Fibroadenoma
Hello, I am 18 years old.
Last week, I experienced pain when my right breast was touched, and it was found that I have three fibroadenomas that are almost connected.
During the ultrasound, the doctor mentioned that they are approximately 3 centimeters in size, but since they are close to the nipple, traditional surgery has been recommended.
I would like to know if minimally invasive surgery would affect the nipple?
J, 10~19 year old female. Ask Date: 2021/09/23
Dr. Li Zhonghuai reply Surgery
Hello! Minimally invasive surgery is primarily effective in reducing damage to the milk ducts when dealing with multiple fibroadenomas, which helps prevent mastitis during pregnancy and lactation.
However, if there is only one fibroadenoma located near the nipple, traditional surgery may be sufficient.
Generally, young women with fibroadenomas are monitored first and surgery is not performed immediately unless symptoms significantly impact their quality of life.
Take care! Changhua Hospital cares about you!
Reply Date: 2021/09/23
More Info
Fibroadenomas are benign tumors commonly found in the breast, particularly in young women. They are typically characterized by a well-defined, smooth, and mobile mass that can be felt during a breast examination. In your case, you mentioned that you have three fibroadenomas located close to the nipple, with a combined size of approximately 3 cm. The concern regarding the impact of surgery, particularly minimally invasive surgery, on the nipple is valid and deserves careful consideration.
Minimally invasive surgery, such as ultrasound-guided vacuum-assisted biopsy or other techniques, is designed to reduce trauma to the surrounding tissues while effectively removing the tumor. One of the primary advantages of minimally invasive procedures is that they often result in smaller incisions, less postoperative pain, and quicker recovery times compared to traditional surgical methods. However, the proximity of the fibroadenomas to the nipple can complicate the situation.
When fibroadenomas are located near the nipple, there is a risk that any surgical intervention—whether traditional or minimally invasive—could potentially affect the nipple's sensitivity or appearance. The extent of this risk largely depends on the surgical technique used, the surgeon's experience, and the specific anatomy of the breast. In general, if the fibroadenomas are removed carefully and with precision, the impact on the nipple can be minimized. However, it is essential to have a thorough discussion with your surgeon about the specific risks associated with your case.
In terms of recovery, minimally invasive surgery typically allows for a quicker return to normal activities, often within a few days to a week, depending on the individual and the extent of the procedure. However, you should be cautious about engaging in activities that could strain the surgical site, especially if they involve significant upper body movement or pressure on the breast area.
If you are considering surgery, it is crucial to consult with a breast surgeon who specializes in treating fibroadenomas. They can provide you with personalized advice based on your specific situation, including the best surgical approach and what you can expect in terms of recovery and potential impacts on the nipple.
In summary, while minimally invasive surgery can be a suitable option for removing fibroadenomas, the proximity to the nipple does raise some concerns. It is essential to weigh the benefits and risks with your healthcare provider, who can guide you through the decision-making process. Remember, your health and peace of mind are paramount, so don’t hesitate to ask questions and express your concerns during your consultations.
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