Fibroadenoma Flashcards

1
Q

Define fibroadenoma

A

Benign tumour arising from stromal and epithelial tissue

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2
Q

What are the causes/risk factors of fibroadenomas?

A

• Early reproductive age (15-25 years)

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3
Q

What are the symptoms of fibroadenomas?

A
• Painless
•  firm
•  solitary
•  mobile
•  slow growing lump
• no systemic symptoms
• no nipple discharge
(Breast mouse)
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4
Q

What are the signs of fibroadenomas?

A
  • smooth surface
  • distinct borders
  • rubbery consistency
  • mobile
  • no fixity
  • no lymphadenopathy
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5
Q

What investigations are carried out for fibroadenomas?

A
Triple assessment
• History and examination
• Imaging
- USS <35 years
- Mammography >35 years
• Biopsy
- FNA (fluid-filled)
- Core biopsy (solid)
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6
Q

What is the management for fibroadenomas?

A

Conservative
• The majority of cases
• Reassure the patient that it is non-cancerous.
• Monitor
• It will often resolve over several years.

Medical:
• Ormeloxifene (SERM) may sometimes be used to shrink the fibroadenoma. This is not routinely done.

Surgical: 
• Excisional Biopsy 
• Indications for surgical removal: 
- Patient preference 
- Lump that increases in size 
- Discomfort
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