Post-Surgery Concerns: Hard Lump After Fibroadenoma Removal

Post-operative care for a breast fibroma?

Hello doctor, I just had surgery on June 5th and returned for a follow-up appointment a week later.
The doctor said it was a fibroma containing a papilloma, which is benign.
However, since the surgery, I discovered a small hard lump near the incision site yesterday.
It does not move and is painful when pressed.
Is this normal?

Claire, 20~29 year old female. Ask Date: 2015/06/25

Dr. Xu Kaixi reply Surgery

The healing process after surgery may involve scarring and fibrosis, leading to hardening of the normal tissue, which may feel firm to the touch and can be associated with varying degrees of pain.
This is considered a normal change.
However, if you have concerns or uncertainties, it is advisable to visit a surgical outpatient clinic for further evaluation.

Reply Date: 2015/06/25

More Info

After undergoing surgery for the removal of a fibroadenoma, it is not uncommon for patients to experience post-operative changes, including the formation of a hard lump near the surgical site. This lump can be concerning, especially if it is painful or immovable.
In your case, the hard lump you are feeling could be a result of several factors. One possibility is that it is a post-surgical scar tissue or fibrosis, which can develop as part of the healing process. When tissue is surgically manipulated, the body responds by forming scar tissue, which may feel firm or hard. This is generally a normal part of healing, but it can sometimes be tender or painful, especially in the early stages post-surgery.

Another possibility is that the lump could be a localized area of inflammation or a seroma, which is a collection of fluid that can occur after surgery. Seromas can sometimes feel firm and may be tender to the touch. If the lump is indeed a seroma, it may resolve on its own over time, but in some cases, it may require drainage.

It is also important to consider the possibility of a recurrence of the fibroadenoma or the development of another benign lesion. While fibroadenomas are generally benign and have a low risk of recurrence, it is still essential to monitor any changes in the area.

Given that you mentioned the lump is painful when pressed, it would be prudent to follow up with your surgeon or healthcare provider. They may recommend imaging studies, such as an ultrasound, to evaluate the lump further and determine its nature. This will help in ruling out any complications or the need for additional intervention.

In terms of post-operative care, it is crucial to adhere to your doctor's recommendations regarding activity levels, wound care, and follow-up appointments. Keeping the surgical area clean and dry, avoiding strenuous activities that could strain the area, and attending all scheduled follow-ups are essential for optimal recovery.

If you notice any changes in the lump, such as increased size, redness, warmth, or if you develop fever or other systemic symptoms, you should seek medical attention promptly. These could be signs of infection or other complications that may require intervention.

In summary, while the presence of a hard lump after fibroadenoma removal can be a normal part of the healing process, especially if it is associated with pain, it is essential to have it evaluated by your healthcare provider to ensure that it is not indicative of a more serious issue. Regular follow-up and communication with your healthcare team are key components of your recovery journey.

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