Condition- Fibroadenoma

Question 1

What causes fibroadenomas?

Answer 1

• Aberration in normal development + higher cellular proliferation of the breast epithelium–> fibrocystic changes

Question 2

Which age group is more at risk of fibroadenomas?

Answer 2

Younger females

15-35 yrs

Question 3

Describe the charcteristics of lumps in females with fibroadenomas

Answer 3

• Mobile
• Rubbery mass
• Firm
• Smooth
• Painless
• may be multiple

Question 4

Which investigations would you order in a pt with firboadenoma?

Answer 4

TRIPLE ASSESSMENT:

1. Clinical examination
2. Imaging: Mammogram/ US- dense breast, oval or round, circumscribed lump, may have coarse calcifications
3. Biopsy

Question 5

What histological changes might you see in a biopsy of someone with fibroadenoma?

Answer 5

• fibrosis
• stromal alterations
• mild epithelial hyperplasia
• adenosis

Question 6

how would you manage a patient with fibroadenomas?

Answer 6

1. Reassure pt that it’s not cancer
2. Analgesia- paracteamol, ibuprofen
3. Could prescibe tamoxifen = SERM
4. If symptomatic/ growing:
   
   • cyst aspiration
   • surgical removal

Question 7

What is a complication of fibroadenomas?

Answer 7

Breast cancer- v RARE