Post-Surgery Concerns: Persistent Hard Lump After Benign Breast Tumor Removal

Q: Post-Surgery Concerns: Persistent Hard Lump After Benign Breast Tumor Removal

Hua Hua： Hello, there is still a lump at the site of the tumor removal after surgery. <br>Based on previous experiences, the likelihood of it being a blood clot is relatively high. <br>If it does not disappear after applying a warm compress, I recommend that you return for a foll

Post-operative care after breast benign adenoma surgery?

I underwent a breast adenoma excision surgery on July 17.
The tumor biopsy results showed it was a benign adenoma.
After the stitches were removed, there is still a hard lump at the site of the excision.
The doctor mentioned it might be a hematoma and advised me to apply warm compresses.
However, it has been nearly three weeks since the surgery, and the hematoma has not dissipated.
What should I do? Should I return for a follow-up appointment, or could there be other reasons for this?

Hua Hua, 20~29 year old female. Ask Date: 2009/08/05

Dr. Lin Kecheng reply Surgery

Hua Hua: Hello, there is still a lump at the site of the tumor removal after surgery.
Based on previous experiences, the likelihood of it being a blood clot is relatively high.
If it does not disappear after applying a warm compress, I recommend that you return for a follow-up appointment and undergo another breast ultrasound to confirm the diagnosis.
Wishing you good health.

Reply Date: 2009/08/05

More Info

After undergoing surgery for the removal of a benign breast tumor, it is not uncommon to experience persistent hardness at the surgical site. This can be concerning for many patients, especially when they are unsure if it is a normal part of the healing process or if it indicates a complication.
In your case, since the tumor was confirmed to be benign and you are now nearly three weeks post-surgery, the hardness you are feeling could indeed be due to a few factors. One possibility is that it is a hematoma, which is a localized collection of blood outside of blood vessels, often resulting from the surgical procedure. Hematomas can take time to resolve, and while heat application can help promote circulation and facilitate absorption, it may not always lead to immediate results.

Another reason for the persistent hardness could be related to scar tissue formation. After surgery, the body goes through a healing process that involves the formation of scar tissue, which can feel firm or hard to the touch. This is a normal part of the healing process, and typically, the hardness will gradually soften over time as the tissue heals and remodels.

However, it is essential to monitor the situation closely. If the hardness persists beyond a few weeks, or if you notice any changes such as increased pain, swelling, redness, or discharge from the incision site, it is crucial to follow up with your healthcare provider. They may want to evaluate the area to ensure that there are no complications such as an infection or a significant hematoma that requires intervention.

In terms of follow-up care, it is advisable to schedule a return visit with your surgeon or healthcare provider. They can perform a physical examination and possibly imaging studies, such as an ultrasound, to assess the area and determine the best course of action.
Additionally, while you are waiting for your follow-up appointment, it is essential to continue caring for your surgical site as instructed by your healthcare provider. This includes keeping the area clean and dry, avoiding strenuous activities that could strain the surgical site, and adhering to any prescribed pain management strategies.

In summary, while it is not unusual to feel a hard lump at the surgical site after the removal of a benign breast tumor, it is vital to stay vigilant and consult your healthcare provider if you have any concerns. They will be able to provide you with the most accurate information and reassurance regarding your recovery process. Remember, every individual's healing journey is unique, and open communication with your healthcare team is key to a smooth recovery.

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