Breast Lumps: What You Need to Know About Adenomas - Breast and Thyroid

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Breast mass


A few days ago, I went to the hospital for an ultrasound and found that there are tumors (adenomas) on both sides of my chest.
The doctor said they are benign and that I should return in three months to monitor for any growth.
My sister also had an adenoma but has had hers removed.
However, I later felt something movable and somewhat elongated near my nipple.
I'm not sure what it is.
Is it possible that it wasn't detected during the recent ultrasound? I'm a bit worried.
Can adenomas occur in more than one on the same side? Can taking traditional Chinese medicine improve the situation? Could this be breast cancer?

Hong Hong, 10~19 year old female. Ask Date: 2015/10/03

Dr. Zhou Jiazhen reply Breast and Thyroid


Fibroadenoma is the most common benign tumor in women aged 20 to 30.
It does not undergo malignant transformation; however, since diagnosis is often based on clinical experience, it is still recommended to manage it if there are changes, such as continued growth or the presence of symptoms.

Reply Date: 2015/10/03

More Info


Understanding breast lumps, particularly adenomas, can be a source of concern for many individuals. Adenomas are benign tumors that arise from glandular tissue, and in the case of breast adenomas, they are often referred to as fibroadenomas. These lumps are typically solid, smooth, and movable, and they are most commonly found in younger women. Here’s what you need to know about breast adenomas and related concerns.


What Are Adenomas?
Adenomas in the breast are benign tumors that are generally not associated with an increased risk of breast cancer. They are composed of glandular tissue and can vary in size. Fibroadenomas are the most common type of breast adenoma and are often discovered during routine breast exams or imaging studies like ultrasounds or mammograms.


Diagnosis and Monitoring
In your case, the ultrasound indicated that the lumps are benign, which is reassuring. The recommendation to monitor the lumps over three months is standard practice. During this period, your healthcare provider will likely suggest regular self-examinations to check for any changes in size or texture. It is not uncommon for individuals to have multiple fibroadenomas in one breast or in both breasts.

Concerns About New Lumps
You mentioned discovering another movable lump near your nipple after your initial ultrasound. It is possible that this new lump was not detected during the previous imaging, especially if it is small or located in a challenging area to visualize. It is essential to report any new findings to your healthcare provider, as they may recommend further imaging or evaluation to ensure that it is not something more serious.


Can Adenomas Grow?
Yes, adenomas can grow, and it is possible to have more than one adenoma in the same breast or in both breasts. Regular monitoring is crucial to assess any changes in size or characteristics. If an adenoma grows significantly or if there are changes in its appearance, your doctor may suggest a biopsy or surgical removal.


Risk of Breast Cancer
While fibroadenomas are benign and do not typically lead to breast cancer, it is essential to maintain regular check-ups. The presence of multiple adenomas does not inherently increase your risk of breast cancer, but it is vital to stay vigilant and report any new symptoms or changes to your healthcare provider.


Alternative Treatments
You inquired about the potential benefits of traditional Chinese medicine (TCM) for managing adenomas. While some individuals explore herbal remedies or acupuncture, there is limited scientific evidence supporting the efficacy of these treatments for breast adenomas. It is crucial to consult with your healthcare provider before starting any alternative therapies, as they can interact with conventional treatments or affect your health in unexpected ways.


Conclusion
In summary, breast adenomas are generally benign and manageable with regular monitoring. If you discover new lumps or changes, it is essential to communicate these to your healthcare provider for further evaluation. Maintaining a proactive approach to your breast health, including regular check-ups and self-examinations, will help ensure any changes are addressed promptly. If you have concerns about the possibility of breast cancer or the implications of having multiple adenomas, discussing these with your doctor can provide clarity and peace of mind.

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