FIBROADENOAM Mostly NON- CANCER Breast Lump
DR ANAND KUMAR NAGWANI
CALCUTTA COSMO AID M.B.B.S., M.S., M.Ch. (PLASTIC AND COSMETIC SURGERY)
Its Presentation in women
Fibroadenomas are benign (Non-Cancer) tumour/Lumps of the breast, which most commonly present in women between 15-35 years of age. Clinically – most patients have Painless solid breast Lump Firm or rubbery Mobile known as “Breast Mouse” Solitary mostly near round with smooth borders.
Risk of developing cancer Most fibroadenomas do not affect patient’s risk of breast cancer. But breast cancer risk might increase slightly if patient have a “Complex or a Phyllodes tumour”
Causes
The cause of fibroadenomas is not known cause means “Idiopathic”. Suggestive theories – association with hormones. Less common in Higher intake of diet with fruits and vegetables. Moderate exercise. Lower or no use of oral contraceptives.
Types of Fibroadenomas Simple Fibroadenomas Complex Fibroadenomas – rapid growth Juvenile Fibroadenomas – 10-18 years age Giant Fibroadenomas - >5cm in size Phyllodes Tumour - recommended for early intervention.
Diagnosis Clinical examination. Ultrasound or mammography. Fine-needle aspiration. Core-needle biopsy. Surgical biopsy.
Treatment Surgical Treatment
When fibroadenomas get larger or causes increased symptom. Aesthetically Complete removal by cosmetic surgery. Histopathology after removal.
Non-invasive Surgical Treatment
Cryoablation – with USG guide cryo-probe use to destroy the abnormal cell. Advantage – no – cut. Disadvantage – take long time and need involvement of radiologist and surgeon.
HIFU – not in use presently.