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  • Fibroadenoma: DR - Abdiaziz Hakiye MBBS AU

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    Fibroadenoma is a benign breast tumor that commonly occurs in young females aged 15-25 years old. It presents as a painless, movable breast lump. Fibroadenomas are the most common benign breast tumor in females under 30 years of age. While typically benign, in some cases a fibroadenoma can be complex, with cysts or other changes, and rarely complex fibroadenomas can become malignant. Surgical excision is the standard treatment for large, multiple, or complex fibroadenomas.

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    Fibroadenoma is a benign breast tumor that commonly occurs in young females aged 15-25 years old. It presents as a painless, movable breast lump. Fibroadenomas are the most common benign breast tumor in females under 30 years of age. While typically benign, in some cases a fibroadenoma can be complex, with cysts or other changes, and rarely complex fibroadenomas can become malignant. Surgical excision is the standard treatment for large, multiple, or complex fibroadenomas.

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    19 views14 pages

    Fibroadenoma: DR - Abdiaziz Hakiye MBBS AU

    Uploaded by

    gibreil
    Fibroadenoma is a benign breast tumor that commonly occurs in young females aged 15-25 years old. It presents as a painless, movable breast lump. Fibroadenomas are the most common benign breast tumor in females under 30 years of age. While typically benign, in some cases a fibroadenoma can be complex, with cysts or other changes, and rarely complex fibroadenomas can become malignant. Surgical excision is the standard treatment for large, multiple, or complex fibroadenomas.

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    of 14

    FIBROADENOMA

    DR.Abdiaziz Hakiye MBBS AU

    5/31/2020 DR.Abdiaziz Hakiye MBBS AU


    ♦ It is a benign encapsulated tumour occurring commonly in
    young females of 15-25 years age group.
    ♦ Presently it is considered as hyperplasia of a single lobule
    of the breast .
    ♦ It is the most common benign tumour of the breast below
    30 years of age in females.

    5/31/2020 DR.Abdiaziz Hakiye MBBS AU


    ♦ It is aberration in normal development (AND) of a lobule.
    ♦ It shows similar hormonal activities of normal breast like lactation,
    perimenopausal involution.
    ♦ Incidence is 15% of palpable breast lumps.
    ♦ It is bilateral in 20% of cases.
     20% are multiple.

    5/31/2020 DR.Abdiaziz Hakiye MBBS AU


    • Juvenile fibroadenoma occurs in adolescent girls, rarely (variant).
    • Even though it shows rapid growth with stromal and epithelial
    hyperplasia, it does not show any alteration in stromal epithelial
    balance or cellular atypia or periductal cellular concentration.

    5/31/2020 DR.Abdiaziz Hakiye MBBS AU


    • It may clinically mimic phyllodes tumour.
    • But it does not turn into phyllodes tumour or carcinoma.

    5/31/2020 DR.Abdiaziz Hakiye MBBS AU


    • Complex fibroadenoma is a condition (variant) having typical
    fibroadenoma with fibrocystic changes like apocrine metaplasia, cyst
    formation, sclerosing adenosis.
    • 15% of proven fibroadenomas are complex.
    • It occurs in older age group.

    5/31/2020 DR.Abdiaziz Hakiye MBBS AU


    • Occasionally it may turn into malignancy unlike usual fibroadenomas.
    • Core biopsy is needed to confirm the condition.

    5/31/2020 DR.Abdiaziz Hakiye MBBS AU


    • 30% of fibroadenomas may disappear or reduce in size in 2-4 years.
    • 10 -15% will increase in size progressively.
    • It does not occur after menopause unless women are on hormones.
    • Fibroadenoma does not turn into malignancy.

    5/31/2020 DR.Abdiaziz Hakiye MBBS AU


    Clinical Features

    ♦ It presents as a painless swelling in one of the quadrants, which is


    smooth, firm, nontender, well-localised and moves freely within the
    breast tissue (mouse in the breast).
    ♦ Axillary lymph nodes are not enlarged.

    5/31/2020 DR.Abdiaziz Hakiye MBBS AU


    Investigations

    ♦ Mammography (well-localised smooth regular shadow).


    ♦ FNAC.
    ♦ Ultrasound (to confirm solid nature).

    5/31/2020 DR.Abdiaziz Hakiye MBBS AU


    Treatment

    • Excision through a circumareolar incision (Webster’s) or


    submammary incision (Galliard Thomas incision) is done under
    general anaesthesia.
    • Fibroadenoma which is small (< 3 cm)/single/age < 30 years can be
    left alone with regular follow-up with USG at 6 monthly interval.
    • But anxiousness of patient and parents find difficult for this
    conservative approach.

    5/31/2020 DR.Abdiaziz Hakiye MBBS AU


    5/31/2020 DR.Abdiaziz Hakiye MBBS AU
    Indications for surgery are:

    • ♦ Size > 3 cm.


    • ♦ Multiple.
    • ♦ Giant type.
    • ♦ Recurrence.
    • ♦ Cosmesis.
    • ♦ Complex type.

    5/31/2020 DR.Abdiaziz Hakiye MBBS AU


    • THE END
    • THANKS

    • READMORE
    • INCREASE YOUR CLINICAL REASONING AND THINKING .

    5/31/2020 DR.Abdiaziz Hakiye MBBS AU

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