Is Mammotome the Right Choice for Removing a Fibroadenoma?

Q: Is Mammotome the Right Choice for Removing a Fibroadenoma?

Ms. <br>QQ： It is a common wish among young women to avoid scars from breast surgery. <br>The Mammotome device indeed leaves smaller scars compared to traditional surgical methods. <br>However, this device is not covered by health insurance, so it is advisable to consult further

Breast lump

The doctor has determined that I have a 1.95 cm fibroadenoma in my left breast, which does not feel painful at all.
I am concerned that removal might leave a scar.
I learned about the Mammotome, a mini breast tumor excision device, which reportedly leaves a very small surgical scar.
Am I a suitable candidate for this device for removal? Thank you.

qq, 20~29 year old female. Ask Date: 2004/10/20

Dr. Lin Kecheng reply Surgery

Ms.
QQ: It is a common wish among young women to avoid scars from breast surgery.
The Mammotome device indeed leaves smaller scars compared to traditional surgical methods.
However, this device is not covered by health insurance, so it is advisable to consult further with your original diagnosing physician regarding the costs and the size of the scars post-surgery, to avoid any discrepancies with your initial expectations.
(A size of 1.95 cm is suitable for this device).
Wishing you good health.

Reply Date: 2004/10/20

More Info

When considering the removal of a fibroadenoma, such as the 1.95 cm lesion you mentioned in your left breast, it's essential to weigh the benefits and risks of various surgical options, including the use of a Mammotome device.

Understanding Fibroadenomas
Fibroadenomas are benign breast tumors composed of both glandular and stromal (connective) tissue. They are typically painless, mobile, and well-circumscribed, making them distinct from malignant tumors. While they can vary in size, most fibroadenomas do not require surgical intervention unless they are large, symptomatic, or if there is uncertainty about the diagnosis.

Surgical Options
1. Traditional Excision: This method involves surgically removing the fibroadenoma through an incision in the breast. While effective, it can leave a more noticeable scar, especially if the incision is larger.

2. Mammotome Procedure: The Mammotome is a minimally invasive device used for breast biopsy and excision of small tumors. It utilizes a vacuum-assisted technique to remove tissue through a small incision, typically resulting in minimal scarring. This method is particularly appealing for patients concerned about cosmetic outcomes, as the incisions are smaller compared to traditional surgery.

Is Mammotome Right for You?
Given your concerns about scarring and the benign nature of your fibroadenoma, the Mammotome procedure could be a suitable option. Here are some factors to consider:
- Size and Location: The Mammotome is generally effective for fibroadenomas that are less than 3 cm in size. Since your fibroadenoma is 1.95 cm, it falls within this range.

- Diagnosis Confirmation: Before proceeding with any surgical intervention, it is crucial to have a definitive diagnosis. If your previous biopsy confirmed that the lesion is indeed a fibroadenoma, this supports the decision to use Mammotome.

- Cosmetic Concerns: If minimizing scarring is a significant concern for you, the Mammotome procedure is advantageous due to its smaller incision size.

- Recovery Time: The recovery time for a Mammotome procedure is generally shorter than that of traditional surgery. Most patients can return to normal activities within a few days, although it is essential to follow your surgeon's post-operative care instructions.

Consultation with Your Surgeon
Ultimately, the decision to use Mammotome or any other surgical method should be made in consultation with your healthcare provider. They can assess the specifics of your case, including the size and location of the fibroadenoma, your medical history, and your personal preferences regarding scarring and recovery.

Conclusion
In summary, the Mammotome device presents a viable option for the removal of your fibroadenoma, especially considering your concerns about scarring. However, it is crucial to have a thorough discussion with your surgeon to ensure that this method aligns with your medical needs and personal preferences. They can provide you with tailored advice based on their clinical judgment and your specific situation.

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