Fibroadenoma interventions
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ifeoma Odukwe, M.D. [2]
Overview
Majority of fibroadenomas are managed conservatively. An intervention can take place in certain situations, such as intense pain, anxiety, cosmetic reasons, and more.
Indications
Observation
- Most fibroadenomas are managed conservatively with yearly breast examination and ultrasound if necessary. This is related to the fact that about 10 to 40% of fibroadenomas regress spontaneously.[1]
- Reasons to undergo intervention of a fibroadenoma:[1]
- Significant anxiety in a patient (despite knowing that the lesion has a low malignant potential)
- Mass is greater than 5 cm in size
- Rapidly enlarging size
- Intense pain
- Distortion of breast parenchyma
- Cosmetic issues
- Persistent mass with no regression
- Hypercellular stroma on ultrasound
- High malignant potential
- Presence of a high risk genetic mutation or syndrome
- Complex fibroadenoma
References
- ↑ 1.0 1.1 Lee M, Soltanian HT (2015). "Breast fibroadenomas in adolescents: current perspectives". Adolesc Health Med Ther. 6: 159–63. doi:10.2147/AHMT.S55833. PMC 4562655. PMID 26366109.