Hard Lumps After Breast Cancer Surgery: Is It Normal?

Q: Hard Lumps After Breast Cancer Surgery: Is It Normal?

Hello： It may be scar tissue. <br>You can apply warm compresses and massage, but you should monitor for any enlargement. <br>Regular outpatient follow-ups are necessary, and if you notice any increase in size, it is recommended to seek immediate outpatient evaluation. <br>Wishing

Post-operative lumps after breast cancer surgery?

It has been over two months since the partial mastectomy on September 23, and there is still a hard area on the outer part of the wound.
Is this normal? Is it safe to massage or apply heat to the area? Thank you.

Miao, 30~39 year old female. Ask Date: 2014/11/29

Dr. Zhou Jiazhen reply Breast and Thyroid

Hello: It may be scar tissue.
You can apply warm compresses and massage, but you should monitor for any enlargement.
Regular outpatient follow-ups are necessary, and if you notice any increase in size, it is recommended to seek immediate outpatient evaluation.
Wishing you peace and health.
Sincerely, Dr.
Chou Chia-Cheng, Director of Surgery, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2014/11/29

More Info

After undergoing breast cancer surgery, particularly a partial mastectomy, it is not uncommon for patients to experience hard lumps or areas of firmness around the surgical site. This phenomenon can be attributed to several factors, primarily related to the healing process and the formation of scar tissue.

When surgery is performed, the body initiates a healing response that includes inflammation, tissue repair, and the formation of scar tissue. This scar tissue can sometimes feel firmer than the surrounding tissue, leading to the sensation of hardness in the area. This is particularly true in the months following surgery, as the body continues to remodel the tissue. It is important to note that this hardening can persist for several weeks to months, and in many cases, it will gradually soften over time as the healing progresses.

In your case, since it has been over two months since your surgery, the presence of a hard lump is likely a normal part of the healing process. However, it is essential to monitor the lump for any changes in size, shape, or associated symptoms such as pain, redness, or discharge, as these could indicate complications such as infection or seroma (fluid accumulation).

Regarding your question about massage and heat application, gentle massage can sometimes help in reducing the firmness of scar tissue and improving circulation in the area. However, it is crucial to approach this with caution. If you choose to massage the area, ensure that you do so gently and avoid applying excessive pressure, especially if you experience any discomfort. Heat application can also be beneficial, as it may help to relax the tissue and improve blood flow. A warm compress or heating pad can be applied for short periods, but again, ensure that it is not too hot to avoid burns or further irritation.

It is always advisable to consult with your healthcare provider before starting any new treatment or therapy, including massage or heat application. They can provide personalized recommendations based on your specific situation and ensure that there are no underlying issues that need to be addressed.

In summary, while the presence of hard lumps after breast cancer surgery can be a normal part of the healing process, it is essential to remain vigilant and communicate with your healthcare team about any concerns. They can help you navigate your recovery and provide guidance on managing symptoms effectively. Remember that every patient's healing journey is unique, and it is crucial to prioritize your health and well-being during this time.

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