Fibroadenoam

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 

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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 

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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 

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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. 

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HIFU – not in use presently.