Post-Surgery Issues After Fibroid Removal: Recovery and Concerns

Issues Six Months After Fibroid Removal

Hello, Doctor: In February of this year, I had three fibromas removed, each approximately 1.5 to 2 centimeters in size, all of which were benign.
The doctor mentioned that I have a tendency to develop fibromas, so I need to have regular follow-ups.
I also had one removed when I was 18, but it was a minor procedure at a clinic.
Due to the depth of this surgery, I have been experiencing numbness and tingling around the incision site, including the nipple, and there is a hard lump.
I understand that this is a normal postoperative reaction and that it typically takes about six months to recover.
Now that six months have passed, there has indeed been improvement, and the lump has decreased significantly, but I still haven't fully recovered.
Is my recovery period longer than usual? Is there anything I can do, like massage or heat therapy, to expedite the recovery? Additionally, during a recent follow-up, another fibroma was detected, measuring less than one centimeter.
However, when I palpate the area near the previous incision, I feel a very hard lump that is closer to the bone.
It feels quite smooth and rounded, but it seems larger than one centimeter.
Could this be another fibroma that wasn't detected? During the follow-up, I was on my menstrual period, and six months ago, there was a small fibroma in my right breast that wasn't seen that day.
Or could it be the fibroma that the doctor detected, which, although less than one centimeter, feels larger than it actually is? Or is it possible that it is still a hard mass from the surgery that hasn't fully healed? Thank you.

Ni Ni, 20~29 year old female. Ask Date: 2021/08/18

Dr. Chen Jiaming reply Surgery

Recovery time varies for each individual, but most people will experience improvement, which does not necessarily mean a complete return to normal.
The deeper the incision, the more vertical and three-dimensional scar tissue accumulates, leading to a prolonged sensation of hardness and a longer recovery time than you might expect.
Massage and heat application will not accelerate recovery and may even exacerbate the sensation of foreignness.

Firstly, you are still young, and breast fibroadenomas are benign tumors, so there is no need for excessive worry.
Even if new lesions appear, they can be monitored until your next follow-up, at which point you can discuss them with your physician or request additional confirmation from the imaging staff.
Regarding the previously identified lesion in the right breast that was not mentioned this time, it likely represents a "fibrocystic change" rather than a solid fibroadenoma.
Therefore, it may fluctuate with your menstrual cycle.

The ultrasound description of a one-centimeter lesion can feel different depending on its depth, and its size may vary as well.
Stay relaxed and continue with regular check-ups; a qualified breast specialist will inform you when intervention is necessary.

Reply Date: 2021/08/18

More Info

After undergoing surgery for fibroid removal, it's common to have concerns regarding recovery and any lingering issues. Based on your description, it seems you had three fibroids removed, and while the initial recovery period has shown some improvement, you still experience sensations of numbness and hardness around the incision site. Let's address your concerns in detail.

Recovery Timeline and Expectations
Firstly, it's important to understand that recovery from surgery can vary significantly from person to person. Factors such as the depth of the incision, the extent of the surgery, individual healing capacity, and overall health can all influence recovery time. While you mentioned that the hard lump has diminished over the past six months, it is not unusual for some residual hardness or sensitivity to persist for a longer period, especially if the incision was deep.
Typically, soft tissue healing can take several months, and complete recovery may take up to a year. The numbness and tingling sensations you are experiencing around the incision and nipple area can be attributed to nerve regeneration, which can take time. If the sensations are improving, that is a positive sign, but if they persist or worsen, it would be wise to consult your healthcare provider.

Massage and Heat Therapy
Regarding your question about massage and heat therapy, gentle massage around the incision site can help improve blood circulation and promote healing. However, it is crucial to wait until your doctor gives you the green light to start any form of massage, especially if the area is still sensitive or painful. Heat therapy can also be beneficial; applying a warm compress can help relax the muscles and improve blood flow, which may alleviate some discomfort.
Always ensure that any technique you use is gentle and does not cause pain. If you have any doubts, consult with your healthcare provider or a physical therapist specialized in post-surgical recovery.

Concerns About New Fibroid and Hardness
As for the new fibroid you mentioned, it is essential to differentiate between a new growth and residual effects from your previous surgery. The hardness you feel near the bone could be scar tissue or a seroma (a pocket of fluid that can develop after surgery), which is common after surgical procedures. Scar tissue can sometimes feel firm and may take time to soften.

If the lump feels smooth and round, it could be a new fibroid, but it is also possible that it is simply a part of the healing process. Given that you were on your menstrual cycle during your follow-up appointment, hormonal changes can also affect the size and feel of fibroids, making them more prominent at certain times.

Next Steps
1. Follow-Up Appointment: It is crucial to keep your follow-up appointments with your healthcare provider. They can perform imaging studies, such as an ultrasound, to assess the new lump and determine whether it is indeed a fibroid or a post-surgical change.

2. Monitor Symptoms: Keep track of any changes in the lump's size, shape, or associated symptoms (like pain or changes in sensation). This information will be valuable for your doctor.

3. Consultation: If you have concerns about the hardness or any new symptoms, do not hesitate to reach out to your healthcare provider for advice. They may recommend further evaluation or imaging to ensure everything is healing as expected.

In conclusion, while your recovery seems to be progressing, it is essential to remain vigilant and proactive about any new developments. Regular check-ups and open communication with your healthcare provider will help ensure that you receive the best care possible during your recovery journey.

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