Benign Tumour: Fibroadenoma Flashcards

1
Q

The term fibroadenoma combines the word fibroma, meaning a tumour made of fibrous tissue, and adenoma - which is …

A

A tumour of gland tissue

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2
Q

Is a fibroadenoma the most common type of benign growth in breast tissue?

A

Yes

= 12% of all breast masses

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3
Q

Who do they typically affect?

A

Women of reproductive age

Although women of any age can develop fibroadenomas

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4
Q

They develop from…

A

A whole lobule

= a proliferation of stromal and epithelial tissue in duct lobules

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5
Q

On examination…

A
Highly mobile 
Firm lump
Rubbery and well defined 
Most are less than 5 cm 
Can be multiple and bilateral
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6
Q

Is the lump painful?

A

No

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7
Q

Because it is highly mobile, what can it also be referred to as?

A

A breast mouse

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8
Q

What causes it to get smaller ?

A

Menopause

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9
Q

What can cause it to enlarge?

A

High oestrogen levels due to pregnancy or hormone therapy

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10
Q

Do the presence of fibroadenomas increase the risk of malignancy?

A

No

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11
Q

Over 2 years how many will get smaller?

A

30%

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12
Q

How are they managed?

A

Can be left in situ with routine follow up appointments

Indications for excision: more than 3cm in diameter or patient preference

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