Breast Surgery: Should You Get a Second Opinion Before Your Procedure?

Breast surgery

Hello, doctor.
Previously, when I went to a nearby hospital to check a breast lump, the doctor performed a physical examination and said it was a benign fibroadenoma.
However, he still recommended that I undergo surgery to remove it to prevent any future issues.
At that time, I did not agree, but recently I felt pain when pressing on the lump, so I decided to have it removed.
I went to see the doctor again and scheduled the surgery date, but afterward, a friend suggested that I consult a few more doctors for a second opinion.
Is this necessary? Additionally, I need to receive the hepatitis B vaccine two days before the surgery.
Will this have any impact on my surgery?

Wang, 10~19 year old female. Ask Date: 2001/04/18

Dr. Li Junda reply Surgery

Fibroadenomas are generally classified as benign tumors and are unlikely to become malignant.
However, palpation alone may not provide a definitive diagnosis in all cases.
Therefore, if the tumor is large or causes tenderness, physicians may recommend surgical excision.
Additionally, mammography and ultrasound are available as preoperative diagnostic tools, with a diagnostic accuracy of approximately 80-90%.
If you are still uncertain, you may consider undergoing these examinations and follow-up regularly.
Most breast tumor excisions are outpatient procedures performed under local anesthesia, lasting about 30 to 60 minutes, resulting in clean wounds.
This procedure is not directly related to vaccination.
If you have any questions, you should discuss them with your physician or consider rescheduling.

Reply Date: 2001/04/18

More Info

When considering breast surgery, especially for a condition like a fibroepithelial tumor (commonly known as a fibroadenoma), seeking a second opinion can be a prudent step. While your initial doctor has assessed the lump as benign and recommended surgical removal to prevent future complications, it is always beneficial to gather more information. Different physicians may have varying perspectives based on their experiences and expertise. A second opinion can provide reassurance, alternative treatment options, or confirm the necessity of the surgery.
In your case, since you have already decided to proceed with the surgery, it is essential to weigh the urgency of your situation against the potential benefits of consulting another doctor. If the lump has become painful, it may indicate changes that warrant timely intervention. However, if you feel uncertain or anxious about the procedure, discussing your concerns with another healthcare professional could help you feel more confident in your decision.

Regarding the timing of your hepatitis B vaccination, it is generally advisable to inform your surgeon about any vaccinations or medications you are taking before surgery. Vaccines can sometimes cause mild side effects, such as fever or soreness at the injection site, which could potentially complicate your recovery. However, the hepatitis B vaccine is typically well-tolerated, and receiving it two days before your surgery should not significantly impact the procedure itself.
It is crucial to ensure that your surgical team is aware of your vaccination status and any other medications or supplements you are taking. This information helps them prepare for your surgery and manage any potential interactions or complications.
In summary, while seeking a second opinion can be beneficial, especially for peace of mind, it is also important to consider the urgency of your situation. If you decide to proceed with the surgery, make sure to communicate openly with your healthcare providers about your vaccination and any other health concerns. This collaborative approach will help ensure a smoother surgical experience and recovery.
In the context of breast surgery, it is also worth noting that surgical interventions, while often necessary for benign conditions, can carry risks such as infection, scarring, and changes in breast appearance or sensation. Discuss these risks with your surgeon, along with the benefits of the procedure, to make an informed decision that aligns with your health goals and personal circumstances.
Ultimately, your health and comfort should be the priority, and taking the time to gather information and ask questions is a vital part of the process.

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