Fibroadenomas: Your Questions Answered on Breast Health

Fibroma

I wanted to have my breasts checked, and this time I was surprised to find that I have a tumor, which is painful to the touch, and it’s present in both breasts.
Hello, Dr.
Wu, I have a question for you.
Since I started developing, I have experienced breast pain more easily than others; sometimes even touching them causes pain, but I didn’t pay much attention to it.
However, as I got older, I decided to have an ultrasound and a physical examination at the gynecology department when I was 22 years old.
The doctor said there was nothing abnormal and that the pain was due to my development and the associated breast tissue changes.
Two years later, while accompanying my mother for her breast examination, I was referred to the breast surgery department, where a tumor about 1.8 cm was found.
The doctor performed a biopsy and confirmed it was a fibroadenoma.
However, I am curious why the doctor only biopsied one side when both sides have similar issues.
Is there a possibility of misdiagnosis? I asked the doctor if surgery was necessary, and he suggested that I could monitor it for the next six months without immediate surgery.
My questions for you, Dr.
Wu, are: 1.
Should I get a second opinion at another hospital? 2.
Can fibroadenomas turn into malignant tumors? I am very afraid of developing breast cancer.
3.
Since I found out about the fibroadenoma, I have been very sensitive; any slight pain or discomfort makes me anxious, and I want to see a doctor immediately.
Is it normal for breasts to have occasional pain or discomfort? 4.
Will having a fibroadenoma affect my ability to get pregnant in the future? Thank you for your answers, Dr.
Wu.

tiā, 20~29 year old female. Ask Date: 2005/01/21

Dr. Wu Jingtang reply Breast and Thyroid

No content.

Reply Date: 2005/01/21

More Info

Understanding fibroadenomas and breast health is crucial, especially when you have concerns about breast lumps and pain. Based on your questions and the context provided, let’s delve into the details surrounding fibroadenomas, their implications, and your specific concerns.

1. Need for Further Evaluation
It’s understandable to feel anxious about your diagnosis. If you have doubts about the accuracy of your diagnosis or if you are experiencing new symptoms, seeking a second opinion from another healthcare provider can be beneficial. Different doctors may have varying perspectives based on their experiences and expertise. A second evaluation may provide you with additional reassurance or alternative recommendations.

2. Risk of Fibroadenomas Becoming Malignant
Fibroadenomas are generally benign tumors of the breast and are not considered precursors to breast cancer. The likelihood of a fibroadenoma transforming into a malignant tumor is very low. However, it is essential to monitor any changes in the size or characteristics of the fibroadenoma. Regular follow-ups, as suggested by your physician, are crucial for ensuring that the fibroadenoma remains stable and does not exhibit any concerning changes.

3. Sensitivity and Pain in the Breasts
Breast pain, or mastalgia, is a common experience for many women and can be influenced by hormonal changes, particularly during the menstrual cycle. Since you mentioned that you have experienced breast pain since puberty, it’s likely related to hormonal fluctuations rather than the presence of fibroadenomas. However, if you notice new or worsening pain, it’s always a good idea to consult your healthcare provider for further evaluation. Your sensitivity to pain may also be heightened due to anxiety surrounding your diagnosis, which is a normal response.

4. Impact of Fibroadenomas on Future Pregnancy
Fibroadenomas typically do not affect fertility or pregnancy. Many women with fibroadenomas go on to have healthy pregnancies without complications. However, it’s essential to keep your healthcare provider informed about your fibroadenomas during pregnancy, as they may monitor them more closely due to hormonal changes that can affect breast tissue.

Additional Considerations
- Monitoring: Regular follow-ups with imaging studies, such as ultrasounds or mammograms, are essential to monitor the fibroadenomas. If there are any changes in size or appearance, further evaluation may be warranted.

- Surgical Intervention: Surgery is not always necessary for fibroadenomas, especially if they are stable and asymptomatic. Your doctor’s recommendation to monitor them for six months is a common approach.

- Lifestyle Factors: Maintaining a healthy lifestyle, including a balanced diet and regular exercise, can help manage overall breast health and may alleviate some discomfort.

In conclusion, while the discovery of a breast lump can be concerning, fibroadenomas are typically benign and manageable with regular monitoring. If you have persistent concerns or experience new symptoms, do not hesitate to reach out to your healthcare provider for further guidance. Your health and peace of mind are paramount, and staying informed is the best way to navigate your breast health journey.

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