BREAST MASS-FIBROADENOMA

Question 1

General considerations for fibroadenoma

Answer 1

(a) Common benign neoplasm occurs most frequently in young women
1) Usually within 20 years after puberty
2) More frequent and occurs earlier in black women
(b) Usually discovered accidentally

Question 2

Signs and symptoms of a fibroadenoma breast mass (DNRRR)

Answer 2

(a) Discrete
(b) Nontender mass 1-5 cm in diameter
(c) Round or ovoid
(d) Relatively movable
(e) Rubbery

Question 3

Differential diagnosis of a fibroadenoma breast mass

Answer 3

(a) Fibrocystic condition

(b) Breast carcinoma

Question 4

Laboratory findings of a fibroadenoma breast mass

Answer 4

None

Question 5

Imaging of a fibroadenoma breast mass

Answer 5

Ultrasound

1) Core needle biopsy

Question 6

Treatment of a fibroadenoma breast mass

Answer 6

(a) All breast masses should be referred to General Surgery for further
evaluation and work up
(b) Once confirmed by biopsy, no treatment is usually necessary
(c) Excision may be necessary for large or rapidly growing fibroadenomas
1) Larger than 3-4 cm
2) Rule out phyllodes tumor
a) Malignant fibroadenoma like tumor