Post-Biopsy Hardness in Breast Tissue: What to Expect

Post-needle localization biopsy wound lump (breast issue)

Hello doctor, I underwent a stereotactic breast biopsy due to a 1.2 cm calcification in my breast.
The surgery removed a tissue sample measuring 5 x 4 x 2 cm, and the incision length is 5.5 cm.
One week after the surgery, I noticed a hard feeling inside the wound.
Currently, two weeks post-surgery, the incision is smooth, but I can feel a cylindrical hard mass beneath the incision that feels like a lump at the incision site, and it is tender to the touch.
Is this a normal phenomenon after a breast biopsy, or should I see a doctor again soon? If it is normal, how long will it take for the breast tissue to return to a soft state? Should I apply pressure or massage the hard lump? Thank you very much for your help.

Yi Duo Hua, 40~49 year old female. Ask Date: 2023/11/06

Dr. Tang Yuxiong reply Surgery

After a tumor biopsy, it is common to have a hematoma in 2-5% of cases.
If the swelling persists for more than a month, it is recommended to return to the relevant department for a follow-up consultation.

Reply Date: 2023/11/06

More Info

After undergoing a breast biopsy, it is not uncommon to experience some degree of hardness or firmness in the breast tissue surrounding the surgical site. This phenomenon can be attributed to several factors related to the healing process and the body's natural response to surgery.

When tissue is removed during a biopsy, the body initiates a healing response that involves inflammation, which can lead to the formation of scar tissue. This scar tissue is often denser than the surrounding healthy tissue, resulting in a palpable hardness or lump at the incision site. The hardness you are feeling, described as a "barrel-shaped" hard area, is likely a combination of normal post-surgical changes, including edema (swelling), inflammation, and the formation of fibrous scar tissue.

Typically, the healing process after a breast biopsy can take several weeks to months. In the initial stages, it is common for the area to feel firm and even tender to the touch. As the weeks progress, the swelling should gradually subside, and the firmness should diminish as the scar tissue matures. However, the timeline for this process can vary significantly from person to person, depending on factors such as individual healing rates, the extent of the surgery, and overall health.

Regarding your specific concerns about the hardness and tenderness you are experiencing, it is advisable to monitor the situation closely. If the hardness persists beyond a few weeks, or if you notice any changes such as increased pain, redness, or discharge from the incision site, it would be prudent to consult your healthcare provider. They may recommend imaging studies, such as an ultrasound, to assess the area further and ensure that there are no complications, such as hematoma (a localized collection of blood outside of blood vessels) or infection.

As for the question of whether to massage the area, gentle massage may help in some cases to promote circulation and potentially aid in the softening of the scar tissue. However, it is essential to approach this with caution. Aggressive or deep pressure should be avoided, especially if it causes pain. Always consult with your healthcare provider before starting any massage techniques to ensure that it is appropriate for your specific situation.

In summary, experiencing hardness in the breast tissue after a biopsy is generally a normal part of the healing process. It is essential to give your body time to heal while keeping an eye on any changes that may warrant further medical evaluation. If you have any concerns or if the symptoms do not improve, do not hesitate to reach out to your healthcare provider for guidance and reassurance.

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