Breast Fibroadenomas: Pain, Monitoring, and Treatment Options

Breast fibroma

Hello, Doctor.
I recently discovered a hard lump in my left breast and went for an ultrasound.
The results showed several fibroadenomas, with the largest being about 1 cm.
The doctor informed me that they are likely fibroadenomas and advised me to return for a follow-up in three months.
I have a few questions and would appreciate your help, as I am a bit worried.
Thank you!
1.
Do fibroadenomas cause pain? Sometimes I feel pain in the lower left side of my breast.
2.
Is the three-month follow-up due to the doctor being uncertain whether the lumps are benign or malignant? I noticed that most doctors recommend monitoring benign lumps every six months, which makes me a bit anxious.
3.
Is it better to remove the 1 cm lump?

Min, 20~29 year old female. Ask Date: 2023/02/19

Dr. Chen Ronghong reply Surgery

Hello, 1.
Fibroadenomas typically do not cause pain, or may only cause mild tenderness.
During your next ultrasound examination, you can inform the technician about the location of any pain to help clarify whether it is related to the tumor.
2.
A follow-up appointment in three months usually indicates that the doctor wants a shorter-term monitoring, possibly due to some concerning features observed on the ultrasound; however, the actual reason should be confirmed with your physician.
3.
A one-centimeter tumor usually does not require excision unless it is associated with pain or has suspicious characteristics, in which case direct excision for biopsy may be preferred over ultrasound monitoring.

Reply Date: 2023/02/19

More Info

Breast fibroadenomas are benign tumors that are quite common among women, particularly in their reproductive years. Understanding the nature of these tumors, their potential for pain, monitoring protocols, and treatment options can help alleviate concerns and guide appropriate management.

1. Do Fibroadenomas Cause Pain?
Fibroadenomas are typically painless; however, some women may experience discomfort or tenderness in the area surrounding the tumor. This pain can sometimes be cyclical, correlating with the menstrual cycle due to hormonal fluctuations. If you are experiencing pain in the left lower quadrant of your breast, it is essential to communicate this to your healthcare provider during your next visit. They may want to assess whether the pain is related to the fibroadenoma or if there are other underlying issues that need to be addressed.
2. Why a Three-Month Follow-Up?
The recommendation for a follow-up in three months rather than six months could indicate that your doctor has identified certain characteristics in the ultrasound that warrant closer observation. While many fibroadenomas are benign and stable, some may exhibit changes that could necessitate further evaluation. It is crucial to have open communication with your healthcare provider about your concerns. They can explain the specific reasons for the follow-up timeframe and what they are monitoring for, such as changes in size or appearance of the fibroadenomas.

3. Is Surgical Removal Necessary for a 1 cm Fibroadenoma?
Generally, a fibroadenoma that is 1 cm in size does not require surgical removal unless it is causing significant pain, discomfort, or if there are atypical features noted on imaging that raise suspicion for malignancy. The decision to remove a fibroadenoma is often based on a combination of factors, including the patient’s symptoms, the characteristics of the tumor, and the patient’s preferences. If the fibroadenoma is stable and not causing any issues, regular monitoring may be the best course of action.

Additional Considerations:
- Self-Examination and Monitoring: It is essential to perform regular breast self-examinations to monitor for any changes in your breasts. If you notice any new lumps, changes in size or shape, or any unusual discharge, you should contact your healthcare provider promptly.

- Lifestyle Factors: Maintaining a healthy lifestyle can also play a role in breast health. Regular exercise, a balanced diet, and avoiding excessive caffeine and alcohol may help reduce breast pain and discomfort.

- Emotional Support: It is natural to feel anxious about breast health, especially when dealing with findings like fibroadenomas. Consider discussing your feelings with friends, family, or a mental health professional who can provide support and guidance.

In conclusion, while fibroadenomas are generally benign and manageable, it is essential to stay vigilant and maintain open communication with your healthcare provider. Regular follow-ups and self-examinations are key components of monitoring breast health. If you have any further questions or concerns, do not hesitate to reach out to your doctor for personalized advice and reassurance.

Similar Q&A

Understanding Fibroadenomas and Breast Inflammation: Symptoms and Treatment Options

Hello Dr. Hsu, I would like to ask you about a recent issue I've been experiencing. I've been having a feeling of fullness and pain in my left breast (my menstrual period hasn't started yet), which feels similar to the sensations I get before my period. When I to...

Dr. Xu Junzheng reply Obstetrics and Gynecology
Fibroadenomas generally do not require surgical removal, but it is necessary to undergo examinations to check for any malignant potential. Typically, the attending physician will perform a breast ultrasound examination, and palpation is not required. Thank you.

Understanding Fibroadenomas: Concerns and Management Strategies

Hello Dr. Lee, I would like to briefly summarize my medical history: In 2016, I underwent a right mastectomy. Prior to the surgery, detailed examinations revealed a 1.5 cm tumor in my left breast. In July 2016, a core needle biopsy indicated it was a fibroadenoma. An MRI was als...

Dr. Li Zhonghuai reply Surgery
Hello! 1. The location of the fibroadenoma differs between two hospitals; one is on December 3rd (performed by a radiologist) and the other on January 2nd (performed by a physician). Why is there such a discrepancy? ==> The difference is not significant; it's purely a r...

Understanding Fibrocystic Breast Disease: Symptoms, Risks, and Treatments

I experience pain near my breasts during my menstrual period. I previously went to the hospital for a health check-up and was diagnosed with fibrocystic breast disease. Will this condition turn into a tumor, and what are the treatment options?

Dr. Yang Mingqi reply Breast and Thyroid
Hello: Fibrocystic breast disease is a condition characterized by breast tissue that is more sensitive to hormonal stimulation. It is not a tumor. This condition can lead to the dilation of mammary ducts and hyperplasia of the epithelial cells in response to hormonal changes. On ...

Is Surgery Necessary for Fibroadenomas? Understanding the Differences

Hello, doctor. I recently had a breast biopsy, and the results showed a fibroadenoma measuring about 1.3 cm. I discovered it myself and can feel it; it only hurts when pressed. The doctor recommended surgical excision. Is this surgery necessary? My friend had a biopsy that reveal...

Dr. Li Zhonghuai reply Surgery
Hello! Fibrocystic changes are quite common and are usually caused by an imbalance of estrogen and progesterone. Pain is often experienced before menstruation and may continue during the menstrual period. If the lesion is near the nipple, it may be accompanied by a light yellow, ...