hematoma and surgery

[mvanderhaar]

After my sterotactic biopsy in which all the microcalcifications were removed, I have a hematoma approximately 3.5/4 inches big.  There was a positive diagnose for pre cancer cells and   cancer cells. I am holding off on subsequent surgery to clean the margins until the hematoma resolves itself.  This is aganist the advice of my doctor.  My reasoning is that it would be a cleaner surgery without the hematoma.  Any feedback would be appreciated.
Thank you


This discussion is related to Breast Hematoma.

[mvanderhaar]

Thank you for your feedback.  I am also reluctant to have them  remove a lymp node during surgery and I definately have decided not to follow up with radiation.  The downside of six and a half weeks of radiation, in my opinion, far outweighs the lower chance of the cancer coming back in ten to twenty years that radiation offers.  I don't know if the surgeon will even be willing to keep me as a patient since I am not going along with all the recommendations but you have convinced me to make my follow up appointment.  Thank you for that.
Mary

[japdip]

I do not agree with your thinking .... the hematoma would be removed at the time of surgery and it would have nothing to do with the procedure itself. A "cleaner" surgery just doesn't really make much sense .... the more important issue is the removal of the cancerous cells. "Clean" margins means margins WITHOUT evidence of cancer cells and a hematoma has nothing to do with that.  Please proceed with the sugery as you have been advised. Hematomas often take weeks or even longer to absorb and sometimes they are never absorbed completely.  Regards .....