclusion, while the recommendation for surgery may seem daunting, it is often made with your best interests in mind, aiming to ensure your health and peace of mind. Understanding the reasons behind the recommendation, discussing your concerns with your healthcare provider, and considering all options will empower you to make the best decision for your situation.
Similar Q&A
Exploring Minimally Invasive Surgery Options for Breast Tumors
Hello, Doctor. I previously had a benign phyllodes tumor that was approximately 4 cm in size, which was surgically removed from my left breast. Unfortunately, it has recurred, and upon examination, the current size is about 5 to 6 cm (ultrasound could not determine the tumor size...
Dr. Yuan Tianmin reply Breast and Thyroid
The issue I am currently considering is not whether minimally invasive surgery can be performed, but rather that the tumor has recurred and grown larger. After this excision, there is a possibility of recurrence again, which would render reconstruction surgery meaningless. Theref...[Read More] Exploring Minimally Invasive Surgery Options for Breast Tumors
Understanding Breast Fibroadenomas: Symptoms, Diagnosis, and Treatment Options
Hello, doctor: What is a benign breast fibroadenoma? How should it be examined and treated? Is there a possibility that it could turn malignant? I have been palpating a round, symmetrical lump in my breasts since high school, and it is present on both sides with tenderness. I use...
Dr. Huang Junxiong reply Surgery
Hello: You are likely referring to "fibroadenoma," which is a common benign tumor in young women. It is recommended that you consult a hospital with a specialized breast surgery department, where a physical examination and breast ultrasound should provide a diagnosis. T...[Read More] Understanding Breast Fibroadenomas: Symptoms, Diagnosis, and Treatment Options
Understanding Atypical Ductal Hyperplasia: Minimally Invasive Surgery Options
Hello, doctor. During a recent mammogram, suspicious calcifications were found in the right breast. A minimally invasive surgery was performed to remove them, and the results showed atypical ductal hyperplasia. I would like to know if it is possible to clean up the marked area th...
Dr. Yuan Tianmin reply Breast and Thyroid
Generally, laparoscopic surgery for appendicitis often cannot clearly define the boundaries of the lesion, so open surgery is still recommended for management.[Read More] Understanding Atypical Ductal Hyperplasia: Minimally Invasive Surgery Options
Understanding Gynecomastia: Surgical Options and Considerations for Men
Hello doctor, I have a few questions regarding gynecomastia. 1. I have a lean physique with little fat in my upper body, but I have a hard lump beneath my nipple and the nipple is protruding. Can this be treated with just surgical excision without liposuction? 2. When making a...
Dr. Zhou Jiazhen reply Breast and Thyroid
Hello, regarding your questions, here are the responses: 1. Yes, it is possible. 2. Both options are available; the effectiveness will vary depending on the condition of gynecomastia, and the scarring will also differ. 3. If covered by health insurance, both general surgery a...[Read More] Understanding Gynecomastia: Surgical Options and Considerations for Men
Related FAQ
(Surgery)
Breast Fibroma(Surgery)
Breast Cyst(Surgery)
Fibroadenoma(Surgery)
Fibrocystic Breast Disease(Surgery)
Breast Reduction Surgery(Plastic Surgery)
Nipple Lump(Surgery)
Accessory Breast(Surgery)
Axillary Lump(Surgery)
Gynecomastia(Surgery)