Breast surgery: fibroadenomas Flashcards
What is the most common benign growth in the breast?
Fibroadenoma
What are fibroadenomas made from?
They are proliferations of stromal and epithelial tissue
How do fibroadenomas feel on palpitation?
They are highly mobile lesions, well defined and rubbery, with most less than 5cm
What is the prognosis of a fibroadenoma?
They have very low malignant potential and can be left in situ with routine follow ups over a 2 year period, up to 30% will get smaller
What are the indications of excision of a fibroadenoma?
Greater than 3cm in diameter or patient preference
A woman attends your clinic with a breast lump. What differentials are possible?
Fibroadenoma, fibrocystic breast, fat necrosis, intraductal papilloma, breast abscess, Phyllodes tumour (a tumour that grows in stroma of breast). Radial scar, atypical ductal hyperplasia, atypical lobular hyperplasia.
How do fibroadenomas present?
In a woman of reproductive age. Is rubbery, v mobile, well defined, multiple, bilateral, less than 5cm (usually)
How are fibroadenomas managed?
They have a v low malignant potential so are left in situ with 2 year follow up appts.
You find a fibroadenoma of 5cm. How do you manage it?
Excision (as over 3cm).
Name 2 RF for fibroadenomas.
Young age - below 35. Prior hx of benign breast disease. Obesity. Fix of multiple adenomas. COCP before 20yrs.
Females <30y/o with a non-tender, discrete and mobile lump?
Fibroadenoma
When can you excise a fibroadenoma?
When it is greater than 3.5cm
