Surgery for hematoma/fat necrosis?

[lakegirl108]

I have a hard palpable and painful lump (pea-sized) resulting from a (benign) stereotactic needle biopsy 16 months ago.  It has been variously diagnosed as a chronic hematoma and a fat necrosis.  It is very painful, enough to interfere with my daily life.  I have been told that nothing can be done and I need to accept that I will have this pain forever.  I have found that breast surgeons are very dismissive about pain and appear only to be concerned about cancer; in fact, most refuse to even physically examine the area and concentrate on the ultrasound scans or, even worse, just read the radiologist's report.  Can these lumps ever be removed, and what is the likelihood that surgery would make the pain worse not better?  I have heard 5% likelihood of worse results all the way to 50% likelihood.  Would I have more success consulting a plastic surgeon rather than a breast surgeon?

[Joanpurple]

I have fat necrosis of my breast.  My reconstructive surgeon told me the best thing to do is leave it alone.  However, mine has gotten better and the pain has subsided.  I am leaving it alone and just observing it.  Of course, doctors want MRI's done every 6 months or so to watch it.  good luck, Joan

[Cleveland Clinic]

Dear lakegirl108:  Without evaluation, it is impossible to speculate on what this lump may or may not be.  There is no way to know in advance whether attempting to remove the lump would make it better or worse.  Seeing a plastic surgeon is a reasonable option and another possible recommendation would be to see a medical breast specialist (a person who would deal with breast pain) and see what recommendations may be.  If he/she believes surgery would be appropriate, you could be referred to an appropriate surgeon.