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Breast Lump Removal in Gdańsk

Surgical excision of breast lumps under local anaesthesia

Table of Contents

    Breast lump removal involves surgically removing a lesion and sending it for histopathological examination. The procedure may help establish a diagnosis or treat a particular lesion. Not every breast lump requires surgery — the decision is made after a clinical examination and review of the diagnostic findings.

    At Tartaczna 2 Medical Centre in Gdańsk, we remove selected breast lumps under local anaesthesia. Assessment and surgery can form part of the care provided by our Breast Clinic.

    When is surgical removal of a breast lump considered?

    The surgeon assesses whether removing the lesion would provide a diagnostic or treatment benefit. Reasons for surgery may include:

    • significant growth, a large lump or an effect on the shape of the breast,
    • pain or discomfort associated with the lesion,
    • a discrepancy between the biopsy result and the ultrasound or mammography findings,
    • an inconclusive previous biopsy when examination of the whole lesion is needed,
    • a suspected phyllodes tumour or another finding that indicates a need for excision.

    A suspicious appearance on imaging does not automatically mean that immediate surgery is needed. In many cases, a core needle biopsy is performed first to identify the nature of the lump and plan appropriate treatment.

    Does every breast fibroadenoma need to be removed?

    A fibroadenoma is a benign breast lump. If the diagnosis has been confirmed by biopsy, the result matches the imaging findings and no atypia has been identified, routine excision is usually unnecessary. Your doctor will advise on any follow-up or routine breast screening.

    Removal of a fibroadenoma may be considered if it grows significantly, is large or causes symptoms. Your preferences also matter, following a discussion of the benefits, risks and possible effects on the appearance of your breast.

    In selected cases, vacuum-assisted excision may be an alternative to surgery. Your doctor will assess whether this approach is suitable based on the type, size and location of the lump.

    Assessment and preparation before breast lump removal

    A consultation with a surgical oncologist is required before the procedure. The doctor examines your breast, reviews your previous investigations and determines whether the lesion can be removed on an outpatient basis under local anaesthesia.

    Please bring:

    • reports and images from any previous breast ultrasound, mammography or MRI scans,
    • results of previous biopsies and histopathological examinations,
    • records of previous breast surgery and treatment,
    • a list of your medicines and information about long-term conditions and allergies.

    Tests are selected according to your age, symptoms and the characteristics of the lesion. Not every patient needs all the imaging examinations listed above.

    Tell your doctor about anticoagulant or antiplatelet medicines, bleeding disorders, allergies to anaesthetics, and whether you are pregnant or breastfeeding. Do not stop taking medicines on your own. Any changes to treatment and additional preoperative tests are arranged by your doctor.

    Breast lump removal in Gdańsk – surgical excision of a breast lesion

    What happens during breast lump removal under local anaesthesia?

    After numbing the area, the surgeon makes an incision in the skin and removes the lump. The amount of tissue removed depends on the type of lesion and the purpose of the procedure. Removing an entire lesion to establish a diagnosis is called an excisional breast biopsy.

    The anaesthetic injection may cause brief stinging. You may feel touch or pressure during the procedure; tell the doctor immediately if you feel pain.

    After removing the lesion, the surgeon controls any bleeding, closes the wound, usually with stitches, and applies a dressing. Every removed breast lump is sent for histopathological examination. You receive aftercare instructions and a follow-up appointment and can return home once the doctor has assessed that you are ready to leave.

    The duration depends on the size and location of the lump. If the lesion requires more extensive surgery or a different anaesthetic approach, your surgeon will explain the appropriate next steps.

    Recovery after breast lump removal

    You may experience temporary tenderness, pain, swelling or bruising of the breast. Aftercare advice depends on the extent of the procedure and how the wound has been closed.

    • Care for the wound and change dressings as instructed.
    • For the period advised by your surgeon, limit lifting and exercises that cause pain or strain around the wound.
    • Take medicines as prescribed and attend your follow-up appointment.
    • If your stitches need to be removed, arrange this for the date advised by your doctor.

    Your return to work and sport is planned individually. Contact your doctor if you develop worsening pain, rapidly increasing breast swelling, a fever, redness, pus or persistent bleeding.

    Scarring and possible complications after breast lump excision

    Surgical removal of a breast lump leaves a scar. Its appearance depends on the incision site, the extent of the procedure and individual healing. Removing a larger amount of tissue may affect breast shape or symmetry, so the expected outcome is discussed before surgery.

    Possible complications include bleeding, a haematoma, a collection of fluid around the wound, infection, delayed healing and changes in sensation. Your individual risks are assessed during the consultation.

    Histopathology results after breast lump removal

    Histopathological examination helps identify the nature of the removed lesion and guide further care. The tissue is assessed by pathologist Dr Artur Antolak.

    The waiting time for results is approximately 30 days. Additional staining, tests or a specialist review of the slides may extend this timeframe. Discuss the result with the doctor managing your care.

    If the lesion is benign, follow-up may be all that is needed. A diagnosis of breast cancer requires an oncology treatment plan; diagnostic removal of the lump alone is not always sufficient treatment. You can consult Dr Magdalena Korożan at our centre about further management, systemic treatment or radiotherapy.

    When should you see a doctor about a breast lump?

    Every new breast lump should be assessed, even if it is painless. Do not delay a consultation if the lump grows, your nipple turns inwards, you notice bloodstained nipple discharge or skin dimpling, or you find a lump in your armpit.

    These symptoms can have different causes. A clinical examination and appropriate investigations help determine whether monitoring, a biopsy or treatment is needed.

    Breast lump removal in Gdańsk – doctors and appointments

    Assessment and surgical removal of breast lumps at Tartaczna 2 Medical Centre are provided by surgical oncologists:

    Book a consultation through ZnanyLekarz or our reception team. Call +48 58 719 10 25 or email kontakt@tartaczna2.pl. When booking, please specify that you need a breast lump assessment and a consultation about its removal.

    Specialists
    Kamil Drucis - ZnanyLekarz.pl
    Natalia Spychalska - ZnanyLekarz.pl