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Treatment for fibroadenoma - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Breast Cancer
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   A friend of mine, now 26 years old, discovered a lump in her breast some 4 years ago. She had an ultrasound done immediately and was diagnosed with Fibroadenoma on the basis of that exam. Now, 4 years later she had a routine exam with her gynecologist (a different doctor and clinic) who felt the lump and referred her for another ultrasound. The ultrasound exam revealed the following"
"Area in the left breast is suspicious. Irregular solid mass left breast at 5:00 5 cm from the nipple. Dimensions 4x4x10 mm"
Biopsy was then suggested. I have to add that as far as she can say the lump has not changed in shape or size since she first discovered it.
My friend has been hysterical since she received the results. She cant eat or sleep, she is convinced she has cancer.
How bad that does sound? What can it be? Is biopsy done routinely in such cases or only if the mass looks very bad?
Doctor :   Hi
User :   hello
Doctor :   let me read your query
User :   sure
Doctor :   since she has changed the doctor , this new doc just wants to confirm the diagnosis
Doctor :   there is nothing with confirmation
Doctor :   it need not be cancer only
User :   would fibroadenoma appear as regular mass on ultrasoud?
Doctor :   since she is just 26 yrs old, the chances that the mass is a fibroadenoma is more
Doctor :   the adenoma can change the shape and structrue with time
User :   anything else I can say to offer some encouragement?
Doctor :   sometimes it may become irregular too
User :   can it be anything else besides that?
Doctor :   just let her know that the chances that it is a benign are more than 85%
User :   oh thats great
Doctor :   other than that it can be fatty necrosis , where in the fat tissue in the breat gets denatured due to some form of injuery to breast tissue
Doctor :   this appears to be irregular too
User :   ok thank you very much i will let her know
Doctor :   you are most welcome
Doctor :   thanks for consulting me here
User :   have a nice night
Doctor :   you too
Doctor :   bye for now
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