Post surgical issues.

[Sommer43]

I had an excisional biopsy in March, for a fibroadenoma. This was nine weeks ago. I reported back to clinic with a further mass, which was examined and sent for a further ultra sound. The results from that ultra sound state that a post surgical mass, with highly unusual edges, that may represent fat necrosis. Should I ask for a biopsy to confirm this? It is very painful, almost like a stinging sensation, aching underarm, with very visible veins showing. I have read so much about fat necrosis, I have no discharge or bruising and cannot shake the worry that there was no biopsy offered. I am 43 years of age, have dense breasts which are lumpy, around and immediately prior to menstruation. I am peri menopausal confirmed by a blood test, high levels of FSH.

tHANK YOU,

[Jo_O]

Hi Sommer43,

It is probably best to discuss this with the consultant, it is likely this has been or will be discussed by the multi disciplinary in the hospital whose care you are under. Speaking to the Breast Care nurse if one is available would be another option, either of them should be able to discuss ongoing treatment/ surveillance options with you.

If you have any other questions, you can call our Freephone Cancer Support Line on 0808 808 1010 and we are able to refer you to relevant services.

Jo

[Sommer43]

Hi Jo,

Thank you for your response. Since I posted this, I have taken a step back and looked at all what has happened and I am in contact with PALS. This is down to one reason, due to the consultant intially telling me that I had two lumps when I opted for the removal of the fibroadenoma which she later denied saying. She stated that she was going to insert a wire, to locate the lump, on the morning of surgery. On the morning of surgery, I was taken to radiology, where the radiologist, who is the clinical director of screening at my local clinic, that there was no need for a wire insertion as the fibroadenoma was only 5mm under the skin. He skin marked me.

My issues are to date:

1. The consultant on first examination stated that she could not palpate any lump. But crossed the area for mammogram.

2. On request from me to have the fibroadenoma removed, she examined me, stating that she could feel two lumps, therefore she requested a wire insertion to localise the fibroadenoma and ensure the correct lump was removed after stating that she could not initially feel any lump. No wire insertion was performed only a skin marker.

3. That after such a removal of something such as a mass only 5mm under the skin, that I have so much trauma post surgically.

4. Finally, I do think the original mass has been ignored and that I am still left with the problem that took me to the doctors in the first place. What they are stating is now post surgical, is not in fact the case.

I will call the line you have provided.