Doctor insights on:
Seroma After Lumpectomy
Postop Breast Lump: A seroma is a fluid collection that (always) develops in open cavities after surgery. In time, your body will replace this fluid with scar tissue. Rarely, the fluid will persist and require needle aspiration, sometimes repeatedly. After a lumpectomy, a seroma will feel like a persistent breast lump. If this persists months later and is causing discomfort, aspiration is indicated. ...Read more
A lumpectomy means removal of a breast lump. It frequently is used in relation to removal of breast cancer. However it can be generalized to removal of other lumps or imaging abnormalities also. Other terminology such as excision, wide excision or a partial mastectomy usually may mean the same thing. If it is done for breast cancer frequently it needs to be ...Read more
Fullness, drainage: Seromas are fairly common after lumpectomy, should be distinguished from a hematoma (blood clot). Both can present with fullness (and discomfort) in the area of the surgery and drainage, although hematomas tend to drain bloody fluid and present earlier than serums. Treatment generally includes repeated aspirations in the office until the seroma resolves. If it is red, abscess if possible also. ...Read more
I had a lumpectomy 4 yrs ago & developed a Seroma after surgery & have had to have the fluid removed every year since. Why is this lasting so long?
Since the exact:
cause of seroma formation is unknown , it is difficult to be able to reassure you as to how long fluid will have to be withdrown. There are a number of possible treatments with varying reports of success.
Consult with an experienced Breast Surgeon for advice!
Hope this helps...wish it could be better "news"
Dr Z ...Read more
I had a lumpectomy and lymph node biopsy in August. I have had severe pain for a week now in that area. Could it be a seroma?
Seroma : Pain in your biopsy area 2 months later is likely a seroma. You should alert your surgeon so she/he can order an ultrasound and possible drainage. Monitor the area for redness, warmth, or increasing tenderness. Wear a supportive bra in the meantime (mainly for comfort). ...Read more
Prevent recurrence: There's growing evidence that exercise, weight loss and even fasting can increase cure rates and help in primary and secondary (recurrence) prevention of breast cancer. Check with your doctor. ...Read more
See your doctor: Any breast mass needs evaluation by a doctor. Tests such as a mammogram or an ultrasound may be needed. The mass may need to be removed, which would be called a lumpectomy. However, not all breast masses are best treated by lumpectomy. Your doctor will give you advice about the treatment options that are suitable to your case. ...Read more
Removal of tissue: Lumpectomy is an excisional biopsy - removal of breast tissue-usually implying a breast cancer is involved and need to check margins. The site may be palpable or found by xray and needle localization - or by ultrasound. The tissue is then sent to pathology for examination and margin assestment. ...Read more
"Days": Most women who undergo a lumpectomy may return to work in 2-3 days and be back to normal activities in a week (provided that was the only operation performed). The true "expert" to answer this question would be your surgeon since they may be aware of some nuances about you or your operation that may affect your recovery. Good luck! ...Read more
Removal of lump: A lumpectomy means removal of a breast lump. It frequently is used in relation to removal of breast cancer. However it can be generalized to removal of other lumps or imaging abnormalities also. Other terminology such as excision, wide excision or a partial mastectomy usually may mean the same thing. If it is done for breast cancer frequently it needs to be supplemented by radiation therapy. ...Read more
No : Although, no surgery should be considered trivial - lumpectomy typically takes only 30 - 45 minutes, and may be done under local anesthesia with sedation if the patient's condition warrants it or the patient desires it. Complications are unusual - things like wound infection or bleeding into the lumpectomy site. ...Read more
Several weeks: If your stage of disease requires chemotherapy it usually will begin approximately 3-4 weeks after surgery. This gives the wound time to significantly heal. Starting earlier may delay wound healing; starting later may reduce the benefits of receiving treatment. Speak with your oncologist and surgeon for more information. ...Read more
For benign disease usually minimal discomfort. After cancer and radiation patients often notice an occasional sudden discomfort , which is not uncommon. It could be more intense after mammosite.
It varies a great deal from patient to patient.
Immediately after the procedure there is some discomfort.
Your surgeon can give you the details for you. ...Read more
4-6 weeks: Usually wait 4-6 weeks as this is what was done in the trials. In addition, we usually like to be sure that all or most of the healing is complete. Hope this helps. ...Read more
A few weeks: Typically chemo can start as soon as one has recovered from her surgery. For a lumpectomy with sentinel node biopsy, it may be as little as 10 days or so. Most patients will start chemo within 3-4 weeks postop, but sometimes there are scheduling delays or delays to place a portacath etc. A reasonable wait has not been shown to decrease survival. ...Read more
Yes,: However it would be unusual unless axillary lymph nodes were removed at the same time. Once nodes are damaged (radiation therapy) or surgically removed, one is set up for lymphedema in that arm. It can suddenly manifest even years later after trauma or infection to that hand or arm occurs. ...Read more
If you have breast cancer, your chances of survival are equal if you have a lumpectomy with radiation or if you have a mastectomy.
There are differences in recurrence rates and recovery time that should be discussed with your surgeon prior to choosing. ...Read more
Natural course: When the body is injured or operated on with surgery, fluid is sent to the area as part of the healing process. In the breast, this is called a seroma. The seroma fills the lumpectomy space. These days we close the space down to decrease the rate of seroma formation. A drain can be placed at the time of surgery to keep the fluid from building up or the fluid can be drained with a needle. ...Read more
Allergic reaction: You are probably allergic to the tape's adhesive; it's a little early at day #2 to be an infection. Remove tape, cool compresses; if your surgeon okay's it & reaction is very severe, mild cortisone topically may settle this faster. ...Read more
Can one have oncolpastic surgery after a lumpectomy or does it have to be performed at the same time?
My husband wants me to put off my lumpectomy another month because he'll be out of town on the surgery date. Is there a chance it can become invasive ?
Talk to surgeon: This is something you need to get feedback from your doctors. If the tumor is an aggressive one, waiting would likely not be a good idea. But it has a low risk of metastasis , it will then be your choice. I would prefer early intervention since it is not easy to predict how a tumor may behave. ...Read more
Is it cancer orDCIS: For the usual cancer i look for a 3mm margin if a unifocal cancer without satellites on MRI or extensive dcis around the primary cancer but dcis is a different story i look for 10mm margin if possible if 1 comedo changes(high grade with central-comedo necrosis)-which can involve juxtaopposed ducts and 2 with cribiform/ micropapillary type that can extend out a long way as a single duct. ...Read more
Good but qualified: I am the doer/surgeon and lumpectomies is what i do, but after 5, 000 I am qualified to answer. I use lumpectomy as a synonym for excisional biopsy involving cancer - the incision follows skin crease lines with the internal resection aimed radially toward the nipple paramount is preop planning/intraop imaging with ultrasound to direct the margin width - the tumor site has already been marked. ...Read more