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Fibroadenoma - breast - Treatment

Treatment:

If a biopsy shows that the lump is a fibroadenoma, the lump may be left in place or removed.

The decision to remove the lump is made by the patient and the surgeon. Reasons to have it removed include:

  • Abnormal biopsy results
  • Shape of the breast has changed
  • Worry or concern about cancer

If the lump is left in place, it may be watched over time with:

  • Mammogram
  • Physical examination
  • Ultrasound

Alternative treatments include removing the lump with a needle and destroying the lump without removing it (such as by freezing, in a process called cryoablation).

Expectations (prognosis):

Women with fibroadenoma have a slightly higher risk of breast cancer later in life. Lumps that are not removed should be checked regularly by physical exams and imaging tests, following the doctor's recommendations.

Complications:

If the lump is left in place and carefully watched, it may need to be removed at a later time if it changes, grows, or doesn't go away.

In very rare cases, the lump may be cancerous and you may need further treatment.

Calling your health care provider:

Call your health care provider if you have a lump that is thought to be a fibroadenoma and it grows or changes in any way.

  • Reviewed last on: 1/24/2011
  • Debra G. Wechter, MD, FACS, General Surgery practice specializing in breast cancer, Virginia Mason Medical Center, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Iglehart JK, Smith BL. Diseases of the breast. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 34.

Valea FA, Katz VL. Breast diseases: diagnosis and treatment of benign and malignant disease. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM, eds. Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 15.

Miltenburg DM, Speights VO Jr. Benign breast disease. Obstet Gynecol Clin North Am. 2008;35:285-300.

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