14 yo daughter with fibroadenoma
Hi, my 14 y.o. was diagnosed Friday with a 2 cm by 3 cm fibroadenoma. We decided today to talk to a breast surgeon to see what we want to do. My question, if anyone might know, is this....I know this is a benign tumor, thankfully, but in October, she had a benign tumor taken off her tibia bone. I am wondering if she's just really "lucky" to have gotten two lovely unrelated tumors, or do you think there could be a connection between the two? The NP who sent her for the breast ultrasound said she really doesn't know. Anyone heard of this? Or is she just a "bumpy" girl, do you thonk?
Comments
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Did they biopsy it?? -
No biopsy done. Diagnosed using ultrasound. We have an appointment with surgeon on Friday the 27th.
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I have absolutely no expertise in this, but I did find this one case report in Pubmed from 1989. I know far less about bone tumors than breast tumors, so I have no idea if this case report is even relevant to your daughter's situation. In this case report, if I'm reading it right, they are speculating the breast tumor may have bone origins.
http://www.ncbi.nlm.nih.gov/pubmed/2681879
This is just one case study. I don't understand lots of the Pubmed references, but I don't see other clinical studies in Pubmed looking at the association between the two conditions, so I'm guessing there is no huge association between the two conditions. Obviously I'm no expert. Glad you're getting this checked out.
Best wishes!
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without a biopsy there can be no definate diagnosis. Ultrasounds are not completly accurate and cannot diagnose anything withcertainty.
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In teenagers who present with a fibroadenoma, often a biopsy is not done and is not considered necessary. In many cases, monitoring is often the preferred option.
From the NIH: Fibroadenoma - breast
Women
in their teens or early 20s may not need a biopsy if the lump goes away
on its own or if the lump does not change over a long period.From UCLA: Benign Breast Problems
The first step for any woman who has found a breast lump is to have a
breast examination by a doctor. The lump for a fibroadenoma is usually
firm, well defined on palpation. In young women, ultrasound evaluation
may be the only necessary study beyond doctor's examination.From Radiopaedia.org: Fibroadenoma of the breast
When a lesion has the typical features of a fibroadenoma on ultrasound
and there are no clinical red flags they can be safely followed
clinically.The normal approach to diagnosing and treating a fibroadenoma in a
teenager or woman in her early 20s, assuming that the ultrasound imaging
clearly indicates that the mass is a fibroadenoma, is not the same as
the diagnostic process and treatment recommendations for someone who is in her 30s or older, who presents with what may be a fibroadenoma.I had my first fibroadenoma at 16 and then
another at 20. The first was surgically removed because it was so large - and back
when I was 16, they didn't even have ultrasounds. My second was left
in place for years with no imaging done and no biopsy. It was large too, and because it didn't shrink, eventually I
decided to have it removed.alemankc, fibroadenomas are not particularly unusual in teenage girls. My guess is that this is not related to your daughter's other benign tumor, but it will be interestingto hear the surgeon's perspective on that. It will also be interesting to see if the surgeon recommends a needle biopsy or whether he feels that the imaging is clear enough that monitoring is sufficient.
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When I was 16, I found a lump in my breast the size of a walnut. With typical teenage reasoning, I figured that if it was serious, it would have caused more trouble, and completely ignored it.
But when I got to college at age 18, the doctor at the university health center said it would have to come out.
They removed the lump, which had not changed in size, and determined that it was a benign fibroadenoma. I guess they did the biopsy because ultrasounds hadn't been invented yet!!! (1968)
They explained that these were very common in teenage girls. I never had another one.
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I had a 5cm lump when I was 17. My doctor tried to aspirate it but it was solid so I was sent for a mammogram. I don't remember a needle biopsy or ultrasound (it was the late 80's). I consulted a breast surgeon who wanted it out because he felt it was large enough that it could obscure imaging in the future. I had two more fibroadenomas removed from the same breast when I was 29. I had cancer in the other breast at 42 and pathology from my BMX showed only "fibrocystic change" (benign) in the lumpy breast.
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hi my 14 yr. old daughter has had the same thing for about a yr now but the docs keep telling me that it will go away in time that surgery isn"t needed no biopsy done it bothers her so much especially when she plays sports i think thats why she has not wanted to play her favorite sport football again she is afraid the lump will get hit cause it hurts if it gets hit.
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I don't know about the correlation between bone/breast masses, however, I was ~14 when I noticed my first mass and 16 when I was first diagnosed with fibroadenomas. In my experience, they were the most painful when I was younger. I was happy to have the most troublesome ones removed, but now that I'm 26 I'm still dealing with getting new ones and monitoring the older ones.
I did have some uterine fibroids and ovarian cysts. So, I guess I'm just bumpy too haha. No bone bumps that I know of, and I've never heard of a connection between any of these things.
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