Breast Lumps: Fibroadenoma and Treatment Options

Q: Breast Lumps: Fibroadenoma and Treatment Options

Ms. <br>Xiao： 30 years old, unmarried, has a 1 cm fibroma in the breast and a fibrocystic lesion (commonly known as a cyst). <br>From my perspective, it is better to remove the fibroma and send it for pathological examination. <br>The cyst can be aspirated under ultrasound guidan

Do you have a lump in your chest?

Hello Doctor: I am 30 years old, unmarried, and living in Kaohsiung City.
I have a round hard lump in my left chest that is painful to touch, so I went to the hospital for an ultrasound examination.
The doctor said it is a fibroma, about one centimeter in size, and there is another lump that seems to be a cyst (I forgot the exact name).
The doctor mentioned that the cyst is less concerning, but he recommended surgical removal of the fibroma, as it could potentially become malignant in the future.
I am hesitant about surgery because I am afraid of leaving an unsightly scar.
Should I consider getting a second opinion at another hospital? Which hospital in the Kaohsiung area is better? Thank you!

Xiao Xiao, 30~39 year old female. Ask Date: 2006/02/05

Dr. Lin Kecheng reply Surgery

Ms.
Xiao: 30 years old, unmarried, has a 1 cm fibroma in the breast and a fibrocystic lesion (commonly known as a cyst).
From my perspective, it is better to remove the fibroma and send it for pathological examination.
The cyst can be aspirated under ultrasound guidance for cytological analysis.
Currently, major hospitals have advanced equipment that minimizes scarring.
In Kaohsiung, it is advisable to visit Kaohsiung Veterans General Hospital or Kaohsiung Saint Joseph Hospital for general or breast surgery.
Wishing you good health and happiness.

Reply Date: 2006/02/05

More Info

Understanding breast lumps, particularly fibroadenomas, is crucial for making informed decisions about your health. Fibroadenomas are benign (non-cancerous) tumors that are composed of both glandular and fibrous breast tissue. They are common in younger women and often present as round, firm lumps that can sometimes be painful, especially if they are larger or if they are located near sensitive areas of breast tissue.

In your case, you mentioned that you have a round, painful lump in your left breast that has been diagnosed as a fibroadenoma, approximately 1 cm in size. You also mentioned the presence of another lump, which you referred to as a "water lump," likely indicating a cyst, which is generally benign and often requires no treatment unless symptomatic.

The recommendation from your doctor to consider surgical removal of the fibroadenoma is based on several factors. While fibroadenomas are typically benign, they can sometimes grow or change over time, and there is a small risk that they could develop atypical features that might warrant further investigation. Surgical removal is often suggested to alleviate any concerns about potential changes and to provide peace of mind, especially if the lump is causing discomfort.

Regarding your concerns about scarring from surgery, it is important to discuss these with your surgeon. Many modern surgical techniques aim to minimize scarring, and the benefits of removing a potentially problematic lump often outweigh the cosmetic concerns. Additionally, if the fibroadenoma is causing pain, removing it may provide relief.

If you are hesitant about surgery, seeking a second opinion is a reasonable approach. It can help you feel more confident in your treatment decisions. In terms of finding a reputable hospital in Kaohsiung, you might consider looking for facilities that specialize in breast health or have a dedicated breast clinic. Hospitals affiliated with universities or those that have a strong reputation in oncology and breast surgery may offer the best resources and expertise.

In summary, while fibroadenomas are benign, the decision to remove them should be based on your symptoms, the size of the lump, and your personal preferences. If you are uncomfortable with the idea of surgery, discussing your concerns with your healthcare provider and possibly seeking a second opinion can help you make an informed decision. Remember, your health and peace of mind are paramount, and it is essential to choose a path that feels right for you.

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