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Fibroadenoma
Breast Health Issues
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Fibroadenoma
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| A fibroadenoma is the most common solid
nodule or lump found in the breast. It is not cancer and will not
turn into cancer. It is comprised of normal elements found in the
breast: tissue ("fibrous") and glandular tissue
("adenoma"). It is not uncommon to have more than one
fibroadenoma.
Most fibroadenomas form in the breast
while a woman is in her 20s or 30s, sometimes in her 40s.
Occasionally, a fibroadenoma can enlarge slightly from year to year
under stimulation from a woman's own hormones or from hormone
replacement therapy. A fibroadenoma will not disappear by itself,
and is not know to be related to any particular diet or medical
condition.
Currently, many approaches are used for
dealing with a fibroadenoma. A large fibroadenoma, which can be
felt in a young patient, is generally removed with surgery because it
will only get larger, not smaller. A small fibroadenoma, which has
been monitored through mammography for two to three years and cannot be
felt, generally needs no particular treatment. When a new
fibroadenoma is found, often the use of high-resolution breast
ultrasound can establish its diagnosis with better than 98 percent
certainty. This requires that an additional step be taken to
verify the diagnosis. Because some patients (and their physicians)
are uncomfortable with the 2 percent chance that the ultrasound
diagnosis is inaccurate, different approaches can be used to establish
the diagnosis. Essentially, there are three options to establish
the diagnosis, with different advantages and disadvantages. These
options are:
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This is only a brief summary of this
topic. Your radiologist or nurse can explain the particular
features of your fibroadenoma in more detail and describe whether any
particular follow-up is needed in your situation.
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The NMMC Breast Care Center would like to provide
you with more information
about breast health issues. If you have
additional questions after
reading this information, please ask a breast
health specialist,
mammography technologist or radiologist. |
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