Fibroadenomas: Risks, Monitoring, and Age Concerns

Fibroadenoma

Hello, Doctor.
I have a few questions:
1.
Is phyllodes tumor common, and is it related to breast cancer? Does one's constitution particularly lead to future risks?
2.
An imaging report shows a BI-RADS 4B lesion measuring 0.9 cm, and the biopsy results are benign.
Can I feel reassured about monitoring it for six months?
3.
At around age 35, should I be concerned about having a fibroadenoma?

Niming, 30~39 year old female. Ask Date: 2022/09/27

Dr. Yuan Tianmin reply Breast and Thyroid

A 35-year-old with a fibroma is not uncommon, and multiple fibromas are also considered a common condition.
If the 4B lesion remains unchanged after one year, it is advisable to perform another biopsy for further evaluation.

Reply Date: 2022/09/27

More Info

Fibroadenomas are benign tumors of the breast that are most commonly found in young women, particularly those in their late teens to early thirties. They are characterized by their firm, smooth texture and can vary in size. Understanding the nature of fibroadenomas, their risks, and the necessary monitoring is crucial for managing breast health.

1. Prevalence and Relation to Breast Cancer: Fibroadenomas are quite common, especially among younger women. They are not considered precursors to breast cancer, meaning that having fibroadenomas does not significantly increase the risk of developing breast cancer later in life. However, it is essential to monitor any changes in the breast, as the presence of multiple fibroadenomas or changes in their characteristics may warrant further evaluation. While the exact cause of fibroadenomas is not fully understood, hormonal factors, particularly estrogen, are believed to play a role in their development.

2. Monitoring and Follow-Up: In your case, with a 0.9 cm fibroadenoma classified as BI-RADS 4B (which indicates a suspicious abnormality), and a biopsy confirming it as benign, it is generally considered safe to follow up with regular monitoring. The recommendation for a six-month follow-up is standard practice, as it allows for observation of any changes in size or characteristics. During this time, it is essential to remain vigilant for any new symptoms, such as changes in breast shape, size, or the appearance of new lumps. If any concerning changes occur, it is crucial to consult your healthcare provider promptly.

3. Age Considerations: At the age of 35, having fibroadenomas is not uncommon, and while it is natural to have concerns about breast health, it is important to remember that most fibroadenomas do not pose a significant risk. Regular breast screenings, including clinical exams and mammograms, are recommended as you age, especially if you have a family history of breast cancer or other risk factors. The key is to maintain a proactive approach to breast health through regular check-ups and self-examinations.

In conclusion, while fibroadenomas are benign and generally not associated with an increased risk of breast cancer, it is essential to monitor them and maintain regular follow-ups with your healthcare provider. Being aware of your breast health and any changes is crucial. If you have any concerns or notice any changes in your breasts, do not hesitate to reach out to your healthcare professional for further evaluation. Regular check-ups and being informed about your health are the best strategies for peace of mind and long-term well-being.

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