Fibroadenoma interventions: Difference between revisions

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{{Fibroadenoma}}
{{Fibroadenoma}}
{{CMG}}; {{AE}} {{S.G.}}
{{CMG}}; {{AE}} {{IO}}


==Overview==
==Overview==
There are no recommended therapeutic interventions for the management of [disease name].
Majority of fibroadenomas are managed conservatively. An intervention can take place in certain situations, such as intense pain, anxiety, cosmetic reasons, and more.
 
OR
 
[Name of intervention] is not the first-line treatment option for patients with [disease name]. [Name of intervention] is usually reserved for patients with either [indication 1], [indication 2], and [indication 3]
 
OR
 
The mainstay of treatment for [disease name] is medical therapy/surgery. [Name of intervention] is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].
 
OR
 
The feasibility of [name of intervention] depends on the stage of [disease or malignancy] at the time of diagnosis.
 
OR
 
[Name of intervention] is the mainstay of treatment for [disease or malignancy].


==Indications==
==Indications==


===Observation===
===Observation===
* Most fibroadenomas are managed conservatively with yearly breast examination and ultrasound if necessary. This is related to the fact that about 10 to 40% of fibroadenomas regress spontaneously.<ref name="pmid26366109">{{cite journal| author=Lee M, Soltanian HT| title=Breast fibroadenomas in adolescents: current perspectives. | journal=Adolesc Health Med Ther | year= 2015 | volume= 6 | issue=  | pages= 159-63 | pmid=26366109 | doi=10.2147/AHMT.S55833 | pmc=4562655 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26366109  }} </ref>
* Most fibroadenomas are managed conservatively with yearly [[breast]] examination and [[ultrasound]] if necessary. This is related to the fact that about 10 to 40% of fibroadenomas regress spontaneously.<ref name="pmid26366109">{{cite journal| author=Lee M, Soltanian HT| title=Breast fibroadenomas in adolescents: current perspectives. | journal=Adolesc Health Med Ther | year= 2015 | volume= 6 | issue=  | pages= 159-63 | pmid=26366109 | doi=10.2147/AHMT.S55833 | pmc=4562655 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26366109  }} </ref>
* Reasons to undergo intervention of a fibroadenoma:<ref name="pmid26366109">{{cite journal| author=Lee M, Soltanian HT| title=Breast fibroadenomas in adolescents: current perspectives. | journal=Adolesc Health Med Ther | year= 2015 | volume= 6 | issue=  | pages= 159-63 | pmid=26366109 | doi=10.2147/AHMT.S55833 | pmc=4562655 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26366109  }} </ref>
* Reasons to undergo intervention of a fibroadenoma:<ref name="pmid26366109">{{cite journal| author=Lee M, Soltanian HT| title=Breast fibroadenomas in adolescents: current perspectives. | journal=Adolesc Health Med Ther | year= 2015 | volume= 6 | issue=  | pages= 159-63 | pmid=26366109 | doi=10.2147/AHMT.S55833 | pmc=4562655 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26366109  }} </ref>
:* Significant anxiety in a patient (despite knowing that the lesion has a low malignant potential)
:* Significant anxiety in a patient (despite knowing that the lesion has a low [[malignant]] potential)
:* Mass is greater than 5 cm in size
:* Mass is greater than 5 cm in size
:* Rapidly enlarging size
:* Rapidly enlarging size
:* Intense pain
:* Intense pain
:* Distortion of breast parenchyma
:* Distortion of [[breast]] [[parenchyma]]
:* Cosmetic issues  
:* Cosmetic issues  
:* Persistent mass with no regression  
:* Persistent mass with no regression  
:* Hypercellular stroma on ultrasound  
:* Hypercellular stroma on [[ultrasound]]
:* High malignant potential
:* High [[malignant]] potential
:* Presence of a high risk genetic mutation or syndrome
:* Presence of a high risk [[genetic mutation]] or [[syndrome]]
:* Complex fibroadenoma
:* Complex fibroadenoma



Latest revision as of 14:09, 16 September 2019

Fibroadenoma Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ifeoma Odukwe, M.D. [2]

Overview

Majority of fibroadenomas are managed conservatively. An intervention can take place in certain situations, such as intense pain, anxiety, cosmetic reasons, and more.

Indications

Observation

  • Most fibroadenomas are managed conservatively with yearly breast examination and ultrasound if necessary. This is related to the fact that about 10 to 40% of fibroadenomas regress spontaneously.[1]
  • Reasons to undergo intervention of a fibroadenoma:[1]
  • Significant anxiety in a patient (despite knowing that the lesion has a low malignant potential)
  • Mass is greater than 5 cm in size
  • Rapidly enlarging size
  • Intense pain
  • Distortion of breast parenchyma
  • Cosmetic issues
  • Persistent mass with no regression
  • Hypercellular stroma on ultrasound
  • High malignant potential
  • Presence of a high risk genetic mutation or syndrome
  • Complex fibroadenoma

References

  1. 1.0 1.1 Lee M, Soltanian HT (2015). "Breast fibroadenomas in adolescents: current perspectives". Adolesc Health Med Ther. 6: 159–63. doi:10.2147/AHMT.S55833. PMC 4562655. PMID 26366109.

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