{"id":36498,"date":"2011-06-01T13:21:13","date_gmt":"2011-06-01T17:21:13","guid":{"rendered":"http:\/\/dominicanewsonline.com\/dno\/?p=36498"},"modified":"2011-06-01T13:21:13","modified_gmt":"2011-06-01T17:21:13","slug":"health-talk-fibroadenoma","status":"publish","type":"post","link":"https:\/\/dominicanewsonline.com\/news\/homepage\/columns\/health-talk\/health-talk-fibroadenoma\/","title":{"rendered":"HEALTH TALK: Fibroadenoma"},"content":{"rendered":"<p><strong><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-36499\" title=\"Doc\" src=\"http:\/\/dominicanewsonline.com\/dno\/wp-content\/uploads\/2011\/06\/Doc.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/dominicanewsonline.com\/news\/wp-content\/uploads\/2011\/06\/Doc.jpg 300w, https:\/\/dominicanewsonline.com\/news\/wp-content\/uploads\/2011\/06\/Doc-150x113.jpg 150w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>DEFINITION<\/strong><\/p>\n<p>Fibroadenomas are solid, noncancerous growths (benign tumors) that often occur in women during their reproductive years. A fibroadenoma is a smooth firm, rubbery or hard lump with a well-defined shape. It moves easily under your skin when touched and is usually painless. Fibroadenomas are more common in women in their 20\u2019s and30\u2019s.<\/p>\n<p>Fibroadenomas are one of the most common breast lumps in premenopausal women. Fibroadenomas range in size from less than 1 centimeter to several centimeters in diameter. They can increase in size during pregnancy and breast feeding.<\/p>\n<p>Treatment may include careful monitoring to detect changes in the size or feel of the fibroadenoma or surgery to remove it.<\/p>\n<p><strong>SYMPTOMS<\/strong><\/p>\n<p>Fibroadenomas are solid breast lumps or masses that usually are:<\/p>\n<p>\u2022\u00a0\u00a0\u00a0 Round with distinct borders<br \/>\n\u2022\u00a0\u00a0\u00a0 Easily moved<br \/>\n\u2022\u00a0\u00a0\u00a0 Firm or rubbery<br \/>\n\u2022\u00a0\u00a0\u00a0 Painless<br \/>\nA fibroadenoma may feel like a marble within your breast when you put pressure on it. You can have one or many fibroadenomas. They usually grow to about 1 to 2 centimeters in size, but they can become even larger. One that measure 5cm or greater is referred to as a giant fibroadenoma.<\/p>\n<p><strong>WHEN TO SEE A DOCTOR<\/strong><\/p>\n<p>Normal breast tissue in healthy women often feels lumpy or modular. If you find any new breast lumps, however, or if a previously evaluated breast lump seems to have grown or otherwise changed, make an appointment with your doctor to get it checked out.<\/p>\n<p><strong>CAUSES<\/strong><\/p>\n<p>Each of your breasts contains 15 to 20 lobes of glandular tissue, arranged like the petals of a daisy. The lobes are further divided into smaller lobules that produce milk during pregnancy and breast-feeding. Small ducts conduct the milk to a reservoir that lies just beneath your nipple. The support for this network is a deeper layer of connective tissue called stroma.\u00a0 Fibroadenomas are made up of both glandular (lobular) tissue and connective (stromal) tissue. It\u2019s always helpful to know a bit about your breast anatomy so you can better understand problems such as fibroadenomas or serious breast issues.<\/p>\n<p>The cause of fibroadenomas is unknown. However, fibroadenoma development is probably related to reproductive hormones. Fibroadenomas occur in greater frequency during your reproductive years, can increase in size during pregnancy or wilh estrogen therapy, and tend to shrink after menopause. Incidentally, fibroids (leiomyomas) will cease to grow after menopause, but increase in size during pregnancy or with estrogen therapy.<\/p>\n<p><strong>COMPLICATIONS<\/strong><\/p>\n<p>Breast cancer risk may increase with some types of fibroadenomas.<\/p>\n<p><strong>SIMPLE\u00a0 FIBROADENOMAS<\/strong><\/p>\n<p>Most fibroadenomas are simple fibroadenomas. These masses have distinct borders and uniform-looking cells. Simple fibroadenomas do not increase your risk of breast cancer, especially if you have no family history of breast cancer.<\/p>\n<p><strong>COMPLEX\u00a0 FIBROADENOMAS<\/strong><\/p>\n<p>These fibroadenomas contain cysts, enlarged breast nodules (adenosis) or bits of dense, opaque tissue called calcifications. Complex\u00a0 fibroadenomas don\u2019t turn into breast cancer, but they do increase your risk of later developing breast cancer by a factor of about 2 to 3. However, your overall risk of developing breast cancer after being diagnosed with a complex fibroadenoma remains low.<\/p>\n<p><strong>TESTS AND DIAGNOSIS<\/strong><\/p>\n<p>Evaluation usually begins after you or your doctor has found a breast lump. The following tests or exams may then be done:<\/p>\n<p>\u2022\u00a0\u00a0\u00a0 Clinical breast exam. Doctor physically examines the lump and checks for any other problem areas in your breasts. He or she will ask you questions about anything you\u2019ve noticed about the lump, breast, or your menstrual cycle.<\/p>\n<p>\u2022\u00a0\u00a0\u00a0 Mammography. This is a series of X-Rays to produce an image (mammogram) of your breasts. A fibroadenoma will usually have a characteristic appearance. To evaluate a suspected adenoma, mammograms are routinely performed for women aged 30 and older.<\/p>\n<p>\u2022\u00a0\u00a0\u00a0 If you\u2019re under 30, a breast ultrasound is most likely the test to be done, for technical reasons. It may also be done as follow-up to a mammogram, regardless of age. Ultrasound can tell is whether a mass is solid or fluid-filled (a cyst). Some doctors may decide to skip ultrasound and perform fine-needle aspiration instead.<\/p>\n<p>\u2022\u00a0\u00a0\u00a0 Fine needle aspiration. A thin needle is inserted into the breast lump and doctor attempts to withdraw the contents of the breast lump. If no fluid comes out, the lump is solid and most likely a fibroadenoma. A sample of cells may be collected and sent for analysis to check for the presence of cancer (fine-needle aspiration biopsy)<\/p>\n<p>\u2022\u00a0\u00a0\u00a0 Core needle biopsy. To distinguish between fibroadenoma and breast cancer, a biopsy may be recommended. A large needle is used to obtain several tissue samples from the breast lump to send for analysis.<\/p>\n<p><em><strong>TREATMENT<\/strong><\/em><\/p>\n<p><strong>SURGERY<\/strong><\/p>\n<p>If it continues to grow and change the shape of your breast, surgery to remove a fibroadenoma may be recommended if one of the tests is abnormal. It may also be recommended if it makes you very anxious.<\/p>\n<p>After a fibroadenoma is removed, one or more new ones may develop. You may need to have another surgery in such a case.<\/p>\n<p><strong>WHEN SURGERY ISN\u2019T NEEDED<\/strong><\/p>\n<p>If doctor is pretty certain that based on the results of tests, your breast lump is a fibroadenoma and not cancer, surgery may be necessary.<\/p>\n<p>For younger women \u2013 those who most commonly develop fibroadenomas \u2013 surgery might distort the shape and texture of the breast and leave scar tissue that complicates future breast exams. In older women \u2013 usually past their 30\u2019s \u2013 fibroadenomas may stop growing or even shrink on their own.<\/p>\n<p>If you decide not to have your fibroadenoma removed, continued monitoring is important to make sure it doesn\u2019t grow larger. At any time you become overly anxious about the fibroadenoma, you can consider surgery.<\/p>\n<p>See you next week.<\/p>\n","protected":false},"excerpt":{"rendered":"DEFINITION Fibroadenomas are solid, noncancerous growths (benign tumors) that often occur in women during their reproductive years. A fibroadenoma is a smooth firm, rubbery or hard lump with a well-defined shape. It moves easily under your skin when touched and&#8230;","protected":false},"author":15,"featured_media":36499,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_cbd_carousel_blocks":"[]","footnotes":""},"categories":[49],"tags":[],"class_list":["post-36498","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-talk"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>HEALTH TALK: Fibroadenoma - Dominica News Online<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dominicanewsonline.com\/news\/homepage\/columns\/health-talk\/health-talk-fibroadenoma\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"HEALTH TALK: Fibroadenoma - Dominica News Online\" \/>\n<meta property=\"og:description\" content=\"DEFINITION Fibroadenomas are solid, noncancerous growths (benign tumors) that often occur in women during their reproductive years. 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