Should You Consider Surgery for a 1.2 cm Fibroadenoma? - Breast and Thyroid

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Whether a 1.2 cm breast tumor needs to be surgically removed depends on various factors, including the type of tumor, its characteristics, and the patient's overall health. It is essential to consult with a healthcare professional for a thorough evaluation and to discuss the


Hello Doctor, I am 19 years old and have a small lump in my left breast.
After undergoing a breast ultrasound, it was found to be a 1.2 cm fibroadenoma.
The physician recommended a follow-up in six months.
I experience pain in the lump area during my menstrual period and would like to know if surgical treatment is advisable.
In elementary school, I took growth hormone for nearly two years to treat my vertigo, which caused my menstrual period to start early.
Is there any relation between this and the breast lump?

Ruanruan, 10~19 year old female. Ask Date: 2023/03/31

Dr. Yuan Tianmin reply Breast and Thyroid


Based on your description, I personally do not recommend surgical removal at this time because you are still in your adolescent stage, during which estrogen levels are quite high.
There is a possibility that the condition may recur after removal.
Therefore, I suggest that you continue to monitor the situation for a period of time before making any decisions.

Reply Date: 2023/03/31

More Info


When considering whether to undergo surgery for a 1.2 cm fibroadenoma, especially in a 19-year-old female, there are several important factors to take into account. Fibroadenomas are benign tumors of the breast that are quite common in young women. They are typically characterized by their smooth, well-defined borders and can vary in size. The decision to surgically remove a fibroadenoma often depends on various factors including size, symptoms, and personal preference.

In your case, the recommendation from your physician to monitor the fibroadenoma with follow-up appointments every six months is a common approach, particularly for small, asymptomatic lesions. Since your fibroadenoma is only 1.2 cm and you are experiencing some discomfort related to your menstrual cycle, it is understandable to have concerns. However, it is important to note that many fibroadenomas do not require surgical intervention unless they are causing significant pain, discomfort, or if there are changes in their characteristics.

The pain you are experiencing may be related to hormonal fluctuations during your menstrual cycle, which is not uncommon. Fibroadenomas can be sensitive to hormonal changes, and this sensitivity can lead to discomfort at certain times of the month. If the pain becomes more pronounced or if the fibroadenoma increases in size, it would be reasonable to reassess the situation with your healthcare provider.

Regarding your history of taking growth hormones during childhood, there is currently no established direct link between growth hormone therapy and the development of fibroadenomas. Fibroadenomas are primarily influenced by hormonal factors, particularly estrogen, which is prevalent during the reproductive years. However, if you have concerns about your medical history and its potential implications, discussing these with your healthcare provider can provide clarity and reassurance.

If you are considering surgery, it is essential to weigh the potential benefits against the risks. Surgical removal of a fibroadenoma is typically a straightforward procedure, often performed under local anesthesia, and is associated with a low complication rate. However, surgery may not eliminate the risk of recurrence, as fibroadenomas can sometimes develop again in the same area or elsewhere in the breast.

In summary, for a 1.2 cm fibroadenoma, the current medical consensus leans towards monitoring rather than immediate surgical intervention, especially in a young woman without significant symptoms. Regular follow-ups will allow for close observation of any changes in the fibroadenoma. If you experience increased pain, changes in the lump, or have concerns about your breast health, do not hesitate to discuss these with your healthcare provider. They can provide personalized advice and help you make an informed decision regarding your treatment options.

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