Fibroadenomas: Questions About Surgery and Dietary Concerns

Inquire about issues related to fibroepithelial tumors?

Hello, Doctor.
I was recently diagnosed with a fibroadenoma, with one in each breast.
After discussing with my doctor, we plan to remove the larger one, which is 1.4 cm and may gradually increase in size.
The doctor did not specifically mention the smaller one, which is 0.5 cm, and said it could be monitored.
However, since I am already going for surgery, can I request the doctor to remove the 0.5 cm one as well? I read online that smaller ones can be monitored, but I am concerned that if I plan to get pregnant in the future, it may grow larger.
I worry that if it does grow during pregnancy, I might need another surgery.
Additionally, I found conflicting information online about whether it is okay to drink soy milk or cow's milk.
Some say it is fine, while others say it is not.
Could you please clarify which is correct? I usually have a cup of soy milk or cow's milk for breakfast every day.
Thank you.

QQ, 30~39 year old female. Ask Date: 2016/12/25

Dr. Yuan Tianmin reply Breast and Thyroid

A physician must not administer treatment, prescribe medication, or provide a diagnosis without a personal examination.
Small benign tumors do not require removal.
Additionally, the growth of benign tumors is related to female hormones, and pregnancy can have an impact, while the consumption of milk and soy milk is not significantly related.

Reply Date: 2016/12/25

More Info

When it comes to fibroadenomas, it's important to understand both the nature of these benign breast tumors and the implications of surgical intervention. Fibroadenomas are typically non-cancerous lumps that can occur in one or both breasts, and they are most common in young women. They are often characterized by their smooth, firm texture and can vary in size.
In your case, you have two fibroadenomas, one measuring 1.4 cm and the other 0.5 cm. Your doctor has recommended surgery to remove the larger one, which is a common approach, especially if there are concerns about its growth or if it is causing discomfort. The decision to remove the smaller fibroadenoma is more nuanced. While it is true that smaller fibroadenomas can often be monitored rather than surgically removed, your concern about potential changes during pregnancy is valid. Hormonal fluctuations during pregnancy can indeed lead to changes in breast tissue, including the growth of fibroadenomas.
You can certainly discuss your concerns with your surgeon. If you feel strongly about having both fibroadenomas removed, express this to your doctor. They may agree to remove the smaller one, especially if it alleviates your anxiety about future complications. Ultimately, the decision should be made collaboratively, taking into account your medical history, the characteristics of the fibroadenomas, and your personal preferences.

Regarding dietary concerns, there is ongoing debate about the impact of certain foods on breast health, particularly in relation to fibroadenomas. Some individuals suggest avoiding soy products, such as soy milk, due to their phytoestrogen content, which could theoretically influence breast tissue. However, there is no definitive scientific evidence that directly links soy consumption to the growth of fibroadenomas or breast cancer. In fact, many nutritionists advocate for a balanced diet that includes a variety of foods, including dairy and soy products, as part of a healthy lifestyle.

If you enjoy drinking soy milk or cow's milk for breakfast, it is generally considered safe to continue doing so unless your healthcare provider advises otherwise. Maintaining a balanced diet rich in fruits, vegetables, whole grains, and lean proteins is crucial for overall health and can support your body during any surgical procedures you may undergo.

In summary, it is essential to have open and honest discussions with your healthcare provider about your concerns regarding both the surgical removal of fibroadenomas and dietary choices. They can provide personalized recommendations based on your health status and preferences. Remember, the goal is to ensure your peace of mind while also maintaining your overall health.

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