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Anxious and overwhelmed. It is tender to touch and if I try to bend down or tip on my side I get a strong burning pressure and it. Most problems are minor but some can be serious. Skin inflammation or area of redness. dermatitis, pain, skin infection, and radiation-induced esophagitis. 41; Lymphedema Monitoring. Due to invasive surgery, tissue and nerve damage, along with slow roast of rads the discomfort continues. I also had 2 Sentinel Lymph Nodes removed, in 2008, and that was clear. Remember: you may not see this until 18-24 months after your operation. Upper arm and scapular numbness that results from nerve damage in the axillary region may be more uncomfortable than surgical pain. Doctors may also refer to lumpectomy as an excisional biopsy or quadrantectomy. • Lymphedema, or pain in the armpit. , surgeons will perform roughly 170,000 lumpectomies on breast cancer patients. Back pain can be a sign that the cancer has spread to the bones. dermatitis, pain, skin infection, and radiation-induced esophagitis. Then there is the phantom stabbing nipple pain and pain that I felt in the left breast before the cancer diagnose in the right breast. Bloody or clear discharge from your nipple. At my 3-month follow-up with the Radiation Oncologist, I mentioned I had noticed a little less range of motion in the arm coupled with tightness in the breast area. After a lumpectomy, people may. I had both breasts lifted and augmented (saline) in 1994. After radiation treatment, the breast can remain swollen for months or even years — this is known as edema. You may get a blood clot. The two types of breast cancer most likely to recur are inflammatory breast cancer (IBC) and triple-negative breast cancer (TNBC). 2013 Aug 12. Funding is available for eligible individuals undergoing breast cancer treatment at any stage or living with metastatic breast cancer (stage 4). Has anyone else experienced this?Initial diagnosis: DCIS left breast Had first lumpectomy. Some people have shoulder pain due to nerve damage from radiation therapy or a lumpectomy, mastectomy, or lymph node removal. Failure to treat cording can result in immobility, long-term pain, and a frozen shoulder. This may be permanent. New breast pain 20 years post lumpectomy. Most hematomas resolve on their own, but larger ones may require medical attention. Pain in breast years After lumpectomy. Breast-conserving surgery (lumpectomy) removes the cancer and just enough tissue to get all the cancer. Breast-conserving surgery (BCS) removes the cancer while leaving as much normal breast as possible. A part of the breast. Do not lift anything heavy. Diagnosis and treatment Pain in my breast 4mths after lumpectomy. Nipple pain can be caused by hormonal changes from pregnancy or menstruation, trauma to the nipple from breastfeeding or sexual activity, allergy, infection, and more. This type of breast pain is more common in women between 30 and 50 years of age. Lumpectomy (lum-PEK-tuh-me) is surgery to remove cancer or other abnormal tissue from your breast. I also recovered really well. You may feel minor aches, twinges or shooting pain in the breast area during or after treatment. Your doctor may also refer to it as a wide local excision, segmental resection, or partial mastectomy. Of course, I will not be needing those now since I have had a double mastectomy. While sharp stabbing pain in the chest after breast reconstruction is not always a cause for immediate concern, there are instances when it may be a medical emergency. Nerve damage. I had my lumpectomy 4/1/02 and still experience tenderness and occasional pain around site. It may cause swelling, discoloration, or discomfort. Symptoms can include a tingling sensation, pain, and weakness in the shoulder, arm, and hand. Changes to the skin of your breast. If you have any questions, contact a member of your care team directly. Lumpectomy procedures are less invasive than mastectomy, but they still carry some risks, including pain, swelling and bruising. The pain is cording and also a stabbing pain in my armpit. Lumpectomy. A 2014 analysis of close to 190,000 early-stage breast cancer cases revealed that, in California, the percent of women choosing bilateral mastectomy increased from 2. Some common causes of sharp pain in breast. “It’s just occasional sharp jabbing pain, like a knife. This year in the U. Nipple discharge. 01) and fatigue (p = 0. The pain can feel like a tingling, burning, or shooting sensation. PBTPS can be defined as persistent neuropathic pain, and is often associated with symptoms of numbness, dysesthesia, edema, and allodynia located in the chest wall, axilla, arm, or shoulder of the surgical side. For some types of breast cancer, a mastectomy happens after chemotherapy, such as for: Stage 3 breast cancer, also called locally advanced breast cancer. I was 58 then. In 20% of these cases on average, a second procedure will be needed to remove lingering cancer. Like the ants, it comes and go. I am wondering if anyone else who is 6 months or more post-surgery feels sharp shooting pain in the breast or underarm area. lack of proper support from a poorly fitting bra or. Almost a year ago I had a lumpectomy in my right breast followed by radiotherapy and I now take tamoxifen. It may also be felt in the upper arm or armpit. Feeling a lump (84% risk). If you have neuropathic pain, you may feel a shooting or burning. December 2016 edited December 2016. Some women have reported. , during the weekend, or on a holiday, call 212-639-2000. Hi, I had lumpectomy and lymph node dissection 2 weeks ago. As the nerves regrow and heal,the breast is very sensitive to the. The classic symptoms of PMPS are pain and tingling in the chest wall, armpit, and/or arm. The main symptom of lymphedema after breast cancer treatment is swelling of the arm on the side where lymph nodes have been removed. I portaled surgeon who told me it likely was not a tear of stitches and portaled. Signs and symptoms of local recurrence on the chest wall after a mastectomy may include: One or more painless nodules on or under the skin of your chest wall. A lumpectomy, also known as a partial mastectomy, is a surgical breast cancer treatment option that aims to preserve healthy breast tissue. But prolonged discomfort and pain could. Visit the peripheral nerve surgery page or contact our clinic at 734-998-6022 to learn more about. This is called post-mastectomy pain syndrome (PMPS) because it was first noticed in women who had mastectomies, but it can also happen after other types of breast-conserving surgery (such as a lumpectomy). I hopped in, screamed when the water hit my breast and I was right back out. Sunday, March 12, 2023. This is known as fatigue. 3. Some people experience burning. 7% of the women said they had severe pain. Pain may be felt in part or all of a breast. About Cindy Greb and the Breast Blog; Healing post-lumpectomy – 3 months laterBreast conserving surgery is treatment to remove an area of cancer from the breast. m. Late toxicity was defined as adverse reactions occurring after three months. Prevention. sensitivity to touch or to the cold. Nerve pain 17 years after breast implants. In transgender men, breast pain may be caused by the minimal amount of breast tissue that may remain. numbness or pins and needles. The pain can feel like a tingling, burning, or shooting sensation. They have increased with the radiation treatments. Cotton is regarded as ‘good’ as it tends to be durable as well as soft and breathable. The skin in my armpit felt like it was burning for several weeks. ThisAfter a lumpectomy, we typically begin radiation therapy within a few weeks to months, therefore it occurs during the six-month time frame of healing. One theory is that this arises because nerves cut during a mastectomy try to grow back without any place to go. Tiredness and fatigue. and 4 p. Off and on I get pain in the scar area from the lumpectomy. Oil cysts in the breast commonly occur due to injury to the chest or medical procedures. Asked By: Chasethedream in Boston, MA. The past 2 weeks have been very painful. Was not to painful , I got thru it. Phantom sensations after mastectomy might not involve pain, but there are reports of 17 per cent of women up to. Factors such as your skin’s moisture level and pH level (acidity) may also contribute to itchiness. Nerves will usually repair themselves, but it can take weeks or months. I had two ops in January & February 2021 ( removal of lumpectomy then back in to remove lymph nodes in second op. Long-term side effects can include: Breast changes: The breasts may shrink or become more dense after radiation. The pain is often located in the axilla, the shoulder, the arm or the chest wall. Once treatment is complete, it should be followed with chemotherapy or light. I did have terrible terrible pain after my lumpectomy. I actually jump at times causing my husband to look at me strangely!!Another shared their story of long-lasting pain after breast reconstruction surgery. Hi Renee, I also had Hi Renee, I also had lumpectomy w/ re-excision. The majority of women diagnosed with breast cancer will undergo either breast conserving surgery or mastectomy. I had a lumpectomy for primary breast cancer in March 2013 followed by chemo, rads and Herceptin. Other symptoms of metastatic breast cancer include: headaches, vision problems, seizures, nausea, or vomiting if it’s spread to. 13338 views 148 replies Latest: 5 days ago by Doug E. I had my check up with the surgeon in July of this year (1 year after surgery) and she said this was normal, and may be fluid. Incision care includes: Keeping the area clean: Use an antibacterial soap, avoid getting the dressing wet, and change bandages as instructed. It is often used when the lump is small and remains confined to the breast. Onc was very concerned, we did biopsy came back neg but due to symptoms there was fear of inflammatory BC. A fibroadenoma is a common type of benign or noncancerous lump that can develop in the breast. Leave this in place for the first 48. Doctors commonly use a lumpectomy to treat small, early-stage breast cancer tumors in females. Hi all. A 2019 study notes that once the surgeons have removed the breast, the muscles in the front of the chest can tighten. Breast-conserving surgery (lumpectomy) removes the cancer and just enough tissue to get all the cancer. Some days they are sharp and in the center of the lumpectomy, other times around the outside of it but less sharp . Breast pain when there’s no visible or physical lump may still cause concerns about breast cancer. Fading of scars (although they may always be noticeable) Loss of breast sensation after a mastectomy due to delicate nerves getting severed when the breast tissue is removed. This bra has adjustable straps – great! – in a soft and smooth satin. preoperative pain in the area where breast cancer surgery would take place. Some common causes of sharp pain in breast. This procedure is also called lymph node dissection. Cording can also be felt on the trunk as well, typically lower than the mastectomy scar or breast, or under the chest pectoral. Severe or ongoing headaches. In special situations where the risk of recurrence is very low, your doctor may also discuss the option of avoiding radiation after a lumpectomy. Next week I start 5 days of radiation seeds and I'll have 5 tubes inserted because I have breast implants which makes it more complicated. Some people have shoulder pain due to nerve damage from radiation therapy or a lumpectomy, mastectomy, or lymph node removal. April 2011 #12. Knobf T. I was unaware of any problems. Breast cancer 1996 (left breast & lymph node involvement). Over an average follow-up of five years, the study revealed that the rate of breast cancer recurrence in the same breast was 2. I sprayed it on my fingers and then dabbed it on the spot. The consultants seem to think it’s glandular pain and see no. It also caused axial webbing for me about three times now. The breast lump was removed. British Journal of Cancer (2008) 99, 604 – 610. Regaining sensation in your breasts, which Dr. I don't think the burning is normal. m. The look and feel of your breast will continue to change during the first 1-2 years after surgery and radiation therapy. Things are good for me and I am blessed. They can feel like a tight band or ‘ropeyness’ in the armpit, upper arm, elbow, or even the wrist/thumb. The Breast Blog. my surgeon told me that when I was healed enough, I was to have a baseline mammogram so there would be a record of what was scar tissue for future mammograms. I was told to expect pain, lumps in the breast, restricted movement in arm, etc. You may also develop extra fluid in your breast that may cause sharp, stabbing sensations. After surgery, as your nerves regrow and heal, you might notice your breast is more sensitive. , 1995, Tasmuth et al. Some women may also have redness or pain in the arm,. Post-mastectomy pain syndrome (PMPS) is a recognised complication of breast surgery although little is known about the long-term outcome of this chronic pain condition. Mastectomy removes all of the. The debilitating arm and shoulder disability and pain that some women who have had breast cancer surgery experience as a side effect can be reduced by following a physiotherapy-led exercise programme after their operation, a new NIHR-funded study has found. Patient age: 45. Hormonal fluctuations are the number one reason women have breast pain. , exact pathogenesis of PMPS remain unclear; Affects 25%-60% of patients Prevalence is higher after lumpectomy than after mastectomyA lumpectomy (also called a partial mastectomy) is a breast cancer surgery that removes a tumor plus a normal margin of surrounding healthy breast tissue. This showed up on my first ever mammogram (at age 48) and I was recalled. Menstrual cycle. Now I am not allowed to lift, carry, stress out left side at all for 6 months. This is called peripheral neuropathy or chemotherapy-induced peripheral neuropathy (CIPN), and it can cause weakness, numbness, pins and needles and, occasionally, burning or shooting pain. As with all operations, bleeding and infection at the surgery site are possible. This is because while radiation destroys cancer cells, it also. itchiness. Collections of fluid or blood. For 1 or 2 days after the surgery, you will probably feel tired and have. Over the past 2 decades, breast-conservation therapy with lumpectomyand whole-breast radiotherapy has become a standard option for themajority of women with newly diagnosed breast cancer. Taking care of this incision is imperative for both healing and avoiding infection . Lumpectomies are an option for some, but not all, cases of breast cancer, depending on many factors. doi: 10. I actually jump at times causing my husband to look at me strangely!! Another shared their story of long-lasting pain after breast reconstruction surgery. Yes, random pain in both sites. The pain can be on one side, in a specific area or around a wide area of the breast. Another common aftereffect of surgery — be it a lumpectomy or mastectomy —; is back pain. To learn more about this program and other helpful resources, call the Komen Breast Care Helpline at 1-877 GO KOMEN (1-877-465-6636) or email helpline@komen. 26, 2010, on my post-op appt. I did chemo, rads and had a mastectomy a year ago with diep reconstruction. The trial included 2,262 women with early-stage breast cancer who had a lumpectomy and an elevated risk of recurrence in the same breast. I had breast implants 17 years ago. The same study also showed that removal of just one breast carried a somewhat higher risk of overall mortality than lumpectomy—a finding that. These hormones cause your breasts to swell and can lead to tenderness. Mine is, especially around the areola which is where the tumor was removed from. Feeling much more tired than usual. The management of breast cancer is in constant evolution. I have had the stabbing pains since my stitches were taken out. Postmastectomy pain syndrome has been described as a burning, aching or stabbing pain or tightness, which may be exacerbated by movement of the shoulder/shoulder blade. There were 43 patients (11. I keep feeling pain from the scar under my arm pit, every time I touched it it feels very tender and swollen (the arm pit scar). After surgery, as your nerves regrow and heal, you might notice your breast is more sensitive. For most people, this pain is temporary and goes away after you heal. You may also hear this procedure called by a few other names, such as: Breast-conserving surgery (BCS) When paired with the right surveillance after treatment, a lumpectomy may also be an option for breast cancer patients who carry genetic mutations like BRCA1 and BRCA2 that put them at a greater risk for cancer. weakness, difficulty using your arm. More than 50% of women will have pain one year after treatment. After undergoing breast cancer surgery, many women experience lasting pain or discomfort in the breast or chest area. But yes, the weird sensations do show up at weird times. I had a lumpectomy and lymph node biopsy 13 days ago as they had found cancer in my breast. Hi had anyone suffered any new pain several months after lumpectomy? i recovered well but last week it so started to have significant stabbing pains in same breast. Healing after lumpectomy, mastectomy, or reconstruction is a complex process that involves repairing and regenerating tissue. What is seroma? After breast cancer surgery, fluid may collect where tissue was removed. The scar will need to remain covered for 7–10 days. Brachial. Believe it was a fairly large lumpectomy because it was coded partial mastectomy -- definitely within 3 weeks I had no pain, but the scar line/node area still causes discomfort from time to time and that's been 3 months. Patients with chronic post-mastectomy pain can also experience significant discomfort from even minor sources like clothing, seat belts, or coughing. trixie1313 | @trixie1313 | Jan 3, 2021. Sore throat. PAIN AFTER LUMPECTOMY. I had a lumpectomy in 2008 for stage 1 breast cancer in my left breast. During this time, it’s very common for people with breast cancer to report concerns with swelling, pain, and asymmetry, which complicate bra shopping. Radiation therapy (usually given after a lumpectomy) can also affect the look of the breast. For the last few days the pain in my breast is awful, but is also radiating down my right side through my ribs, they feel really bruised. I am 4. It may help to take pain relief in liquid form, particularly before eating, until the discomfort improves. Breast pain, also known as mastalgia, can be associated with many conditions, including: Hormonal changes during menstrual cycle. Longer than 10 minutes can cause nerve and skin damage. Soon the pain became unbearable and I had to do something. Treatment options might include: Medications, including over-the-counter or prescription pain medications, such as painkillers, drugs used to treat depression and drugs used to prevent seizures A lumpectomy is a surgical procedure that’s performed when you have cancer and need to have some of the cancerous tissue and nearby areas removed. 5 years out post lumpectomy and radiation. Learn more here. SwellingOther symptoms may include: pain. lumpectomy. In this case, changes in hormone levels are the cause of the pain. A lot of work was done in there -. A new area of thickening along or near the mastectomy scar. I have had some painful spots since the 1st surgery, and then in general a larger tender spot under excision. Most women can return to normal activities within a few weeks of surgery. For example, wound infection is a possible complication after any surgery. The most common signs are changes in the look or feel of the breast or the nipple and nipple discharge. Katrina, this could be from radiation after effects where the radiation can cause a "ridge" in the breast tissue. December 2016 edited December 2016. on your affected side, especially at your nipple. [] The treatment of this condition depends on its staging, and surgical resection constituting an important step in an attempt to cure the disease. The first week was bearable with lots of numbness which is now going, but this week has been a nightmare!Patient arm movement is often limited by pain or fear of pain. When pathology came back my diagnosis was changed to Invasive Ductal Carcinoma and I was told I'd need to have a second lumpectomy, which they scheduled for later that week to get bigger margins or whatever it's called. infections like mastitis or a breast abscess. It feels like the skin is stretching. Here is why. Pain after lumpectomy on breast. Many patients with breast cancer are candidates for breast conservation therapy. After your operation, the scar will be covered with a waterproof dressing. The garment also helps your body absorb any accumulating fluid. Breast Cancer Now is a company limited by guarantee registered in England (9347608) and a charity registered in England and. Treatment for breast pain after surgery depends on the type and severity of pain you're experiencing. A separate drainage tube is often placed if you have a lymph node dissection. He said it sounded like I was experiencing fibromyalgia. Over the years my breast implants had encapsulated to the point where it was painful just to hug people. Chemotherapy and radiation therapy seem not to increase the risk of phantom breast pain (Krøner et al. Most of the time this occurs because of injury to a nerve. under the arm and. 1 Chronic postsurgical pain. The researchers found that certain factors were linked to continuing pain after surgery: preoperative pain problems. Slowly let your elbows fall gently out to the side. Swelling can also affect the breast, chest, shoulder or the area on the back behind the armpit. If you have any symptoms, tell your health. I sometimes. "Most recurrences will happen. Over-the-counter pain medication wasn't working. Yesterday, my surgeon drained off over 10 cc of fluid from my breast, hoping to give me some relief. In the last few days I have had small twisting twitches of pain that stop when I grab my breast (very hard to manage that in public), and I have sharp shooting pains that don't last long but enough to make my nerves jump up and notice!spontaneously, after any breast procedure such as lumpectomy, or even af-ter percutaneous needle biopsy [3–7]. lilianahomes over 2 years ago. I still have shooting pains in breast and under arm. I’ve had pain in my left breast for at least 4 years now and still remember the night I felt a sharp stabbing pain in my chest. Symptoms. Breast cancer is the most common cancer among women worldwide. Cover it with a towel. BACKGROUND. A number of lymph nodes may also be removed to test them for cancerous cells ( sentinel lymph. Change the texture of the breast. Had ACT/33 rads. pain/cording after lumpectomy and SNB. Long-term side effects can include: Breast changes: The breasts may shrink or become more dense after radiation. Armpit discomfort, including pain, swelling, and a feeling of fullness or numbness, can happen after the following surgeries to treat breast cancer: Some of the nerves in your armpit may be cut during surgery, which can cause numbness. The amount of swelling may vary. Some say it feels like when. You’re probably right that the pain is nerve regrowth. This can include not only pain, but non-painful sensations such as itching, heaviness, and more. Taking care of this incision is imperative for both healing and avoiding infection . I don't think the burning is. Abstract. The skin around the cut (incision) may feel firm, swollen, and tender, and be bruised. Many people with breast cancer can choose between mastectomy and lumpectomy for breast cancer surgery. You usually have radiotherapy after this. Use an ice pack, or put crushed ice in a plastic bag. It feels like a burning, sharp, sore, inflamed swollen mess. A breast rash can be a sign of IBC or Paget’s disease, but most breast rashes are not malignant. I too have a much firmer breast after lumpectomy and significant hard scar tissue. This guide will help you get ready for your breast surgical excision or lumpectomy at MSK. Just over 10% said their symptoms were severe. Postmastectomy pain syndrome (PMPS) is a common and debilitating form of postsurgical pain with neuropathic characteristics, presenting as burning, stabbing, or pulling sensations after mastectomy, lumpectomy, or other breast procedures. Some swelling will be normal for about 1 month after surgery. The aim of this study. The following tips may help you manage your pain and improve your quality of life. The lumpectomy only took a day or so to heal and no pain but under my left arm pit is really painful. Infection: There is a small risk of infection at the biopsy. Hi. Before my lumpectomy, I had a wire-guided localization performed by a radiologist. Some health experts refer to it as a noninvasive precancer. That means it lets you to keep your breast shape and, usually, your nipple. With a skin-sparing partial mastectomy, surgeons use implants or tissue from. Do not push or pull with your arms. pain or tingling in the chest wall, underarm, or arm. The pain is often located in the axilla, the shoulder, the arm or the chest wall. A new lump with the onset of the pain; lump does not go away after your menstrual period. Fatigue usually gets better a few weeks after treatment finishes. Changes to the skin of your breast. This procedure preserves breast tissue. , and was signed off work for 2 weeks. sharp shooting pains, hardness in breast Hi, I have just completed 6 weeks of rads, post lumpectomy. I have only slight pain here—perhaps because I assiduously did exercises from Thriving After Breast Cancer by Sherry Lebed Davis. I had a lumpectomy (Invasive Ductal with Lobular Features) with 4 nodes removed (1 lymph node involved), and I had 33 days of radiation. It may help to take pain relief in liquid form, particularly before eating, until the discomfort improves. Just tell your doctor and see what he says before too much freaking. Anyone else who had a lumpectomy, is your breast still very tender. 1 to 13% in breast cancer after. Phantom breast syndrome is a type of condition in which patients have a sensation of residual breast tissue and can include both non-painful sensations as well as phantom breast pain. Chemotherapy/Radiation and Tamoxifen for 5 yrs. This pain, which can occur in the breast and/or upper extremity, affects 25% to 60% of patients. The exercises can be painful, requiring perseverance and working gradually through the pain, until arm movement improves and the pain subsides. Lymphedema therapy. This can occur for different. I had a lumpectomy was stage 2, grade 3 er/pr+, 7+nodes and brca2+. Swelling in the hand, fingers, arm, or breast area. I had a lumpectomy in 2008 for stage 1 breast cancer in my left breast. Sharp shooting pain. It ended up being an intraductal papilloma, with a few abnormal features. It’s considered a stage 0 breast cancer that is not life-threatening and potentially 100 percent curable. The amount of muscle, tissue and lymphatic system removal may have an impact on how much pain is felt. It is common for tiredness to last for months after treatment is over. They may be diagnosed on ultrasound or other breast imaging. Depending on the cause, nipple pain can extend into the areola —the. We are given exercises, remember the. Diagnosed with breast cancer Benign breast conditions. Believe it was a fairly large lumpectomy because it was coded partial mastectomy -- definitely within 3 weeks I had no pain, but the scar line/node area still causes discomfort from time to time and that's been 3 months. A bruise on the breast can be caused by localized bleeding from small blood vessels, such as capillaries. Apparently this is quite normal and can go on for 5 years. . Tightness in the surgical site can make moving difficult and painful. It is not uncommon for the appearance of a woman's breast and or nipple to change after lumpectomy. 19 Eight of the 14 women with breast recurrence in the. I also got Neosporin for pain or itch which also helped. Sore throat. Posted by beckyf @beckyf, Oct 14 1:26am. The prevalence of PMPS has been shown to be higher after lumpectomy than after mastectomy (Tasmuth et al, 1996, 1997). I had a right breast lumpectomy with radiation treatments almost 20 years ago. Patients generally do not have significant pain after a lumpectomy, but the breast can be swollen, bruised or tender for a few days to a week or two after surgery depending on a patient’s breast size and size of the tumor removed. The breast area involved in the surgery may have a spot that's. If you have neuropathic pain, you may feel a shooting or burning. I did chemo, rads and had a mastectomy a year ago with diep reconstruction. For 1 or 2 days after the surgery, you will probably feel tired and have some pain. As sensation returns to the breast, patients may experience shooting pains as nerves “wake up” and this is temporary. Discussion. certain medications such as birth control or antidepressants. Dr. At that time, you will hear about your pathology results from the tissue removed during your lumpectomy. Self-care: Apply ice on your breast for 15 to 20 minutes every hour or as directed. The two types of breast cancer most likely to recur are inflammatory breast cancer (IBC) and triple-negative breast cancer (TNBC). If your breast or chest wall pain persists six months or more after surgery, and you have seen other doctors, request a consultation with Dr. During surgery:Yes. Breast pain can range from mild to severe. Telling someone on your care team if you’re in pain. Hi Denise, I had a hardness after my lumpectomy - they did a biopsy just to rule out a recurrence and it came back it was fatty necrosis which I believe is scar tissue. Severe or ongoing headaches.