Journal of General Internal Medicine

, Volume 13, Issue 9, pp 640–645 | Cite as

Management of breast fibroadenomas

  • Ron Greenberg
  • Yehuda Skornick
  • Ofer Kaplan

Abstract

OBJECTIVE: To identify from the literature and clinical experience a rational approach to management of fibroadenomas of the breast.

METHOD: Recent literature on detection, diagnosis, and natural history of fibroadenomas was reviewed. Experience with over 4,000 women evaluated in the breast clinic at the Tel-Aviv Medical Center contributed to the management strategies suggested by review of the literature.

RESULTS: Fibroadenomas of the breast are common, accounting for 50% of all breast biopsies performed. Physical examination, sonography, and fine needle aspiration are effective in distinguishing fibroadenomas from breast cancer. Transformation from fibroadenoma to cancer is rare; regression or resolution is frequent, supporting conservative approaches to follow-up and management.

CONCLUSION: Age-based algorithms that allow for conservative management and that limit excision to patients whose fibroadenomas fail to regress are presented.

Key words

fibroadenoma breast neoplasms women 

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Copyright information

© Society of General Internal Medicine 1998

Authors and Affiliations

  • Ron Greenberg
    • 1
  • Yehuda Skornick
    • 1
  • Ofer Kaplan
    • 1
  1. 1.Received from the Department of Surgery A, Tel-Aviv Medical Center, and the Sackler Faculty of MedicineTel-Aviv UniversityTel-AviwIsrael

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