Breast Lumps: What You Need to Know About Fibroadenomas

Breast lump

In February, I accidentally discovered a small hard lump on the right side of my right breast, about the size of a pea.
It is painless and movable.
After noticing it, I forgot about it since there were no other abnormalities.
Recently, I remembered it and found that the lump is still there.
Is there a high chance that this could be a fibroadenoma? (I am currently 21 years old and have no family history of breast cancer.) I plan to visit a clinic for an examination after my period, but I am a bit worried and would like to get a preliminary diagnosis.
Thank you.

Niming, 20~29 year old female. Ask Date: 2018/04/18

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on the symptoms you described, a preliminary diagnosis can only be made after an examination.
If your symptoms persist, I recommend that you consult a breast surgeon or an obstetrician-gynecologist for evaluation and examination.
Thank you! Wishing you safety and good health.
Dr.
Zhang

Reply Date: 2018/04/18

More Info

Fibroadenomas are one of the most common benign breast tumors, particularly in younger women. Given your age of 21 and the characteristics you've described—specifically, a small, movable, painless lump in your breast—there is a reasonable chance that it could be a fibroadenoma. These lumps are typically firm, smooth, and can be easily moved when palpated. They are often discovered incidentally during self-examinations or routine check-ups.

Fibroadenomas are composed of both glandular and stromal (connective) tissue, which gives them their characteristic structure. They are usually round or oval in shape and can vary in size. While they are benign, meaning they are not cancerous, it is essential to have any new or unusual breast lump evaluated by a healthcare professional.
In your case, since you mentioned that there is no family history of breast cancer and the lump is not painful, these factors are generally reassuring. However, it is still crucial to get a professional opinion. Your plan to visit a clinic after your menstrual period is a good one, as hormonal changes can sometimes affect breast tissue and the characteristics of lumps.

During your visit, the healthcare provider may perform a clinical breast examination and may recommend imaging studies such as an ultrasound or mammogram, depending on your age and the characteristics of the lump. An ultrasound is particularly useful in younger women because it can help differentiate between solid masses (like fibroadenomas) and cysts or other types of lesions.

If the imaging studies suggest that the lump is likely a fibroadenoma, the next steps may include monitoring it over time or, in some cases, performing a biopsy to confirm the diagnosis. Biopsies can be done through various methods, including fine needle aspiration or core needle biopsy, which can provide a definitive diagnosis without the need for surgical intervention.

It's important to note that while fibroadenomas are benign, they can sometimes change in size or shape, and in rare cases, they may undergo changes that warrant surgical removal. However, many fibroadenomas remain stable and do not require any treatment other than regular monitoring.

In summary, while the characteristics of your lump are suggestive of a fibroadenoma, the only way to obtain a definitive diagnosis is through a clinical evaluation and possibly imaging studies. It’s great that you are planning to see a healthcare provider soon, as they will be able to provide you with the most accurate information and peace of mind regarding your breast health. Remember, early evaluation and diagnosis are key to managing any breast concerns effectively.

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