Should You Remove a Fibroadenoma Before Pregnancy? - Surgery

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When considering whether to remove a fibroadenoma before pregnancy, several factors must be taken into account, especially given your family history of breast cancer and the presence of a 0.9 cm fibroadenoma. Fibroadenomas are benign tumors of the breast that are quite common, especially in younger women. They are typically not associated with an increased risk of breast cancer, and many women with fibroadenomas can safely proceed with pregnancy without surgical intervention.

In your case, since your fibroadenoma is relatively small (0.9 cm) and your doctor has indicated that it is benign, regular monitoring through ultrasound is a reasonable approach. The recommendation to avoid surgical removal before pregnancy is often based on the understanding that fibroadenomas do not usually pose a significant risk during pregnancy. Additionally, pregnancy can lead to changes in breast tissue, and many fibroadenomas may actually decrease in size or remain stable during this time.

However, the decision should also consider your personal comfort level and the advice of your healthcare provider. If the fibroadenoma is asymptomatic (not causing pain or discomfort) and your doctor is confident in its benign nature, you may choose to proceed with pregnancy and continue regular monitoring. It is essential to maintain open communication with your healthcare team, who can provide tailored advice based on your specific situation.

Regarding your family history of breast cancer, it is crucial to continue regular screenings and follow-ups. Women with a family history of breast cancer may be at a higher risk, and your healthcare provider may recommend additional imaging or genetic counseling to assess your risk further.
In summary, unless there are specific concerns about the fibroadenoma or changes in your breast tissue, it is generally safe to proceed with pregnancy without removing the fibroadenoma. Regular monitoring and communication with your healthcare provider will ensure that any changes are promptly addressed. If you have any further concerns or if the fibroadenoma changes in size or characteristics, it would be advisable to discuss these with your doctor, who can provide guidance on the best course of action.
In conclusion, while the presence of a fibroadenoma and a family history of breast cancer can understandably raise concerns, many women successfully navigate pregnancy with benign breast conditions. Your healthcare provider is your best resource for personalized advice, so keep them informed of your plans and any changes in your health.