Post-Surgery Concerns: Lumps After Breast Cancer Treatment - Breast and Thyroid

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After undergoing a mastectomy and completing chemotherapy and radiation therapy for breast cancer, it is understandable to have concerns about any new lumps or changes in the surgical area. In your mother's case, the presence of two lumps beneath the surgical site, along with occasional pain, raises important questions about their nature and whether they could indicate a recurrence of cancer or simply be related to the surgical procedure itself.

Firstly, it is essential to understand that surgical sutures (or stitches) used during a mastectomy can sometimes lead to the formation of palpable lumps. These lumps may be due to the suture material itself, which can cause localized inflammation or a reaction in the surrounding tissue. In some cases, the body may not fully absorb certain types of sutures, especially if they are non-absorbable. This can result in the sutures remaining palpable under the skin, which may be mistaken for a tumor or recurrence.
Moreover, the healing process after surgery can lead to scar tissue formation, which may also present as lumps. Scar tissue can be firm and may cause discomfort or pain, particularly if it is adherent to surrounding tissues. This is a common occurrence after significant surgical procedures, including mastectomy.

Regarding the concern about cancer recurrence, it is crucial to note that while the presence of lumps can be alarming, not all lumps indicate a return of cancer. Recurrence typically presents as a new mass that may be hard, irregularly shaped, and associated with other symptoms such as changes in the skin over the breast or axilla, swelling, or discharge. Regular follow-up appointments and imaging studies, such as ultrasounds or mammograms, are essential for monitoring any changes in the breast tissue post-surgery.

If the ultrasound performed by the physician did not reveal any concerning features, it is a positive sign. However, if there is still uncertainty or if the lumps persist or change in character, further evaluation may be warranted. This could include additional imaging studies, such as a breast MRI, or even a biopsy to definitively rule out malignancy.

In summary, while it is possible that the lumps your mother is experiencing are related to the surgical sutures or scar tissue, it is essential to maintain open communication with her healthcare provider. If there are any changes in the lumps, increased pain, or new symptoms, it is crucial to seek further evaluation. Regular follow-ups and monitoring are key components of post-breast cancer treatment care, and any concerns should be addressed promptly to ensure peace of mind and appropriate management.