Fibroadenoma means a tumor composed of glandular (related to gland) and fibrous (containing fibers) tissues. These tumors are commonly seen in young women and are being seen in postmenopausal women who are taking hormone replacement therapy. Nearly 90% of breast masses in women are the result of benign lesions and are usually fibroadenomas in women in their 20s or 30s. Fibroadenoma variants include juvenile fibroadenomas, occurring in female adolescents, and myxoid fibroadenomas, occurring in persons with Carney complex. A fibroadenoma is not cancer and does not lead to cancer, but sometimes an office exam, mammography and doctor cannot distinguish between a fibroadenoma or a cancer and therefore some type of breast biopsy is indicated.
Causes of Fibroadenoma
The cause of Fibroadenoma tumors is unknown. Approximately 10% of fibroadenomas disappear spontaneously each year, and most stop growing after they reach 2-3 cm. Fibroadenomas are the second most common solid tumor after breast cancer and the most common benign tumor in women. In women younger than 30 years, fibroadenoma is the most commonly diagnosed breast tumor.
Symptoms of Fibroadenoma
In a physical examination, a fibroadenoma feels slippery and smooth, like a hard marble, and moves freely within the breast. However, it is not always possible to tell the difference between a fibroadenoma and a fluid-filled cyst. Fibroadenoma are usually isolated breast masses. In ten to fifteen percent of cases multiple fibroadenomas may occur, and may be present in both breasts.
Quick Aid to perform in Fibroadenoma
Before making any decisions, learn as much as you can about the many treatment options that exist. Talk extensively with your health care team. A fibroadenoma may be removed under local anesthetic, either through surgery or through the use of a fine needle. If a biopsy is required to rule out malignancy, the entire fibroadenoma may be removed during the procedure. Local treatment may include lumpectomy , mastectomy (partial, total, or radical with axillary dissection), and radiation therapy, all directed at the breast and surrounding tissue.
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