Fibroadenomas Flashcards
Define Fibroadenoma?
Benign overgrowth of collagenous mesenchyme of one breast lobule
What is the aetiology of Fibroadenoma?
Formed of a mixture of stromal and epithelial tissue
1/3 regress, 1/3 stay the same and 1/3 get bigger
What is the epidemiology of Fibroadenoma?
Common in 15-35 yrs
What are the presenting symptoms of Fibroadenoma?
Firm, smooth, rubbery, mobile lump
Painless
May be multiple
What are the signs of Fibroadenoma?
Firm, smooth mobile lump
What investigations will you do for Fibroadenoma?
Triple Assessment
Imaging will show oval or round circumcribed lump, may have coarse calcifications
Biopsy will show epithelial and stromal elements
What is the management plan for Fibroadenoma?
Observation and reassurance - usually no treatment needed
if in doubt refer for US and a fine needle aspiration
If large or growing quick/causing discomfort/preferred by patient then surgical excision can be done by excisional biopsy
What are the complications of Fibroadenomas?
Complications are very rare
What are the complications of Fibroadenomas?
Complications are very rare
What is the prognosis for patients with Fibroadenoma?
Benign with usually no treatment needed
1/3 regress, 1/3 stay the same, 1/3 get bigger
