Should I have my fibroadenoma removed?

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ari0505
ari0505 Member Posts: 8
edited September 2018 in Benign Breast Conditions

I recently had a core needle biopsy done on a 4cm mass, which turned out to be a fibroadenoma. The breast surgeon who performed the biopsy did recommend that I have it removed due to its size but it’s ultimately up to me to decide. I want it out, but the thought of having surgery scares me. I was not told to make any follow up appointments, other than an ultrasound appt in 6 months to monitor the fibroadenoma. What are the pros and cons of following through with the surgery and what doctor should I make an appointment with to discuss my options

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  • Psychfan
    Psychfan Member Posts: 26
    edited August 2018

    If your doctor is reasonably certain that your breast lump is a fibroadenoma — based on the results of the clinical breast exam, imaging test and biopsy — you might not need surgery.

    You might decide against surgery because:

    • Surgery can distort the shape and texture of the breast
    • Fibroadenomas sometimes shrink or disappear on their own
    • The breast has multiple fibroadenomas that appear to be stable — no changes in size on an ultrasound compared to an earlier ultrasound

    If you choose not to have surgery, it's important to monitor the fibroadenoma with follow-up visits to your doctor for breast ultrasounds to detect changes in the appearance or size of the lump. If you later become worried about the fibroadenoma, you can reconsider surgery to remove it.

    Your doctor might recommend surgery to remove the fibroadenoma if one of your tests — the clinical breast exam, an imaging test or a biopsy — is abnormal or if the fibroadenoma is extremely large, gets bigger or causes symptoms.

    Procedures to remove a fibroadenoma include:

    • Lumpectomy or excisional biopsy. In this procedure, a surgeon removes breast tissue and sends it to a lab to check for cancer.
    • Cryoablation. Your doctor inserts a thin, wand-like device (cryoprobe) through your skin to the fibroadenoma. A gas is used to freeze and destroy the tissue.

    After a fibroadenoma is removed, it's possible for one or more new fibroadenomas to develop.

    I would ask what type of Fibroadenoma it is because there are different types it could be called Complex or Giant . The Complex ones can grow rapidly . Even Phyllodes tumor can also be consider Fibroadenoma which is benign of course.

    I would probably ask the place where you ended up getting the biopsy from which doctor is who they recommend to talk about the surgery pros and cons .

  • laurenchandler
    laurenchandler Member Posts: 3
    edited August 2018

    I had a 5 cm fibroadenoma removed yesterday morning. We had been tracking it's growth for the past 6 months and it was to the point where it was painful and large as it had doubled in size over the year. It's been a little over 24 hours and the recovery has been a BREEZE. I have had plenty of surgeries/procedures done (spleen removed, appendix removed, melanoma removed, mouth surgery etc) and this has been one of, if not THE, easiest experiences. I definitely recommend getting it out if yours is uncomfortable and showing no signs of slowing down in growth. The pain is very minimal after the procedure (especially since they administer morphine when you wake up)..but other than that I've only taken a few tylenol since I've been home, and that's it! I was only at the hospital for 4-5 hours from beginning to finish and went home to rest. It is tender around the incision site, but nothing else so far since this is on an extremity body part and not an internal body part, if that makes since. I hope this eases your mind in your decision making. I'm VERY glad to have finally gotten this out.

  • LBmomma
    LBmomma Member Posts: 3
    edited September 2018

    I had mine removed back in 2001. Fibroadeoma Bi-rads 4 Heterogenously dense.

    I have a yearly mammogram and ultrasound. Coz my breast is dense. last July found a tumor on my right breast. Done my needle core biopsy last August. The doctor called me the next day. It was benign.(fibrocystic breast) Thank God!. But the results still inconclusive. About a week and a half after my biopsy. did the breast MRI test. And she called me the next day she said you don't have cancer. It was a relief.

    My problem is... I still have pain on both breast. and my armpits It stings and it burns ...Persistent, discomfort it happens only for a second it's like pulsing pain that It won't go away The nurse assistant told me to take Tylenol for pain. She told me it's probably my cycle or if I'm carrying heavy stuff, workouts or taking any hormones tx. I don't... She told me to take notes all my pains and make an appt to see my PCM.

    I want to get PET scan. But i cant since all my test came out normal.

    I have an appt this month for my pulmonologist. Yearly check up for my lung nodule and asthma. Thankful! my nodule for how many years still the same size.


  • tinyteen18
    tinyteen18 Member Posts: 1
    edited September 2018

    Hi, I’m 34 years old, no hx of breast cancer in the family but hx of several other cancers. Found a lump thought it was just a cyst. Ultrasound after mammogram was told it was a fibroadenoma, but still needs biopsy to confirm. Had biopsy today. Appointment with breast surgeon next week to discuss having it removed. Just wanted to share my story because I don’t know 100% what is going on even though the doctors have assured me it’s a fibroadenoma which is a benign tumor. I’m still pretty scared and if I can post on here and say it was just the fibroadenoma I hope that will help others not be as scared when they get the diagnosis. And if it goes the other way then its a story of being proactive about finding a breast lump

  • Moderators
    Moderators Member Posts: 25,912
    edited September 2018

    tinyteen18, sorry for what you are going through. We really appreciate you posting your experience. The doctors will probably be able to help you make this decision once you have your biopsy results back next week. Hopefully others will weigh in, and hang in there!

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