What causes a hard lump after minimally invasive breast surgery?

Aug 11, 2021 Source: Cainiu Health
Dr. Zhang Jun
Introduction
A hard lump appears in the breast after minimally invasive surgery. This may occur for several reasons: 1. Hematoma 2. Postoperative swelling reaction 3. After vacuum-assisted excision, the cavity left by the removed lesion becomes filled with blood clots, resulting in a palpable, firm, or granular sensation Regardless of which scenario occurs, patients should return to the hospital for a follow-up visit after surgery. For large hematomas, physicians will assess the situation based on clinical experience and aspirate the accumulated blood.

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.