Scar Tissue after Cancer Surgery

It is always important to know and understand the risks of any surgery you choose to undergo, and breast cancer surgery is no different. This post will address the formation of scar tissue. BreastCancer.org notes “it is not uncommon to develop scar tissue after having surgery and/or radiation therapy to treat different kinds of cancer.” The Mayo Clinic reports that some of the risks of having breast cancer surgery may include:

  • Bleeding

  • Infection

  • Collection of fluid at the operating site (seroma)

  • Pain

  • Permanent scarring

  • Loss of or altered sensation in the chest and reconstructed breasts

  • Wound healing problems

  • Arm swelling (lymphedema)

  • risks and side effects related to the anesthetics used during surgery, such as confusion, muscle aches and vomiting

With this said, there are multiple kinds of breast surgery, some more invasive than others, and can tend to carry a larger risk of complications. These include, according to The Mayo Clinic:

  • Surgery to remove the entire breast (mastectomy)

  • Surgery to remove a portion of breast tissue (lumpectomy)

  • Surgery to remove nearby lymph nodes 

  • Surgery to reconstruct the breast after mastectomy

Along with the other side effects of radiation therapy and the above risks of surgery, BreastCancer.org reports the formation of scar tissue can unfortunately have its own effects: 

  • If scar tissue forms around a nerve or a bundle of nerves, nerve pain or numbness may result. 

  • Sometimes scar tissue can form around a stitch in the skin after surgery and form a lump as a result. This is called a granuloma. 

  • Scar tissue can also cause changes in breast appearance. Scar tissue and fluid retention can make breast tissue appear a little firmer or rounder than before surgery and/or radiation.

To prevent scar tissue from forming it is important to follow your surgeon’s post-op instructions to the letter. When the surgeon deems it appropriate, get those healing incisions moving to prevent the scar tissue from forming. 

If however, we have missed this window or despite your best efforts the scar tissue has formed already and is causing stiffness, pressure, or pain, there are a few things we can do to help manage its effects and get the tissues in the area moving again. 

References

BreastCancer.org

Mayo Clinic

MoffittCancerCenter



Ashleigh Low, Registered Physiotherapist