Post-Surgery Breast Tumor: Managing Pain and Swelling Concerns

Post-operative pain and swelling after breast tumor excision?

Hello, doctor.
Last year, I discovered a cyst in my breast, accompanied by swelling and pain, so I sought medical attention.
After an ultrasound examination, the doctor said it was benign and that I shouldn't worry too much.
The swelling was due to inflammation of the cyst, which was caused by the inverted nipple making it difficult to keep clean.
The doctor prescribed anti-inflammatory and pain relief medication and advised me that as long as there was no frequent swelling and pain, I didn't need to be concerned.
However, by the end of the year, I experienced continuous swelling and pain for three months (associated with my menstrual cycle).
At the beginning of this year, I visited the doctor again, who recommended surgery to remove the cyst.
Two months ago, I underwent a breast cyst excision surgery (traditional local anesthesia).
After the surgery, the doctor sent the specimen for examination, and the results showed it was benign.
My follow-up visit post-surgery was normal, but two weeks ago, I noticed swelling and pain in the same area again.
It had subsided somewhat in between, but in the last couple of days, it has started to swell again, accompanied by pain.
This time, unlike last time, there is a protrusion at the surgical site (it looks like the swelling is pushing the wound open).

I would like to ask the doctor:
1.
Is it normal to have pain and swelling in a lump so soon after surgery?
2.
Is it possible that the swelling could cause the wound to split open from the inside?
3.
What are the solutions for an inverted nipple?

Ms. Lin, 20~29 year old female. Ask Date: 2024/04/28

Dr. Chen Bingze reply Surgery

Hello, if the pathology report has been sent for testing, you should feel more at ease.
1.
You can consider getting an ultrasound for further evaluation.
2.
If there is significant swelling, there is indeed a possibility of rupture.
3.
Inverted nipples can be a more challenging issue to address; you may want to consult your attending physician.
If that doesn't help, you might need to seek out a plastic surgeon with experience in this area.

Reply Date: 2024/04/28

More Info

Post-surgery breast pain and swelling can be concerning for many patients, especially after undergoing procedures such as cyst removal or tumor excision. Based on your description, it seems that you have experienced a recurrence of swelling and pain in the same area where you had surgery, along with a noticeable protrusion at the incision site. Let's address your questions and provide some insights into managing your condition.

1. Is it normal to experience pain and swelling shortly after surgery?
After any surgical procedure, especially one involving the breast, it is not uncommon to experience some degree of pain, swelling, and tenderness. This can be attributed to the body's natural healing process, which involves inflammation and tissue repair. However, if the swelling and pain persist or worsen, it may indicate complications such as fluid accumulation (seroma), hematoma, or even infection. Given that you are experiencing these symptoms again after surgery, it is essential to follow up with your healthcare provider to rule out any underlying issues.

2. Could the swelling cause the incision to open or split?
While it is unlikely for the incision to split solely due to swelling, excessive pressure from significant swelling can potentially affect the integrity of the surgical site. If the swelling is severe enough, it could lead to complications such as wound dehiscence (the reopening of a wound). It is crucial to monitor the incision for any signs of increased redness, warmth, or discharge, which could indicate infection or other complications. If you notice any of these symptoms, you should seek medical attention promptly.

3. What are the solutions for inverted nipples?
Inverted nipples can be a cosmetic concern for some individuals and may also lead to hygiene issues, as you mentioned. There are several options available for addressing this condition, depending on the severity and the patient's preferences. Non-surgical methods include the use of nipple suction devices that can help draw out the nipple over time. Surgical options are also available, which can involve procedures to correct the inversion. Consulting with a plastic surgeon or a specialist in breast surgery can provide you with tailored options based on your specific situation.

In conclusion, while some pain and swelling post-surgery can be normal, it is essential to stay vigilant and communicate with your healthcare provider about any concerning symptoms. Regular follow-ups are crucial to ensure that your recovery is progressing as expected and to address any complications that may arise. Additionally, if you have concerns about the appearance of your breasts or specific conditions like inverted nipples, discussing these with a specialist can help you explore the best options for your needs. Remember, your health and comfort are paramount, and seeking timely medical advice is always the best course of action.

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