General & Laparoscopic Surgery

Breast Lump Removal (Excision)

Most breast lumps are harmless. When one needs to come out because it's growing, painful or not fully explained by tests, this short operation removes it and confirms what it is.

Breast Lump Removal (Excision) at Prakash Hospital, General & Laparoscopic Surgery
Surgery duration
30 to 60 minutes
Anaesthesia
Local or general
Hospital stay
Usually day care
Recovery
About 1 to 2 weeks

Overview

Finding a lump in your breast is frightening, and it's natural to fear the worst. So start with this: most breast lumps are not cancer. Especially in women under 40, they're usually a fibroadenoma (a firm, smooth, movable lump of overgrown gland tissue), a cyst (a fluid-filled sac) or lumpy changes linked to the menstrual cycle. Even so, every new lump needs to be checked properly, at any age.

The standard check is called triple assessment. A doctor examines the breast, imaging is done (an ultrasound, plus a mammogram if you're over about 35 to 40), and a thin needle takes a sample for testing. Together these three give a clear answer in most cases. Breast lump removal (excision) comes in when a lump needs to come out for another reason, or when the results don't all agree. The surgeon makes a small cut, often along the edge of the areola or a natural skin line, removes the lump with a thin rim of normal tissue, and sends it to the lab.

For benign lumps, removal is usually the end of the matter. The scar is small and the breast shape rarely changes much. If a lump turns out to be cancer, treatment follows a different plan, and the way the first operation is done affects it. That's why testing comes before surgery rather than after.

Our general surgery team performs breast lump excisions and biopsies, and our diagnostic department does ultrasound and examines tissue samples. Your surgeon explains what the tests show and what the operation involves. If a result shows cancer, the team coordinates your care with cancer specialists so you're not left arranging it alone.

Why it's done

Many benign lumps can safely stay where they are. Removal is usually advised in these situations, after triple assessment.

  • A fibroadenoma that is larger than about 3 cm, growing, or painful
  • A lump where the needle test and imaging don't fully agree, or the result is uncertain
  • A suspected phyllodes tumour, a rare fast-growing type that's removed with a wider margin
  • A cyst that keeps refilling after draining, or contains blood
  • A benign lump that worries you enough that you'd rather have it out
  • A breast abscess that doesn't settle with antibiotics and needle drainage, which is opened and drained instead

Is it right for you?

Usually a good fit

  • A lump already assessed with examination, imaging and a needle test
  • A benign lump that is large, growing, painful or causing worry
  • Healthy enough for a short local or general anaesthetic

May not be suitable

  • A lump that hasn't been fully assessed yet. The needle test should come before surgery
  • A small fibroadenoma confirmed on biopsy that isn't bothering you, which can be watched
  • A simple cyst, which is usually drained with a needle or left alone
  • Breastfeeding, when non-urgent surgery is usually delayed because milk can leak from the wound
  • An active breast infection, until it's treated

Types and techniques

Removing a lump you can feel

Most lumps can be felt, and the surgeon removes them through a small cut placed where the scar will show least, often at the edge of the areola. Small lumps near the surface can be removed under local anaesthetic, and larger or deeper ones under general anaesthesia.

Lumps seen only on a scan

A lump that can't be felt is marked before surgery, usually with a fine wire or a small marker placed under imaging guidance, so the surgeon removes exactly the right area.

Removal through a needle

At some centres, small benign lumps can be removed through a needle with suction (vacuum-assisted excision), leaving a tiny puncture instead of a scar. It isn't suitable for larger lumps or where the diagnosis is in doubt.

Preparing for surgery

  • Complete triple assessment first: examination, ultrasound or mammogram, and a needle biopsy
  • Bring all your earlier scan reports and films, since comparing old and new images helps
  • Tell us about blood thinners, including aspirin, and any bleeding tendency
  • If you have diabetes, get your sugar under control, as it affects wound healing
  • If you're having general anaesthesia, don't eat for about 6 hours beforehand
  • Bring a soft, supportive bra such as a sports bra. You'll wear one day and night for about a week
  • Tell us if you might be pregnant or are breastfeeding
  • Arrange for someone to take you home. Don't drive for 24 hours after a general anaesthetic

The procedure, step by step

  1. 01

    Marking and anaesthesia

    The surgeon marks the lump and the planned cut on your skin while you're sitting up. Then local anaesthetic is injected around it, or you're given a general anaesthetic.

  2. 02

    The incision

    A cut, usually 2 to 5 cm depending on the lump, is made along the areola edge or a natural skin line.

  3. 03

    Removing the lump

    The lump is freed from the surrounding tissue with a thin rim of normal breast and lifted out. Bleeding vessels are sealed.

  4. 04

    Closing

    The breast tissue is brought together to avoid a dent, and the skin is closed with dissolvable stitches under the surface. A small dressing goes on.

  5. 05

    Testing the lump

    The lump goes for histopathology, where it's examined under a microscope. The report is usually ready in about a week.

Benefits and risks

Benefits

  • A definite diagnosis from the whole lump rather than a needle sample
  • Removes a lump that is growing, painful or worrying you
  • Usually day care, with a small, well-placed scar
  • Most people are back to normal activities within a week

Possible risks

  • Bruising and swelling, common for a week or two
  • A collection of blood (haematoma) that needs draining, which is uncommon
  • Wound infection, usually treated with antibiotics
  • A small dent or change in breast shape, more likely with larger lumps
  • Numbness around the scar, and rarely a change in nipple sensation if the cut is near the areola
  • New fibroadenomas can grow elsewhere later. That's a new lump, not the old one coming back

Recovery timeline

  1. 01

    Day 0

    You go home a few hours after surgery. Wear a supportive bra, including at night, to reduce swelling and pain.

  2. 02

    Days 1 to 7

    Take regular painkillers for a few days. Keep the dressing dry for 48 hours, then shower normally. Most people are back to office work and housework within 2 to 5 days.

  3. 03

    Weeks 1 to 2

    Your surgeon checks the wound and goes over the lab report with you. Avoid heavy lifting and vigorous exercise for about two weeks.

  4. 04

    Afterwards

    Get to know how your breasts normally look and feel, and check them once a month, about a week after your period. Report any new lump rather than waiting for your next visit.

When to call your doctor

  • Breast swelling that keeps increasing, or feels tense and very painful
  • Fever, or redness and warmth spreading from the wound
  • Pus or a large amount of fluid leaking from the wound
  • A new lump, or a change in the nipple or skin of either breast, at any time later

Call us on +91-8826000033 or come straight to our 24/7 emergency department.

Alternatives to surgery

Watch and review

A small fibroadenoma confirmed by biopsy can be left alone and checked with an ultrasound after a few months. Many stay the same size, and some shrink, especially after menopause.

Draining a cyst

A simple cyst can be emptied with a fine needle in the clinic. If it disappears completely and the fluid isn't bloody, nothing more is usually needed.

Talk to our General & Laparoscopic Surgery team

Ask about your options, the cost and your insurance before you decide. See the insurance and TPA panels we work with.

This page explains Breast Lump Removal (Excision) in general terms. Your own plan depends on your health, your test results and your doctor's advice. Please read our medical disclaimer.

Your care team

Breast Lump Removal (Excision) is led by our General & Laparoscopic Surgery team, with other departments stepping in at each stage of your care.

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Frequently Asked Questions

Answers to common questions about Breast Lump Removal (Excision) at Prakash Hospital, Noida.

Does a breast lump mean cancer?

Most don't. The chance of cancer rises with age, though, which is why every lump gets triple assessment rather than guesswork. See a doctor promptly for a lump that's hard, fixed or painless, or one that comes with puckered skin, a pulled-in nipple or bloody discharge.

Is it painful? Will I need to be put to sleep?

Small lumps near the surface can be removed under local anaesthetic, and you feel pressure rather than pain. Larger or deeper lumps are removed under general anaesthesia. Afterwards the breast is sore for a few days, and paracetamol-type painkillers are usually enough.

Will removing a lump affect breastfeeding later?

Usually not. A small excision away from the nipple leaves most milk ducts untouched. Cuts close to the areola can affect a few ducts on that side, so tell your surgeon if you hope to breastfeed and the incision can be planned with that in mind.

I found a lump while pregnant or breastfeeding. What should I do?

See a doctor as you would at any other time. Most such lumps are milk-filled cysts (galactoceles), blocked ducts or infections, but they still need an ultrasound, which is safe in pregnancy. If surgery is needed, it's usually timed for after breastfeeding unless the results call for sooner.

Can men get breast lumps?

Yes. The most common cause is gynaecomastia, a rubbery swelling of breast tissue behind the nipple linked to hormones, some medicines or weight gain. Breast cancer in men is rare, but a hard lump in a man should be checked just as carefully.

Will the lump come back?

A lump that has been removed doesn't grow back in the same place, apart from rare types such as phyllodes tumours. Some women tend to form fibroadenomas and may develop a new one elsewhere, which is assessed in the same way.

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