Post-Surgery Concerns After Phyllodes Tumor Removal: Pain and Healing Tips - Surgery

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Postoperative issues related to phyllodes tumor of the breast?


Hello, Doctor.
I would like to ask: I had surgery on March 19 to remove a phyllodes tumor from my breast (this is my second surgery due to recurrence).
On April 20, after lifting heavy objects, I have been experiencing pain.
Even without touching the surgical site, I feel sharp or throbbing pain.
Currently, the external wound appears to have healed.
I would like to know if it could be due to internal deep tissue strain or tearing that is causing the pain.
Should I return for a follow-up examination? Are there any methods to help with wound healing?

Xiao Zhen, 30~39 year old female. Ask Date: 2021/04/24

Dr. Chen Jiaming reply Surgery


Lifting heavy objects can indeed strain the muscles of the chest wall, potentially leading to internal tissue damage.
It is advisable to return for a follow-up appointment for further evaluation and treatment.
Of course, if there are no significant issues other than pain (such as bruising, etc.), you may temporarily use oral pain relievers (such as acetaminophen) and avoid movements and positions that could exacerbate the strain.
Monitor for natural recovery over one to two weeks.

Reply Date: 2021/04/24

More Info


After undergoing surgery for the removal of a phyllodes tumor, it's not uncommon to experience pain and discomfort, especially if you've engaged in activities that put strain on the surgical site, such as lifting heavy objects. Phyllodes tumors, while typically benign, can recur, and managing post-operative symptoms is crucial for recovery.


Understanding Post-Surgery Pain
1. Nature of Pain: The pain you're experiencing could be due to several factors. It's possible that lifting heavy objects may have caused strain on the surrounding tissues, leading to discomfort. The surgical site may still be healing internally, and any movement or strain could exacerbate this. Additionally, nerve endings in the area may be sensitive post-surgery, leading to sensations of sharp pain or tingling.

2. Internal Healing: Even if the external wound appears healed, the internal tissues may still be in the process of recovery. Surgical procedures can disrupt the normal architecture of tissues, and it can take time for everything to settle back into place. If the pain persists or worsens, it could indicate that deeper structures are still healing or that there may be some internal irritation.


When to Seek Medical Attention
- Persistent Pain: If the pain continues for an extended period or if it intensifies, it would be wise to schedule a follow-up appointment with your surgeon. They can assess whether there are any complications, such as fluid accumulation (seroma or hematoma), infection, or issues with the healing of deeper tissues.


- Signs of Complications: Look out for signs such as increased redness, swelling, warmth around the surgical site, or any discharge from the wound. These could indicate an infection or other complications that require immediate attention.


Tips for Healing and Pain Management
1. Rest and Avoid Strain: It's essential to give your body time to heal. Avoid heavy lifting or strenuous activities that could stress the surgical site. Gentle movements and stretching may help maintain flexibility without putting too much strain on the area.

2. Pain Management: Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help manage discomfort. However, always consult with your healthcare provider before taking any medication, especially if you have other health conditions or are taking other medications.

3. Ice Therapy: Applying ice packs to the area can help reduce swelling and numb the pain. Ensure to wrap the ice pack in a cloth to avoid direct contact with the skin, which can cause frostbite.

4. Follow-Up Care: Regular follow-ups with your healthcare provider are crucial. They can monitor your recovery and address any concerns you may have. If you have not already scheduled a follow-up, consider doing so to ensure everything is healing properly.

5. Physical Therapy: If pain persists, your doctor may recommend physical therapy. A physical therapist can provide exercises tailored to your recovery, helping to strengthen the area and improve mobility without risking further injury.

6. Nutrition and Hydration: Maintaining a balanced diet rich in vitamins and minerals can support healing. Staying hydrated is also essential for recovery.


Conclusion
In summary, while some discomfort after surgery for a phyllodes tumor is expected, persistent or worsening pain should not be ignored. It's essential to listen to your body and seek medical advice if you have concerns. Your healthcare provider can offer tailored recommendations based on your specific situation, ensuring a smoother recovery process. Remember, healing takes time, and taking care of yourself during this period is crucial for optimal recovery.

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