Worried about a small hard lump in a reconstructed breast

Question

I had a bilateral breast re-construction done with implants in November 2015 after having breast cancer in my left breast (Stage 1A 0/6 node, ER+PR+HER2+). I had chemo, Herceptin and am on Tamoxifen.I've just felt a small hard lump around the 7oclock mark on my right (non cancer) breast.I'm seeing my surgeon on Monday but am worried. I had a clear CAT scan in November. I'm hoping someone that it is a stitch or something else surgical than a whole new cancer. Thanks in advance...

Kendall Roehl, MD, FACS · Answer

Thank you for your question. There may be different speculations about the new lump that you felt on your right breast. However, any lump may not always be a cancer lump or recurrence. I would advise that you consult with your board-certified plastic surgeon right away to rule out any possibilities of cancer or its recurrence. Your plastic surgeon can properly do an in-person examination and give you good recommendations on how to go about with your concern. Best of luck!

Eddie Cheng, MBBS, FRACS (Plastic Surgery) · Answer

Hello Doggiemama,
Thank you for your question. With your history, it's not unusual to feel anxious about any changes in your breasts. There are many benign conditions that cause breast lumps. However, anything new or different should be thoroughly investigated to rule out a malignancy. It's good that you've booked an appointment with your surgeon who will examine you carefully and arrange some investigations. Best of luck.

April Speed, MD · Answer

Any new lump is not always a new breast cancer or recurrence. However, imaging (ex, ultrasound ) is a great way to begin the work up, followed by a breast biopsyof the lump.

Kelly Killeen, MD, FACS · Answer

It is always a good idea to have any new masses looked at after breast surgery.  There are a variety of benign things this can be (scar tissue, fat necrosis, cysts), but it is always safer to have it looked at.  Good luck!

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