Post-Surgery Concerns: Managing Hematomas After Fibroadenoma Removal

Post-operative issues following fibroepithelial tumor excision?

Hello, I had surgery in September to remove a 4.7 cm fibroadenoma (using a self-paid needle, the incision is only half a centimeter).
The wound has now scabbed over, but there are areas near the internal wound that feel like hard lumps and are indented.
Is this a normal postoperative phenomenon? Can I use warm compresses and massage to help reduce the hard lumps? Thank you.

Qing, 20~29 year old female. Ask Date: 2015/09/30

Dr. Zhou Jiazhen reply Breast and Thyroid

It is common for bruising or fluid accumulation to occur within a wound.
If it persists for more than a week, applying a warm compress can help accelerate absorption.
As for the depressed area of the wound, it may take time to recover, especially if the tumor was larger.

Reply Date: 2015/09/30

More Info

After undergoing surgery for the removal of a fibroadenoma, it is not uncommon to experience some post-operative concerns, including the presence of hematomas or bruising around the surgical site. In your case, the hard lump and indentation you are noticing near the incision site could indeed be related to the surgical procedure and the healing process.

Hematomas occur when blood collects outside of blood vessels, often due to trauma or surgical intervention. They can manifest as swelling, discoloration, or hard lumps under the skin. In many cases, small hematomas can resolve on their own as the body reabsorbs the pooled blood. However, the presence of a hard lump and an indentation could indicate that the hematoma is still present or that there is some degree of scar tissue forming as part of the healing process.

In terms of management, gentle heat application can sometimes help to promote blood flow to the area and facilitate the reabsorption of the hematoma. However, it is crucial to approach this with caution. Here are some general recommendations:
1. Heat Application: Applying a warm compress to the area can help increase circulation and may assist in the healing process. Ensure that the heat is not too intense to avoid burns or further irritation.

2. Gentle Massage: If you feel comfortable and it does not cause pain, gentle massage around the area may help to break down any residual hardness. However, avoid direct pressure on the incision site until it has fully healed.

3. Monitoring: Keep an eye on the area for any changes. If the lump increases in size, becomes increasingly painful, or if you notice any signs of infection (such as redness, warmth, or discharge), it is essential to contact your healthcare provider.

4. Follow-Up: It is advisable to have a follow-up appointment with your surgeon or healthcare provider to discuss your concerns. They can assess the area and determine if the lump is a normal part of the healing process or if further intervention is needed.

5. Avoid Strain: During the healing period, avoid heavy lifting or strenuous activities that could put additional strain on the surgical site.

6. Hydration and Nutrition: Maintaining good hydration and a balanced diet can support your body’s healing processes.

In conclusion, while some degree of swelling and hardening can be normal after surgery, it is always best to consult with your healthcare provider for personalized advice and to ensure that your recovery is progressing as expected. They can provide you with specific guidance based on your individual situation and the details of your surgery. Remember, your comfort and safety are paramount, so do not hesitate to reach out for professional advice if you have any concerns.

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