Lipomas in the Breast: Risks and Surgical Considerations

Breast lipoma

Hello, doctor.
Recently, I discovered a lump in my left breast, which was examined and found to be a benign lipoma, approximately 1 cm in size.
The breast surgeon advised me to return for follow-up in October.
If it increases in size or if I feel it has grown before the follow-up date, I may need to undergo a local excision to remove it.
I would like to know if removing the lipoma, which is close to the nipple, could result in any complications.
Will it affect the breast tissue or any nerves?

Xiao Zhen, 20~29 year old female. Ask Date: 2015/07/29

Dr. Lin Wenbin reply Obstetrics and Gynecology

You need to schedule an outpatient appointment for an examination.
Please seek assistance from a breast surgeon.

Reply Date: 2015/07/29

More Info

When it comes to understanding lipomas in the breast, particularly in your case where you have a 1 cm lipoma near the nipple, it's important to consider both the risks associated with the condition and the surgical options available. Lipomas are benign tumors composed of adipose (fat) tissue and are generally considered harmless. However, their location, especially near sensitive areas like the nipple, can raise concerns about potential complications during surgical removal.

Risks Associated with Lipomas
1. Benign Nature: First and foremost, it's crucial to understand that lipomas are benign. They do not typically pose a risk of malignancy, which is a significant concern for many patients when they discover a lump in their breast. The likelihood of a lipoma transforming into a cancerous growth is extremely low.

2. Growth and Symptoms: While lipomas can grow over time, they often remain asymptomatic. However, if you notice any changes in size or if the lipoma becomes painful, it is advisable to follow up with your healthcare provider sooner than the scheduled appointment.

3. Surgical Considerations: If surgical removal is deemed necessary, especially if the lipoma is causing discomfort or cosmetic concerns, there are several factors to consider:
- Location: Since your lipoma is near the nipple, the surgeon will need to take extra care to avoid damaging surrounding tissues, including the breast ducts and nerves. This is particularly important because any injury to these structures can lead to complications such as changes in sensation or difficulties with breastfeeding in the future.

- Surgical Technique: The procedure to remove a lipoma is typically straightforward and can often be done under local anesthesia. The surgeon will make a small incision to excise the lipoma, and the goal is to remove it completely to minimize the chance of recurrence.

- Postoperative Care: After surgery, you may experience some swelling or bruising, which is normal. It's essential to follow your surgeon's postoperative care instructions to promote healing and reduce the risk of complications.

Potential Complications
1. Nerve Damage: One of the primary concerns with surgery near the nipple is the potential for nerve damage, which could lead to altered sensation in the nipple or surrounding areas. While surgeons are trained to minimize this risk, it is a possibility that should be discussed with your healthcare provider.

2. Infection: As with any surgical procedure, there is a risk of infection. Keeping the surgical site clean and following your doctor's instructions can help mitigate this risk.

3. Scarring: Depending on the size of the incision and your skin's healing properties, there may be some scarring. Discussing cosmetic outcomes with your surgeon can help set realistic expectations.

Conclusion
In summary, while a lipoma in the breast is generally a benign condition, its location near the nipple does warrant careful consideration regarding surgical removal. The risks associated with surgery, such as nerve damage and infection, are relatively low, especially when performed by an experienced surgeon. It is essential to maintain open communication with your healthcare provider about your concerns, the potential risks, and the benefits of surgery. Regular follow-ups and monitoring are also crucial to ensure that any changes in the lipoma are addressed promptly. If you have any further questions or concerns, do not hesitate to reach out to your healthcare team for personalized advice and guidance.

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