Fibroadenoma – clinical presentation & surgery

Fibroadenomas are the most common cause of a breast lump, especially in young ladies. Due to increased awareness, more and more ladies are getting scans done, on which fibroadenomas are detected. In this video, I have explained the presentation and the surgical management of fibroadenomas in Hindi.

 

If these breast lumps are very small, they can be managed conservatively (without surgery) but if they are causing pain, increasing in size or there is a family history of cancer, it is best to get these lumps removed by a minor breast surgery.

As these lumps occur in young patients, it is important that the surgeon removes them without leaving a scar behind. In case you are detected with a breast lump, which is suggestive of a fibroadenoma, it is best to consult an expert breast surgeon, who is routinely performing such surgeries.

For more details regarding fibroadenoma surgery, please click here

 

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Interesting Mammogram #4 

47 year old lady with complaints of bilateral breast pain since 3 months. Pain was non cyclical and relieved by oral paracetamol. She had a hysterectomy 6 years back and she was a known asthmatic.

On examination, she has multiple tender nodules in both the breasts, localised in the peri-areolar region. 

Mammogram revealed multiple, well defined, rounded densities in both the breasts with a rim of calcification around them (refer to figures). 

Multiple round densities in the breast


Ultrasound done revealed dense fibroglandular tissue with multiple sub-centimetric cysts in the breasts. 

Differential – 1. Multiple oil cysts with calcification 

2. Cysts secondary to fibroadenosis

Case managed by:

Dr Rohan Khandelwal

Consultant, Department of Breast Diseases and Cancer Care

W Pratiksha Hospital, Gurgaon