Do You Need Surgery for Breast Lipomas or Fibromas? Expert Insights - Oncology

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Do breast lipomas or fibromas always need to be surgically removed?


Hello, doctor.
Recently, I discovered a painless soft mass about 3 centimeters wide in my left chest.
After examination, the doctor diagnosed it as a lipoma and recommended surgical removal.
Is surgery absolutely necessary? Can I opt for regular monitoring instead of surgery? Additionally, I heard that using antiperspirant sprays or creams under the armpits may increase the risk of breast cancer or tumor development.
How accurate is this claim? Thank you!

ann, 20~29 year old female. Ask Date: 2003/05/14

Dr. Zeng Yuhua reply Oncology


Hello! Depending on your age, if you are over 30 years old and have a breast lump, it is safer to have it surgically removed for pathological examination.
If you are under 30, most cases are benign tumors.
If an ultrasound examination suggests that it does not appear malignant, monitoring may be considered.
Currently, there are no reports linking antiperspirants to breast cancer.
Best wishes for your health from Dr.
Tseng Yu-Hua, Oncology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2003/05/14

More Info


When it comes to breast lipomas or fibromas, the decision to undergo surgery often depends on several factors, including the size, symptoms, and characteristics of the lesion, as well as the patient's preferences and overall health.

Understanding Lipomas and Fibromas
Lipomas are benign tumors composed of adipose (fat) tissue. They are typically soft, movable, and painless, and they can vary in size. Most lipomas do not require treatment unless they become bothersome or painful, or if there is uncertainty about the diagnosis.
Fibromas, on the other hand, are fibrous tissue tumors that can also be benign. They may present as firm lumps and can sometimes cause discomfort, especially if they are located near sensitive areas.

Surgical Considerations
In your case, the physician has suggested surgical removal of the lipoma. Here are some considerations regarding surgery:
1. Indications for Surgery:
- If the lipoma is causing discomfort, is growing, or if there is any uncertainty about its nature (to rule out malignancy), surgery is often recommended.

- If the lipoma is asymptomatic and not growing, some patients may choose to monitor it instead of undergoing surgery.

2. Monitoring vs. Surgery:
- Regular follow-ups with imaging (like ultrasound) can be an option if the lipoma is stable and asymptomatic. However, if there are any changes in size or symptoms, surgical intervention may be warranted.

- It is essential to have a thorough discussion with your healthcare provider about the risks and benefits of surgery versus observation.

3. Patient Preference:
- Ultimately, the decision should align with your comfort level and preferences. If you are anxious about the lump, surgical removal may provide peace of mind.


Concerns About Antiperspirants and Cancer Risk
Regarding the concern about antiperspirants or deodorants increasing the risk of breast cancer or tumors, current scientific evidence does not support this claim.
- Research Findings: Numerous studies have investigated the potential link between antiperspirants and breast cancer, and the consensus is that there is no credible evidence to suggest that these products cause cancer. The ingredients in antiperspirants, such as aluminum compounds, have been studied extensively, and no direct causal relationship with breast cancer has been established.


- Public Misconceptions: Many myths and misconceptions circulate regarding personal care products and cancer risk, often fueled by anecdotal reports or misinterpretations of scientific data. It is crucial to rely on reputable sources and scientific studies when evaluating such claims.


Conclusion
In summary, whether you need surgery for a breast lipoma or fibroma depends on the specific circumstances surrounding your case. If the lesion is asymptomatic and stable, monitoring may be a viable option. However, if there are any concerns about growth or symptoms, surgical removal is often the best course of action.
As for the use of antiperspirants, current research does not support a link between these products and an increased risk of breast cancer. Always consult with your healthcare provider for personalized advice and to address any concerns you may have regarding your health and treatment options.

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