Should You Consider Surgery for a Fibroadenoma in Your Breast?

Surgical treatment for fibroepithelial tumors?

In May of this year, a small lump was discovered in the right breast.
An ultrasound was performed, revealing a 1.2 cm fibroadenoma.
The physician recommended a follow-up appointment in six months.
Since there are occasional pain sensations when touching the lump, I would like to inquire whether surgical treatment is advisable.

Lala, 20~29 year old female. Ask Date: 2020/06/07

Dr. Yuan Tianmin reply Breast and Thyroid

If it is confirmed to be a benign tumor, it can be monitored or treated with minimally invasive breast tumor excision surgery.

Reply Date: 2020/06/07

More Info

When considering whether to undergo surgery for a fibroadenoma in your breast, there are several factors to take into account. A fibroadenoma is a benign tumor composed of both glandular and stromal (connective) tissue, and it is one of the most common types of breast lumps found in women, particularly those in their reproductive years.
In your case, the ultrasound revealed a 1.2 cm fibroadenoma, and your physician has recommended a follow-up in six months. This is a common approach for benign lesions, especially when they are small and asymptomatic. However, since you are experiencing occasional pain in the area, it is understandable that you are considering surgery.

Understanding Fibroadenomas
Fibroadenomas are generally considered benign and are not associated with an increased risk of breast cancer. They can vary in size and may change over time. Some women may choose to have them removed for cosmetic reasons, discomfort, or if there is uncertainty regarding the diagnosis.

When to Consider Surgery
1. Size and Symptoms: If the fibroadenoma is causing discomfort or pain, as you mentioned, surgical removal may be a reasonable option. Pain can sometimes be a sign that the fibroadenoma is growing or changing, which warrants further evaluation.

2. Changes in Appearance: If the fibroadenoma appears to be changing in shape or size, or if there are any irregularities noted on imaging studies, surgery may be recommended to rule out any potential malignancy.

3. Patient Preference: Ultimately, the decision to undergo surgery is also a personal one. If the presence of the fibroadenoma is causing you anxiety or affecting your quality of life, discussing surgical options with your healthcare provider is advisable.

Risks and Benefits of Surgery
Surgery for fibroadenoma is typically a minor outpatient procedure. The benefits include the removal of the lump, alleviation of symptoms, and peace of mind regarding the diagnosis. However, as with any surgical procedure, there are risks involved, including infection, scarring, and changes in breast appearance.

Timing of Surgery
If you decide to proceed with surgery, it is generally safe to do so several weeks after your last biopsy, as long as you are in good health. There is no strict timeline that mandates immediate surgery following a biopsy, and many patients wait until they feel ready or until their physician advises it based on their specific circumstances.

Recovery Time
Recovery from fibroadenoma surgery is usually quick. Most patients can return to work within a week, depending on the nature of their job and how they feel post-surgery. It is essential to follow your surgeon's post-operative care instructions to ensure proper healing.

Conclusion
In summary, while many fibroadenomas can be monitored without immediate surgery, your symptoms and personal concerns are valid reasons to consider surgical intervention. It is crucial to have an open discussion with your healthcare provider about your options, the potential risks and benefits of surgery, and any other diagnostic tests that may provide further clarity on your situation. Ultimately, the decision should align with your comfort level and health priorities.

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