Breast Lumps: Is Surgery Always Necessary? - Breast and Thyroid

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I previously noticed a lump in my right breast.
I went to the hospital to see a surgeon who first performed a physical examination and then an ultrasound.
The doctor recommended that I have it removed, so I went ahead with the surgery.
Later, my sister told me that her friend has more lumps in her breast than I did and is only being monitored without surgery.
I want to know if having removed a lump that could have been monitored instead will have any negative effects on me.

Xia Xue, 20~29 year old female. Ask Date: 2007/09/02

Dr. Wu Jingtang reply Breast and Thyroid


Dear Miss Xia Xue, there will be no adverse effects.
Best regards, Dr.
Wu Jing-Tang, Department of Surgery, Taoyuan General Hospital, Health and Welfare Department.

Reply Date: 2007/09/02

More Info


When it comes to breast lumps, the decision to undergo surgery is often based on a variety of factors, including the characteristics of the lump, the patient's medical history, and the potential risks associated with leaving the lump untreated. In your case, it sounds like you had a lump that was evaluated through physical examination and ultrasound, leading your doctor to recommend surgical removal. This is a common approach, especially if there are concerns about the nature of the lump, such as whether it could be benign or malignant.

It's important to understand that not all breast lumps require surgical intervention. Many benign lumps, such as cysts or fibroadenomas, can be monitored with regular follow-ups and imaging studies. However, if a lump exhibits certain characteristics—such as irregular borders, significant size, or changes over time—surgery may be recommended to rule out cancer or to alleviate symptoms.

In your situation, you mentioned that your sister's friend has multiple lumps and is only being monitored. This highlights the variability in how different cases are managed. Each lump is unique, and the decision to operate often depends on the specific details surrounding the lump, including its size, shape, and any associated symptoms.
Regarding your concern about having removed a lump that could have been monitored instead, it's essential to note that surgical removal can provide peace of mind. If there was any uncertainty about the nature of the lump, removing it allows for histological examination, which can definitively determine whether it is benign or malignant. This can be particularly important for your mental health, as uncertainty can lead to anxiety and stress.

As for potential negative impacts from having the lump removed, there are a few considerations. Surgical procedures can lead to scarring, changes in breast shape, or complications such as infection or hematoma (a collection of blood outside of blood vessels). However, these risks are generally outweighed by the benefits of removing a lump that could potentially pose a health risk. If the lump was benign, you may experience some discomfort or changes in the breast tissue, but these are typically manageable and resolve over time.

In conclusion, while not all breast lumps require surgery, the decision to remove a lump is often made with careful consideration of the risks and benefits. If you have concerns about your surgery or the lump that was removed, it is advisable to discuss these with your healthcare provider. They can provide you with personalized information based on your medical history and the specifics of your case. Regular follow-up appointments are also crucial to monitor your breast health and address any new concerns that may arise. Remember, open communication with your healthcare team is key to ensuring the best outcomes for your health.

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