Materiały źródłowe

• #1 Breast Fibroadenoma Management: Treatment Without Surgery – IceCure

  https://www.icecure-medical.com/blog/breast-fibroadenoma-management-treatment-without-surgery/

  Breast Fibroadenoma Management: Treatment Without Surgery […] Statistics reveal that fibroadenomas are one of the most prevalent breast conditions, affecting approximately 10% of women. Yet, available treatment options for these non-cancerous breast tumors are limited and often involve invasive surgery. Women often find themselves looking for less invasive, yet effective options to manage their fibroadenomas. […] Management of breast fibroadenomas most commonly includes observation, surgery, and thermal ablation such as cryoablation. After considering a patient’s history, wishes, and needs, physicians can discuss what available procedures are best suited to their patients with fibroadenoma. […] If the fibroadenoma enlarges and causes discomfort, various treatment options that consider to patient comfort and health need to be prioritized. For fibroadenoma management by observation, physicians should consider that minimally invasive cryoablation is ideally suited for treating smaller lesions so early referral is important, while for masses over 4 cm in size, surgery is the only treatment option.

• #2 Fibroadenomas | Benign Breast Conditions | OB/GYN & Women’s Health | University Hospitals | University Hospitals

  https://www.uhhospitals.org/services/obgyn-womens-health/conditions-and-treatments/breast-health/conditions-we-treat/breast-fibroadenomas

  Fibroadenomas can usually be identified by characteristics such as: […] Since fibroadenomas are largely harmless, most do not require treatment. In these cases, your provider will continue to monitor the fibroadenoma for changes in size or shape. […] However, If a fibroadenoma continues to grow larger, becomes painful or changes the shape of the breast, your provider may recommend surgical removal. […] While most fibroadenomas do not lead to cancer, there is one type that can be linked to an increased risk for cancer in people with a family history of breast cancer.

• #3 Fibroadenoma of Breast – Fibroadenoma of Breast

  https://ayurvaid.com/diseases/fibroadenoma-of-breast/

  Fibroadenoma is a solid non-cancerous lump that arises from the lobules of the breast, which has become one of the most typical complaints among women of reproductive age in todays era. […] The cause of fibroadenoma is often disputable, yet its hormonal dependency is unanimously agreed upon by medical science. This is why they tend to shrink around the menopausal age. Women who take oral contraceptives are also at risk of fibroadenoma. The symptoms tend to increase during pregnancy and hormone therapy. […] Different radiological examinations can be employed in diagnosing a fibroadenoma, USG and mammogram being the commonest of them. An ultrasound scan will help to identify and assess the condition of the breast lump in women under 35 years. Women above 39 years are advised to undergo a mammogram screening once every year. A biopsy is a better option if your physician requires confirmation about the breast lump. It is a minimally invasive procedure done by using a fine needle.

• #4 Fibroadenoma of the Breast Fact Sheet | Westmead BCI

  https://www.bci.org.au/breast-cancer-information/fact-sheets/fibroadenoma-of-the-breast/

  Fibroadenomas are sensitive to hormonal change. They frequently vary during the menstrual cycle, often becoming more prominent and more tender prior to a period. Fibroadenomas can become larger during pregnancy and while breastfeeding. They do not usually interfere with a woman’s ability to breastfeed. […] How a fibroadenoma is treated depends on various factors, such as: its size, whether it is producing symptoms such as a lump or pain, the age of the patient, biopsy results. […] Fibroadenomas that are larger than 3 cm in size, are painful, are increasing in size, or show concerning features on imaging or biopsy, will usually be removed surgically. […] Fibroadenomas can often be managed without surgery, especially in younger women. A fibroadenoma that is not removed surgically is usually monitored for a period of time.

• #5 Fibroadenoma – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/fibroadenoma/symptoms-causes/syc-20352752

  A fibroadenoma often causes no pain. […] You may need a biopsy to check the lump or surgery to remove it. Many fibroadenomas need no further treatment. […] Common fibroadenomas do not affect your risk of breast cancer. But your risk might go up a bit if you have a complex fibroadenoma or a phyllodes tumor.

• #6 Fibroadenoma – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/fibroadenoma/diagnosis-treatment/drc-20352756

  Often, fibroadenomas need no treatment. But, in some cases, you may need surgery to remove a fast-growing fibroadenoma. […] If results of an imaging test and biopsy show that your breast lump is a fibroadenoma, you may not need surgery to remove it. […] When deciding about surgery, keep these things in mind: Surgery can change the appearance of your breast. Fibroadenomas sometimes shrink or go away on their own. Fibroadenomas may remain as they are with no change. […] If results from an imaging test or biopsy are concerning to your provider, you may need surgery. You may also need surgery if the fibroadenoma is large, grows quickly or causes symptoms. Surgery is the standard treatment for giant fibroadenomas and phyllodes tumors. […] Procedures to remove a fibroadenoma include: Cutting it out. In this procedure, a surgeon uses a knife to remove the entire fibroadenoma. This is called surgical excision. Freezing it. In this procedure, a thin device shaped like a wand is inserted through the skin of the breast to the fibroadenoma. The device gets very cold and freezes the tissue. This destroys the fibroadenoma. This technique is not available at all medical centers. […] After treatment, other fibroadenomas can form. If you find a new breast lump, tell your health care provider. You may need testing with ultrasound, mammography or biopsy to see whether the new breast lump is a fibroadenoma or another breast condition.

• #7 Fibroadenoma | Breast Cancer Now

  https://breastcancernow.org/about-breast-cancer/breast-lumps-and-benign-not-cancer-breast-conditions/fibroadenoma/

  Most fibroadenomas do not need to be treated. […] In most cases you will not need any treatment or follow-up if you have a fibroadenoma. […] If you have a giant, complex or juvenile fibroadenoma, you may be recommended an operation to remove it. […] You can also ask to have a fibroadenoma removed, for example if it’s causing discomfort or pain. However, removing the fibroadenoma will not always relieve these symptoms. […] The operation is called an excision biopsy and is usually done under general anaesthetic. […] You may be offered a vacuum assisted excision biopsy to remove a small fibroadenoma. […] Removing a fibroadenoma does not usually affect the shape of the breast, but there may be a slight dent in the breast where it has been removed.

• #8 Fibroadenomas of the Breast | American Cancer Society

  https://www.cancer.org/cancer/types/breast-cancer/non-cancerous-breast-conditions/fibroadenomas-of-the-breast.html

  Most fibroadenomas don’t need to be treated. But doctors might recommend removing them in some cases, especially if they keep growing or change the shape of the breast. […] Sometimes fibroadenomas stop growing or even shrink on their own, without any treatment. As long as the doctor feels sure the masses are fibroadenomas and not breast cancer, they can often be left in place and watched to be sure they don’t grow. This approach is useful for women with many fibroadenomas that aren’t growing. In such cases, removing them might mean removing a lot of nearby normal breast tissue, causing scarring and changes in the shape and texture of the breast. […] It’s important that women with fibroadenomas have regular breast exams or imaging tests to make sure the fibroadenomas are not growing.

• #9 Breast Fibroadenoma – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK535345/

  In the majority of cases, fibroadenomas need no treatment. They shrink and disappear over time, but if their size is large and they are compressing other breast tissues, they should be removed. Many females decide against the surgery because the lesions are harmless and involve no long-term risk of malignancy. Surgery also distorts the shape of a breast. […] Doctors might decide to remove the fibroadenoma if it is massive and continues to increase in size. Indications for surgical intervention include rapid growth, size greater than 2 cm, and patient request. There are 2 surgical procedures used to remove a fibroadenoma: […] Lumpectomy or excisional biopsy: In this procedure, the surgeon removes the fibroadenoma and sends it to the laboratory for further evaluation. […] Cryoablation: Surgeons use a cryoprobe to freeze and destroy the cellular structure of fibroadenoma. A core needle biopsy must be performed before cryoablation to confirm the fibroadenoma.

• #10 Non-Surgical Treatment Options for Fibroadenoma in India

  https://www.breasthealth.in/blog/non-surgical-treatment-options-for-fibroadenoma-in-india-.html

  Finding a lump in your breast can be scary, but not all lumps are cancerous. One of the most typical benign (non-malignant) breast lumps is fibroadenoma, which most frequently occurs in young women between the ages of 15 and 35. As much as the thought of surgery might sound intimidating, the better news is that a lot of fibroadenoma removal does not require surgery to be treated. […] Here are the effective non-surgical methods for controlling fibroadenoma through natural remedies, medications, diet and lifestyle changes, and other advanced non-surgical treatments. […] Non-surgical treatment is advisable by Dr. Rohan Khandelwal in the following situations: The fibroadenoma is tiny (usually smaller than 2-3 cm) […] There are no concerning symptoms like sudden growth, pain, or skin changes in the breast.

• #11

• #12 Fibroadenoma (breast) | Radiology Reference Article | Radiopaedia.org

  https://radiopaedia.org/articles/fibroadenoma-breast?lang=us

  Fibroadenomas are benign lesions with minimal or no malignant potential. The risk of malignant transformation is extremely low and has been reported to range around 0.01-0.3%. […] Indications for biopsy include: enlarging lesion, atypical findings on ultrasound, a lesion above 2.5 cm and there are no previous studies for comparison, patient peace of mind: some patients are simply not happy with a palpable mass in the breast without a histological diagnosis; this is a valid and reasonable indication for a biopsy. […] These lesions are easily biopsied under ultrasound guidance. When a lesion has the typical features of a fibroadenoma on ultrasound and there are no clinical red flags they can be safely followed clinically. When lesions enlarge or have atypical imaging findings, ultrasound-guided core biopsy is a minimally invasive outpatient procedure that will give a diagnosis with virtually no complications.

• #13 Fibroadenoma Treatment without surgery | CK Birla Hospital

  https://www.ckbhospital.com/blogs/fibroadenoma-treatment-without-surgery/

  Fibroadenomas are considered to be one of the most common forms of benign breast tumours. […] If youre considering fibroadenoma removal without surgery, you should know the types of fibroadenomas. […] Many women also choose to manage their fibroadenomas without surgery. This may be due to their apprehension of being operated on, or for any other personal preference. The choice of forgoing surgery must be based on your clinical breast exam, imaging test and biopsy. […] Here are some protocols to follow if you decide on treating fibroadenoma without surgery: Monitor the fibroadenoma lump with regular follow-up visits to your doctor. Take breast ultrasounds as per your doctors guidance to detect the changes in the size or appearance of the fibroadenoma lump. […] In certain cases like the phyllode tumour, treatment of fibroadenoma without surgery is not possible. […] Depending on the characteristics of the lump, your doctor would either propose treatment of fibroadenoma without surgery or strongly suggest removal of the lump.

• #14 Fibroadenoma Symptoms, Causes, Types and Treatment

  https://www.cancercenter.com/cancer-types/breast-cancer/types/common-breast-cancer-types/fibroadenoma

  Fibroadenomas often go away on their own. Those that have not been removed typically shrink after menopause. […] The care team may recommend removing them or monitoring them, depending on the circumstances. […] Sometimes monitoring makes the most sense in the following cases: Those that may be monitored have been confirmed to be fibroadenomas and not breast cancer. The monitoring is to ensure theyre not growing. […] Still, many doctors do recommend removing a fibroadenoma, especially if: Its growing. […] Removal may involve the options listed below. […] Surgery: This is often recommended if the fibroadenoma is growing rapidly or is greater than 2 cm in size. […] Cryoablation: This treatment freezes the fibroadenoma using a cryoprobe, which destroys the cellular structure of the fibroadenoma. […] Radiofrequency ablation: This process uses high-frequency energy to destroy the fibroadenoma using an ultrasound to focus the energy beam without destroying nearby tissues.

• #15 Fibroadenoma – Wikipedia

  https://en.wikipedia.org/wiki/Fibroadenoma

  Fibroadenomas can be expected to shrink naturally, so most are simply monitored. Monitoring fibroadenomas involves regular check-ups to make sure that the breast mass is not growing and is not potentially cancerous. Check-ups involve physical examinations performed every 36 months and optional diagnostic imaging performed every 612 months for 12 years. Generally, surgery is only recommended if the fibroadenoma gets larger or causes increased symptoms. They are removed with a small margin of normal breast tissue if the preoperative clinical investigations are suggestive of the necessity of this procedure. A small amount of normal tissue must be removed in case the lesion turns out to be a phyllodes tumour on microscopic examination. […] Because needle biopsy is often a reliable diagnostic investigation, some doctors may decide not to operate to remove the lesion, and instead opt for clinical follow-up to observe the lesion over time using clinical examination and mammography to determine the rate of growth, if any, of the lesion. A growth rate of less than sixteen percent per month in women under fifty years of age, and a growth rate of less than thirteen percent per month in women over fifty years of age have been published as safe growth rates for continued non-operative treatment and clinical observation.

• #16 Practical Management of Breast Fibroadenomas | AAFP

  https://www.aafp.org/pubs/afp/issues/1999/0201/p669a.html

  Fibroadenomas occur in about 10 percent of women seen in breast clinics, but account for about one half of all breast biopsies. […] Greenberg and associates present a literature-based approach to fibroadenomas and propose practical algorithms for their management. […] Depending on the patient’s age, family history and history of previous biopsies, conservative treatment of fibroadenomas may or may not be warranted. […] The authors conclude that, in women younger than 35 years, conservative management of fibroadenomas is recommended, with a follow-up every six to 12 months until complete regression. […] Fibroadenomas that don’t regress or that remain unchanged by age 35 should be excised. […] Even when conservative management is reasonable, patients often prefer excisional biopsy of persistent fibroadenomas. […] The authors advise excisional biopsy of any mass for which a diagnosis of fibroadenoma is not clear-cut; however, if, after a clinical examination, ultrasound examination and fine-needle aspiration, a diagnosis of multiple fibroadenomas can be confidently made, conservative treatment is warranted.

• #17 Breast Fibroadenoma | Treatment & Management | Point of Care

  https://www.statpearls.com/point-of-care/18600

  In the majority of cases, fibroadenomas need no treatment. They shrink and disappear over time, but if their size is large and they are compressing other breast tissues, they should be removed. Many females decide against the surgery because the lesions are harmless and involve no long-term risk of malignancy. Surgery also distorts the shape of a breast. […] Doctors might decide to remove the fibroadenoma if it is massive and continues to increase in size. Indications for surgical intervention include rapid growth, size greater than 2 cm, and patient request. There are 2 surgical procedures used to remove a fibroadenoma: Lumpectomy or excisional biopsy: In this procedure, the surgeon removes the fibroadenoma and sends it to the laboratory for further evaluation. Cryoablation: Surgeons use a cryoprobe to freeze and destroy the cellular structure of fibroadenoma. A core needle biopsy must be performed before cryoablation to confirm the fibroadenoma. […] The prognosis of fibroadenoma is good because it is a benign mass that shrinks in size over time in most cases.

• #18 Fibroadenoma of the breast: Causes, symptoms, and treatment

  https://www.medicalnewstoday.com/articles/323951

  Doctors may recommend the following treatments for fibroadenoma: […] If a fibroadenoma has any abnormalities, a doctor may recommend surgical removal. In lumpectomy surgery, also called excision biopsy, a doctor will make a small cut in the breast to remove the fibroadenoma. […] According to older 2015 research, surgery is rarely necessary if the cells of the fibroadenoma appear normal. Surgery could leave scars on the breast, which may interfere with future imaging tests. […] The American Board of Internal Medicine recommends that doctors do not surgically remove fibroadenomas smaller than 2 centimeters (cm). If they are increasing in size or are bothering a person, doctors might recommend surgery. […] A VAB is a nonsurgical procedure to remove a fibroadenoma. A doctor will inject a local anesthetic before making a small cut into the skin. They will then insert a probe that connects to a vacuum device that sucks out the fibroadenoma.

• #19 Scarless and Painless Fibroadenoma Surgery by Dr. Rohan Khandelwal

  https://www.breasthealth.in/services/fibroadenoma.html

  Fibroadenoma is the most common non- cancerous tumor of the breast, found generally in young women aged between 15 to 25 years. […] Being one of the reputed hospital backed by experienced and knowledgeable panels of doctors, Ck Birla Hospital For Women is provides painless scarless Fibroadenoma Treatment in Delhi. […] Dr. Rohan Khandelwal is a specialized Breast Surgeon who has done his training from the University of Maryland and he has vast experience in scarless fibroadenoma treatment. […] All fibroadenomas dont require surgical treatment but certain indications when surgery should be done are: Abnormal biopsy results, Concern about cancer, Family history of breast cancer, Pain, Sudden increase in size of the lump. […] If you are suffering from this ailment or having fibroadenoma beneath your skin then you can go for Fibroadenoma Treatment in Haryana. It is safe and the best option to get free from this ailment.

• #20 Fibroadenoma: Symptoms, Treatment, Removal Surgery & Cost

  https://www.drsuniltibrewal.com/surgery/breast-surgery/fibroadenoma-removal/

  Fibroadenoma removal surgery involves the removal of a non-cancerous tumor, such as a breast fibroadenoma. This procedure is also known as a lumpectomy or an excisional breast biopsy. […] If the tumour is greater than 2 cm but is growing fast or is painful and causing discomfort during normal activities, you might need surgery to remove it. Doctors also recommend surgery if you have a family history of breast cancer. […] Fibroadenomas do not always necessitate surgery (if the size is less than 2 cm), but if your tumour is rapidly growing or causing pain and discomfort during normal activities, you may require surgery to remove it. […] Cryoablation is a non-surgical procedure to treat fibroadenoma. This technique uses liquid nitrogen to freeze and destroy the fibroadenoma. You can also consult a general doctor or dermatologist to treat the fibroadenoma with medications or other non-surgical options.

• #21 Fibroadenoma of the breast: what it is, its types, symptoms, diagnosis and treatment

  https://medconsonline.com/en/blog/fibroadenoma-of-the-breast

  If the diagnosis is confirmed by histolopathology, there is no medical need for removal of such a tumour, especially if its size does not exceed three centimeters and it is not growing. However, even if there is unequivocal proof that there is no malignancy, regular follow-up is necessary. It is usually recommended to self-palpate the breasts monthly and, depending on the recommendations of the attending physician, to perform breast ultrasounds at intervals of three months or more. […] Removal of a glandular and connective tissue mass is advisable if: its large in size (3 cm); it grows rapidly; it causes pain; the patient is over 40; pregnancy is planned. […] Since the cosmetic outcome is an important aspect of benign breast tumor removal, minimally invasive techniques are increasingly favored.

• #21 Fibroadenoma of the breast: what it is, its types, symptoms, diagnosis and treatment

  https://medconsonline.com/en/blog/fibroadenoma-of-the-breast

  Non-surgical methods of removal of benign breast tumors: advantages and disadvantages Vacuum biopsy + Efficiency and cost-effectiveness – The likelihood of recurrence and the possibility of incomplete tumor removal Complete excision and maximum cosmetic results can usually be achieved with a tumor size of less than 3 cm Cryoablation + Absense of pain, efficiency, safety, excellent cosmetic results, no recurrence, positive immunostimulatory side effect – More suitable for superficial masses High Intensity Focused Ultrasound (Hifu) + Absence of pain, the ability to precisely tailor the exposure to ultrasound beams to the shape of the tumor – The lack of sufficient efficacy data due to the relative novelty of the technique.

• #22 Breast Fibroadenoma | American Hospital of Paris

  https://www.american-hospital.org/en/pathologie/breast-fibroadenoma

  Breast fibroadenomas must be accurately diagnosed through imaging (ultrasound followed by mammogram and biopsy if necessary) to formally rule out the possibility of a cancerous tumor. How they are treated depends on their size and growth rate, and on whether or not there are associated symptoms. […] Other treatment options can be discussed if the fibroadenoma is large (more than two or three centimeters in diameter), when it causes physical or aesthetic discomfort, or if the tumor is growing quickly. Its psychological impact can also be taken into consideration, as some patients feel very anxious about the presence of the fibroadenoma and request treatment to have it removed. […] Surgical treatment generally consists in the removal of the fibroadenoma. The procedure is usually performed under general anesthesia on an outpatient basis (the patient is admitted in the morning and discharged at the end of the day). The surgery does not alter the shape of the breast, and the scar is as discreet as possible.

• #23 Breast Fibroadenoma Management: Treatment Without Surgery – IceCure

  https://www.icecure-medical.com/blog/breast-fibroadenoma-management-treatment-without-surgery/

  Surgery has traditionally been the most common treatment approach for fibroadenomas, involving excisional biopsy or lumpectomy to remove the fibroadenoma. Although surgery is effective, it requires hospitalization, general anesthesia, and results in scarring and an extended recovery time. […] Recent advances now provide patients with the option of a minimally invasive procedure. […] A safe and effective minimally invasive procedure, cryoablation has gained recognition as a promising treatment option for fibroadenomas. Cryoablation is a simple, ultrasound-guided technique that utilizes freezing temperatures to ablate the fibroadenoma. Unlike more invasive procedures performed in a hospital, cryoablation enables the convenience of an office-based or outpatient setting. […] Clinical evidence supports cryoablation as an optimal treatment approach for fibroadenomas, offering a convenient minimally invasive in-office procedure with immediate recovery. By preserving breast tissue, providing rapid and durable ablation, and yielding cosmetically superior results, cryoablation addresses the unmet need for a non-invasive approach in managing fibroadenomas.

• #24 Fibroadenoma | Baylor Scott & White Health

  https://www.bswhealth.com/conditions/fibroadenoma

  Sometimes, the only care you need for a fibroadenoma is routine imaging and regular checkups. If the fibroadenoma isn’t causing any symptoms and is confirmed to be non-cancerous, your doctor may carefully monitor it instead of removing it. This is especially common if you have a fibroadenoma during hormonal changes, like pregnancy, where it might shrink on its own. […] In other cases, you may choose to have a fibroadenoma removed. Your healthcare team might recommend fibroadenoma removal when the lump is large or getting more prominent, if your biopsy results weren’t clear, or if it’s causing symptoms like pain or changes in the shape of the breast. […] If you decide to have a fibroadenoma removed, the two most common options are surgery to remove the fibroadenoma and a procedure to freeze the lump.

• #25 Breast fibroadenoma – symptoms, causes, and treatment.

  https://medtour.help/disease/brest-fibroadenoma/

  Treatment of fibroadenoma. Do fibroadenomas need to be removed? Treatment is selected taking into account the characteristics of the tumor. If it is not leaf-shaped, the compaction is small, and there is no active growth, doctors may recommend conservative treatment. In this case, hormonal drugs may be prescribed. […] But most often doctors recommend removal of fibroadenoma. This can be done surgically, or the fibroadenoma can be removed without surgery. […] Surgical methods for removing breast fibroadenoma can be different. This can be enucleation, secretory resection, and in extremely rare cases even complete removal of the breast. Without surgery, laser removal of breast fibroadenoma, as well as cryoablation and radiofrequency ablation can be performed. […] Enucleation is a gentle, low-traumatic method. During the procedure, the doctor removes the tumor from the capsule, after which the resulting area is sutured. This operation can be performed under local anesthesia. It leaves no large scars.

• #26 Do I need a biopsy? Choosing the right treatment for fibroadenoma – VAB

  https://eu.bd.com/vab-guide/do-i-need-a-biopsy-choosing-the-right-treatment-for-fibroadenoma/

  If the fibroadenoma is large and entangled, the doctor may want to perform an operation called an excision biopsy to remove it, by which a small incision is made in the skin, and the fibroadenoma is surgically removed. […] Alternatively, you may be offered a vacuum assisted excision biopsy to remove the fibroadenoma. This procedure is a relatively new technique and offers a minimally invasive alternative in the removal of fibroadenomas. […] A vacuum assisted excision biopsy is the National Institute for Health and Clinical Excellence (NICE) recommended treatment option in the removal of fibroadenomas.

• #27 Fibroadenoma of the Breast: A Comprehensive Guide

  https://flo.health/menstrual-cycle/health/symptoms-and-diseases/fibroadenoma-of-the-breast

  The treatment options for fibroadenomas largely depend on the size and type of the lump. A small, simple type may be left alone, and your doctor will expect it to shrink on its own. While some may be surgically removed, these smaller tumors may just be monitored via ultrasound to ensure that they aren’t changing or growing. A fast-growing breast lump will most likely be removed. […] If the fibroadenoma is large (greater than 5 centimeters across), then it will probably be removed to reduce the likelihood of damage to the breast tissue. Complications from removing fibroadenomas can include scarring at the incision site, dimpling around the breast tissue, damage to the milk ducts in the breast, and thickening of the breast tissue, which is why the smaller ones are usually left alone. […] There are alternatives to surgical removal of fibroadenomas. Cryoablation treatment may be used to disintegrate the tumors. This is done by inserting needles in the mass and filling it with extremely cold fluid. Or, a vacuum-guided excision, conducted through an ultrasound, may be used to remove the lumps.

• #28 Fibroadenoma Removal: Procedures, Recovery, When to Remove & More

  https://www.healthline.com/health/fibroadenoma-removal

  Another option for smaller fibroadenomas is a freezing technique called cryoablation. […] If your surgeon used traditional stitches, youll need to see them for removal about 1 week after your surgery. […] You may experience pain and discomfort for several days after a lumpectomy. […] For a vacuum-assisted excision biopsy, you may experience pain and bruising for a few days. […] Since a lumpectomy is considered a major surgery, its important to understand the risks before electing to have this procedure. […] Depending on the size and location of the fibroadenoma, you may experience scarring after removal. […] If a biopsy of a lump on your breast is determined to be a fibroadenoma, this doesnt automatically mean it needs to be removed. […] A simple fibroadenoma is one that has a uniform shape under microscopic examination, and is usually between 1 and 3 centimeters in size.

• #29 Fibroadenoma – Wikipedia

  https://en.wikipedia.org/wiki/Fibroadenoma

  Some fibroadenomas respond to treatment with ormeloxifene. […] Fibroadenomas have not been shown to recur following complete excision or transform into phyllodes tumours following partial or incomplete excision. […] There are several non-invasive options for the treatment of fibroadenomas, including percutaneous radiofrequency ablation (RFA), cryoablation, and percutaneous microwave ablation. With the use of advanced medical imaging, these procedures do not require invasive surgery and have the potential for enhanced cosmetic results compared with conventional surgery. […] The FDA approved cryoablation of a fibroadenoma as a safe, effective, and minimally-invasive alternative to open surgical removal in 2001. During cryoablation, ultrasound imaging is used to guide a probe into the mass of breast tissue. Extremely cold temperatures are then used to destroy the abnormal cells, and over time the cells are reabsorbed into the body. The procedure can be performed as an outpatient surgery using local anesthesia, and leaves substantially less scarring than open surgical procedures and no breast tissue deformation.

• #30 Fibroadenoma: Symptoms, Causes, Diagnosis, and Treatment

  https://www.webmd.com/breast-cancer/what-are-fibroadenomas

  You might not need any treatment. If your fibroadenoma is small, your doctor may recommend simply waiting to see whether the lump grows or shrinks rather than trying to remove it right away. […] If your fibroadenoma gets larger, the doctor suspects that it might, or they aren’t sure whether a lump is a fibroadenoma or not, they’ll likely recommend removing it. This will help confirm that a lump isn’t cancer and that it doesn’t grow and affect the surrounding breast tissue. […] Fibroadenoma removal is done in two ways: […] Lumpectomy: This is a short surgery in which the doctor makes a small incision and removes the lump. […] Cryoablation: The doctor uses an ultrasound machine to see your fibroadenoma. They’ll hold a tool called a cryoprobe against your skin. It uses a gas to freeze the nearby tissue, which destroys the fibroadenoma without surgery. This method is less common.

• #31 Fibroadenoma: Is Surgery the Only Treatment? – Bedford Breast Center

  https://www.bedfordbreastcenter.com/blog/fibroadenoma-is-surgery-the-only-treatment/

  Fibroadenomas do not always require active treatment, as they can shrink and disappear with no intervention. However, because the exact cause of fibroadenomas isnt known, their behavior within individual patients should be watched if only to determine whether they grow large enough to cause the breast tissue to become misshapen. […] While cryoablation also called cryotherapy is technically a surgical procedure, it is a minimally-invasive, outpatient treatment that doesnt require general anesthesia or recovery time. […] Cryoablation is an ultrasound-guided technique that destroys a benign tumor by using liquid nitrogen to freeze the tissue. This procedure is performed in-office and may take only a few minutes to perform. Once the fibroadenoma is killed, the body gradually absorbs the dead cells.

• #32 Breast Fibroadenoma: Symptoms, & Removal Treatment | Medanta

  https://www.medanta.org/hospitals-near-me/gurugram-hospital/speciality/breast-cancer/disease/breast-fibroadenoma-types-symptoms-causes-recovery-treatment

  Cryoablation is a minimally invasive method that uses extreme cold temperature to destroy the fibroadenoma. During this procedure, doctor inserts a small probe into the breast tissue, and transfer liquid nitrogen to freeze the lump. Over time, the frozen tissue is reabsorbed by the body. This procedure is typically done under local anesthesia, and may be performed as an outpatient procedure. Examples of cryoablation devices include the IceSense3 and the Visica 2 Treatment System. […] The specific treatment modality recommended for a fibroadenoma may vary depending on factors such as the size and characteristics of the lump, the patient’s age and health status, and their preferences for treatment. The healthcare provider will work with the patient to develop an individualized treatment plan that meets their needs and goals.

• #33 Fibroadenoma Cryoablation | IceCure

  https://www.icecure-medical.com/clinical-applications/fibroadenomas/

  Choose a Minimally Invasive In-Office Treatment for Fibroadenoma […] At IceCure, we believe in empowering women with choice in their treatment of fibroadenomas – the most common form of benign breast tumors. Our ProSense Cryoablation System offers a minimally invasive alternative to surgery that maintains breast shape and minimizes scarring. Designed as a unique in-office procedure, the treatment is highly convenient with excellent results, minimal pain and rapid same-day recovery. […] Cryoablation of fibroadenomas employs extremely cold temperatures to destroy the tumor cells by freezing. Under simple ultrasound guidance, the outpatient procedure can be conveniently performed in a doctor’s clinic under local anesthesia. Typically, the procedure from start to finish is less than an hour. Patients can swiftly return to their everyday activities while preserving the natural size and shape of their breast.

• #34 Fibroadenoma Cryoablation | IceCure

  https://www.icecure-medical.com/clinical-applications/fibroadenomas/

  Opening the door for office-based treatment of fibroadenomas, IceCure’s ProSense provides a fast and convenient minimally invasive procedure: Fast and easy office-based procedure: Takes about an hour with no hospital waiting or overnight stay. Rapid recovery: Get back to daily activities immediately, no need for follow-up reconstructive surgery. Cosmetically superior results: No cavity for hematoma formation or volume loss. Minimal pain and discomfort: Local anesthesia together with cooling from the cryoablation itself reduces pain. Local anesthesia: Eliminates risks from general anesthesia required during surgery. Easy to use and efficient: Portable liquid nitrogen system with small footprint, easy storage, minimal set-up time and efficient single cryoprobe system. Repeatable procedure: Can be performed multiple times if needed. Reimbursed: Existing US code (CPT 19105) for in-office treatment of breast fibroadenoma.

• #35 Fibroadenoma Cryoablation | IceCure

  https://www.icecure-medical.com/clinical-applications/fibroadenomas/

  Treating fibroadenomas successfully since clinical trials began in 2012, IceCure offers an alternative to surgery empowering women to maintain their breast shape: No breast tissue is removed. […] 96% rated cosmetic results as excellent or good. […] Small nick covered with a band-aid, no sutures required. […] In a prospective multicenter clinical trial, ProSense™ was “proved functional and safe, while showing meaningful reduction in volume, palpability, [and] pain” caused by the fibroadenoma in the treated patients. […] At 12 months, the average volume of the cryoablated zone was reduced by 75%, indicating the fibroadenoma was destroyed. […] “Cryoablation is a procedure that we know is safe, efficacious, cost effective and cosmetically superior to surgical removal. IceCure has improved upon the technology and developed a system optimized for breast fibroadenoma. My patients have been very happy with the short, painless procedure, and the ability to return to normal activity immediately.”

• #36 Fibroadenoma – Wikipedia

  https://en.wikipedia.org/wiki/Fibroadenoma

  High-intensity focused ultrasound (HIFU) is a newer technique for the treatment of malignant and benign tumors of the breast and has shown promising results in the form of complete radiological removal of tumors. An ultrasound beam is focused on a target in the breast and leads to tissue death and protein degradation by raising the temperature in that area. Currently, the use of radiation is recommended in some cases, but HIFU in particular is not part of treatment guidelines. Further research into the usefulness of HIFU, specifically in fibroadenoma, is required before more widespread use of the technique in fibroadenoma.

• #37

  https://healthmanagement.org/c/imaging/News/how-to-treat-breast-fibroadenoma-comparing-quality-cosmesis-and-costs

  Breast fibroadenoma is the most common benign breast tumour, typically occurring in young women aged 20 to 30. […] The main treatment options include open surgery (OS), vacuum-assisted breast biopsy (VABB) and the more recent high-intensity focused ultrasound (HIFU). […] OS has long been considered the standard treatment, providing full mass removal, but it can involve longer recovery times and visible scarring. […] On the other hand, VABB offers a minimally invasive approach that uses a vacuum-assisted device to remove the mass through a small incision. […] HIFU, being a non-invasive technique, appears to offer significant advantages regarding mental well-being. […] This technique uses focused ultrasound energy to heat and destroy the targeted tissue without any surgical incision.

• #38 Using High-Intensity Focused Ultrasound to Treat Breast Fibroadenomas – Healthy Practice

  https://uvaphysicianresource.com/using-high-intensity-focused-ultrasound-to-treat-breast-fibroadenomas/

  For women, the diagnosis that a lump within their breast is a fibroadenoma is good news. These common, benign tumors typically appear in young women between the ages of 15 and 35. Although they can usually be managed with simple observation, many women consider them bothersome and wish to have them removed. Their only option currently is surgery, which leaves a scar. […] Were trying to give women a noninvasive alternative, says breast surgeon David R. Brenin, MD, a co-lead investigator of the nations first clinical trial evaluating the safety and efficacy of high-intensity focused ultrasound to treat these tumors. High-intensity focused ultrasound has been approved in Europe for fibroadenoma treatment. We would like to make this technology available to American women. […] The goal is to reduce tumor size and consistency so that patients cannot feel it. Thus far, Rochman and Brenin have recorded a 69 percent decrease in tumor size three months after treatment. Maximum benefit is expected to occur by the ninth month.

• #39

  https://healthmanagement.org/c/imaging/News/how-to-treat-breast-fibroadenoma-comparing-quality-cosmesis-and-costs

  Studies indicate that patients who undergo HIFU report a higher sense of psychological well-being due to the absence of visible scars and a shorter recovery period. […] HIFU, by contrast, excels in this regard, offering superior cosmetic outcomes as it leaves no incision scars and preserves surrounding breast tissue. […] HIFU, while initially expensive, emerges as a cost-effective option when evaluated through quality-adjusted life years (QALYs). […] Cost-effectiveness studies indicate that HIFU’s benefits extend beyond its clinical impact, aligning more closely with patients’ desire for holistic health improvements and aesthetic preservation. […] HIFU stands out as a non-invasive and cosmetically favourable option, offering significant improvements in mental well-being and QOL, along with reasonable financial viability.

• #40 Five-year follow-up after a single US-guided high intensity focused ultrasound treatment of breast fibroadenoma | Scientific Reports

  https://www.nature.com/articles/s41598-024-68827-4

  The current evaluation, undertaken 5 years following a single US-controlled HIFU treatment of symptomatic FAs, reveals that a substantial reduction in volume is achieved within the initial 6 months post-intervention (mean VRR 68%). […] A HIFU treatment thus represents a long-term effective treatment for symptomatic FA with a mean volume reduction between 92.2 and 97.9% over 5 years. […] Compared to the gold standard of surgical excision and in contrast to US-guided vacuum-assisted biopsy or to other ablative procedures, HIFU is currently the only completely non-invasive treatment method and therefore rapidly growing in popularity. It represents a good alternative in the treatment of FA as it can be performed safely under local anesthesia and leads to a reduction in symptoms and volume even over a 5 year follow up. […] As incomplete initial HIFU-treatment is associated with the risk of regrowth, annual sonographic follow-up is recommended for a minimum of 3 years.

• #41 Fibroadenoma of the breast: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/007216.htm

  If a needle biopsy shows that the lump is a fibroadenoma, the lump may be left in place or removed. […] You and your health care provider can discuss whether or not to remove the lump. Reasons to have it removed include: […] If the lump is not removed, your provider will watch to see if it changes or grows. This may be done using: […] Sometimes, the lump is destroyed without removing it: […] Cryoablation destroys the lump by freezing it. A probe is inserted through the skin, and ultrasound helps the provider guide it to the lump. Gas is used to freeze and destroy the lump. […] Radiofrequency ablation destroys the lump using high-frequency energy. The provider uses ultrasound to help focus the energy beam on the lump. These waves heat the lump and destroy it without affecting nearby tissues.

• #42 Metformin as a new option in the medical management of breast fibroadenoma; a randomized clinical trial | BMC Endocrine Disorders | Full Text

  https://bmcendocrdisord.biomedcentral.com/articles/10.1186/s12902-021-00824-4

  Fibroadenoma (FA) is the most common benign solid breast mass in women, with no definite method of management. Because fibroadenoma is dependent on female sex hormones and comprises hypertrophic changes at cellular levels, we investigated the effects of metformin (MF), a safe hypoglycemic agent with anti-estrogenic and anti-proliferative properties, in the management of fibroadenoma. […] This is the first study that evaluates the effect of MF on the management of fibroadenoma, and the results suggest a favorable effect. […] In this study, use of MF as a treatment for breast FA has been assessed for the first time, and some superior effect has been detected for MF compared to placebo. […] Therefore, according to the marginal logistic regression model, our study showed an OR of 1.48 for success in the treatment group. Also, by defining success as less than 20% FA enlargement in all the masses of a patient with multiple lesions, our study illustrated a more than four-fold success rate for metformin in these cases.

• #43 Metformin as a new option in the medical management of breast fibroadenoma; a randomized clinical trial | BMC Endocrine Disorders | Full Text

  https://bmcendocrdisord.biomedcentral.com/articles/10.1186/s12902-021-00824-4

  In summary, according to our expectation, MF showed a favorable effect on FA in our study. The most important positive findings can be briefly interpreted as: (1) Significant enlargement was less probable in FAs under MF treatment. (2) In women with multiple FAs, MF increased more than four-fold the probability of a safe course for all the masses of a patient by decreasing the chance for significant enlargement. (3) FAs under MF treatment had a two-fold size decrement compared with those under placebo. (4) For the largest FA of each patient, size reduction was more frequent and enlargement was less frequent with MF than with placebo. (5) Women receiving MF had experienced a two-fold regression of FA size in comparison with the placebo group in all fibroadenoma. (6) The rate of disappearance of FAs was higher in largest and smallest fibroadenoma under MF treatment in women with multiple lesions. […] The dosage of MF that was prescribed in this study was only 1000 mg daily, while many studies prescribe 1500-2000 mg of MF per day. Prescribing a higher dose of MF could probably improve the positive findings of the study.

• #44 Understanding Breast Fibroadenoma: Causes, Symptoms…

  https://cvicvascular.com/understanding-breast-fibroadenoma-causes-symptoms-diagnosis-and-treatment/

  The management of breast fibroadenoma depends on various factors, including the size of the lump, its growth pattern, and the individuals symptoms and preferences. Here are the most common treatment options: […] If the fibroadenoma is small, stable in size, and not causing any discomfort, your healthcare provider may recommend a watch and wait approach. This involves regular follow-up examinations to monitor the lumps size and changes. […] In some cases, hormonal therapy, such as birth control pills or hormone-regulating medications, may be prescribed to help shrink or stabilize the fibroadenoma. […] A lumpectomy is a surgical procedure that involves the removal of the fibroadenoma. […] Cryoablation is a minimally invasive technique that uses extreme cold to destroy the fibroadenoma.

• #45 The surgeon’s guide to fibroadenomas – Kopkash – Annals of Breast Surgery

  https://abs.amegroups.org/article/view/6448/html

  This review article takes a modern perspective on the assessment and management of fibroadenomas (FA) from the viewpoint of the breast surgeon, using evidence-based guidelines. […] There are multiple management options described for FA, including surveillance, surgical excision, and alternative methods such as cryoablation and high frequency ultrasound (US) ablation. […] Once the breast surgeon has diagnosed an FA in their patient, the next step is discussing a management strategy; surveillance, surgical excision, or alternative management. […] Observation alone is reasonable in pediatric FA that are asymptomatic. […] In adult patients, the American Society of Breast Surgeons Choosing Wisely campaign recommends against routinely excising biopsy-proven FA that are 2 cm. […] If a biopsy proven FA is enlarging on imaging or clinical follow-up, there is still a very low risk of malignancy.

• #46 The surgeon’s guide to fibroadenomas – Kopkash – Annals of Breast Surgery

  https://abs.amegroups.org/article/view/6448/html

  For biopsy proven FA, surgical excision should be considered if there is associated atypia, unusual pathologic features, or symptomatic/cosmetic concerns. […] Alternatives to surgical excision exist but they should only be considered in patients with a core biopsy proven FA. […] US guided cryoablation is one alternative for FA that has shown significant decrease in lesion size after treatment, with 75% of lesions being non-palpable at 1 year of follow-up. […] Clinical follow-up by the performing physician is recommended in these patients due to the lack of long-term data on these emerging technologies. […] The ideal approach for a patient with a breast mass suggestive of FA is to image with US +/ mammogram, confirm the lesion is an FA using percutaneous core biopsy, and conservative follow-up in the future. […] If the FA is causing concern for the patient or the physician has suspicion for malignancy, surgical excision is reasonable and should be performed in an oncoplastic fashion to maximize long-term aesthetic outcomes.

• #47

  https://healthmanagement.org/c/imaging/News/how-to-treat-breast-fibroadenoma-comparing-quality-cosmesis-and-costs

  As patients increasingly seek treatments that enhance their health and self-image, the demand for non-invasive techniques like HIFU will likely grow. […] Consequently, healthcare providers should consider adopting HIFU as a mainstream treatment option for breast fibroadenoma, offering patients a balanced approach to physical health, mental well-being, and aesthetic satisfaction. […] In summary, when choosing a treatment for breast fibroadenoma, it is essential to consider not just the clinical effectiveness but also the patients’ quality of life, cosmetic preferences, and overall financial impact. HIFU presents a compelling case for itself as a modern, patient-focused treatment, demonstrating the potential to redefine standards of care in managing benign breast conditions.

• #48 Understanding Breast Fibroadenoma: Causes, Symptoms…

  https://cvicvascular.com/understanding-breast-fibroadenoma-causes-symptoms-diagnosis-and-treatment/

  If a fibroadenoma continues to grow or causes pain, surgical removal may be recommended. This procedure is known as a wide local excision or a partial mastectomy. […] Regardless of the treatment chosen, regular follow-up appointments are essential to monitor for any changes in the breast tissue. This is especially important for women who opt for observation or medication-based treatments.

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