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Is fibroadenosis of breast the same as fibroadenoma?

hello i am 21 year old female. i was been said that i have fibroadenosis of breast . i am receiving pain in only part of my left breast. i wanted to know if fibroadenosis is same as fibroadenoma . and also my doctor just told me fibroadenosis. but i have seen that there is a subtype known as atypical lobular hyperplasia . so if my doctor just said fibroadenosis what doesit mean? i have done only B ultrasound
Asked On : Fri, 23 Mar 2012
Answers:  2 Views:  5153
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Pathologist and Microbiologist 's  Response
Hello. welcome to HCM.
Of all complicated and dynamic organs in the human body, breast is the best example. Depending on age and hormonal status, even in relation to menstrual cycle, the breast parenchyma undergoes lot many changes, which physicians understand as Abnormalities in Normal Development and Involution of breast.
Even amongst abnormalities, there are a spectrum of pathologies, not all of which are necessarily malignant or premalignant. You are probably relating common and uncommon things in yourself.
Fibroadenosis is a very common problem... different from Fibroadenoma.... both of these are benign.. Adenosis is one end of spectrum for ANDI and adenoma is a benign tumour which almost never turns to malignancy.
On the other hand, atypical lobular hyperplasia is a pre-cancerous lesion which had higher chance of malignant transformaltion.
Whether, you have both can b e decided only by complete excision and histopathology (biopsy )testing.
So, please dont imagine pathologies and worry yourself. If possible go in for treatment of fibroadenosis. It really works... or else, you can get it surgically removed.
Take care.
Answered: Fri, 23 Mar 2012
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Oncologist, Surgical Dr. Mohammed Ibrahim M's  Response

Fibroadenosis and fibroadenomas are different entities. But both are not cancerous. fibro adenosis will be painful and diffuse whereas fibroadenoma is usually painless and more well defined swelling. Both are very common in young females and needs treatment only if it the symptoms are very bothersome. For fibroadenosis analgesics will be sufficient. If the lumpiness of fibroadenosis is very hard or thich then a biopsy or tissue sampling has to be done to rule out the subtype which you mentioned, - Atypical lobular or ductal hyperplasia. That is because presence of this lesion makes a lady more susceptible for cancer and have to be on proper screening and breast self examination to detect early development of cancer. There is nothing to panic...

Dr. Mohammed Ibrahim
Surgical Oncologist
Answered: Mon, 7 May 2012
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