How Often Should You Follow Up on a Fibroadenoma Diagnosis? - Surgery

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Follow-up issues for fibroepithelial tumors?


I was diagnosed with a fibroadenoma in March of this year, measuring about 1 to 2 centimeters.
Due to the severe pandemic situation, I did not return to the hospital for a follow-up.
At that time, the doctor mentioned after the ultrasound that we should just observe it for now (indicating no need for surgical removal).
I have been monitoring it since then, and as of December, there hasn't been much change.
How often should I schedule follow-up appointments? Is every six months better, or once a year? I have also seen many people undergo surgery for removal; under what circumstances is it better to remove it? What conditions allow it to remain in the body?

Niming, 20~29 year old female. Ask Date: 2021/12/27

Dr. Yu Mingchang reply Surgery


Hello: If possible, surgery for excision can be performed.
A fine-needle aspiration biopsy can also be considered.
If excision is not performed, further monitoring can be done.
The Changhua Hospital of the Ministry of Health and Welfare is concerned about you.

Reply Date: 2021/12/27

More Info


Fibroadenomas are benign breast tumors that are most commonly found in young women. They are typically characterized by their smooth, firm texture and can vary in size, often ranging from 1 to 2 centimeters or larger. The management of fibroadenomas generally involves observation, especially if the tumor is asymptomatic and stable in size.
In your case, since you were diagnosed with a fibroadenoma in March and have not noticed any significant changes since then, it is reasonable to continue with a watchful waiting approach. The recommendation for follow-up appointments can vary based on individual circumstances, but a common guideline is to have a follow-up ultrasound every 6 to 12 months. If the fibroadenoma remains stable and does not exhibit any concerning features, annual follow-ups may be sufficient.
However, if you notice any changes in the fibroadenoma, such as an increase in size, changes in shape, or if you develop new symptoms (like pain or discharge), you should seek medical attention sooner. The decision to surgically remove a fibroadenoma is typically based on several factors:
1. Size: If the fibroadenoma grows larger than 2-3 centimeters, or if it becomes symptomatic, surgical removal may be recommended.

2. Symptoms: If the fibroadenoma causes discomfort or pain, or if there are changes in the breast tissue that cause concern, removal may be warranted.

3. Patient Preference: Some patients may choose to have the fibroadenoma removed for peace of mind, even if it is not causing any symptoms.

4. Imaging Characteristics: If imaging studies (like ultrasound or mammography) show changes that raise suspicion for malignancy, a biopsy or surgical removal may be necessary.

It's important to maintain open communication with your healthcare provider about your concerns and preferences. If you are unsure about the timing of your follow-up or the management of your fibroadenoma, consider discussing it with your doctor. They can provide personalized recommendations based on your specific situation and the characteristics of your fibroadenoma.

In summary, for a stable fibroadenoma, a follow-up every 6 to 12 months is typically appropriate. Surgical removal is generally considered if there are significant changes, symptoms, or patient preference. Always consult with your healthcare provider for the most tailored advice regarding your health.

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