What causes a hard lump after minimally invasive breast surgery?
A palpable lump may appear in the breast following minimally invasive surgery. This typically occurs in one of the following scenarios:
1. Hematoma.
2. Postoperative swelling reaction.
3. After vacuum-assisted excision (VAE), the cavity left by the removed lesion becomes filled with clotted blood, resulting in a firm or granular sensation upon palpation.
Regardless of which scenario occurs, patients should schedule a follow-up visit at the hospital after surgery. For larger hematomas, physicians will assess the situation clinically and aspirate the accumulated blood as needed. For smaller granular areas, breast ultrasound is recommended. If ultrasound reveals no solid mass, conservative management—including observation and warm compresses—may be appropriate.