fibroadenoma.pptx

fibroadenoma of breast.
gynaecology MBBS final year

1. FIBROADENOMA Done by : Adithya. S , MBBS

2. Table of contents 01 Introduction 02 Fibroadenoma 03 Types 04 Clinical features 05 Investigations & treatment

3. Introduction A fibroadenoma is a benign, or noncancerous, breast tumor. Unlike a  breast cancer , which grows larger over time and can spread to other organs, a fibroadenoma remains in the breast tissue. Presently it is considered as a hyperplasia of single lobule of the breast

4. Fibroadenoma Commonly seen in young age group of 15-25 years It is the most common benign tumour of the breast below 30 years of age in female. It is aberration in normal development of a lobule It shows similar hormonal activities of normal breast like lactation and perimenopausal involution Incidence is 15% of palpable breast lumps It is bilateral in 20% of the cases . 20% are multiple Juvenile fibroadenoma occurs in adolescent girls Complex fibroadenoma is a condition with fibrocystic changes like cyst formation and apocrine metaplasia

5. Fibroadenoma 30% of fibroadenoma disappear in size within 2-4 years 10-15% will increase in size progressively . It doesn't occur after menopause unless there is external hormone intake Fibroadenoma does not turn into malignancy

6. TYPES – gross classification soft giant hard Common after 30 years , more cellular often bilateral >5 cm in size – common in African region Common below 30 years more fibrous

7. Microscopic classification Intracanalicular Large and soft , mainly cellular, stroma with distorted duct Pericanalicular Small and hard ,mainly fibrous, stroma with normal duct

8. Clinical Features Presents as a painless swelling in one of the quadrants It is smooth Firm Non tender Well localised moves freely within the breast tissue (mouse in breast) Axillary lymph nodes are not enlarged

9. Investigations M ammography (well localised smooth irreugular shadow . It may show popcorn calcification) FNAC or core biopsy U ltrasound (to confirm solid nature) well defined with smooth outline MRI if necessary

10. Treatment Excision through a circumareolar ( webster’s) or submammary incision (Gaillard Thomas incision) is done under general anaesthesia

11. Treatment Fibroadenoma which is small < 3 cm / age <30 years can be left alone with regular follow-up with USG at 6 month intervals However anxiousness of patients and parents makes this conservative management difficult INDICATIONS FOR SURGERY Size > 3 cms Multiple Giant type Recurrence Cosmesis Complex type

12. Thank You !