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Fibroadenoma
 

Fibroadenoma

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    Fibroadenoma Fibroadenoma Presentation Transcript

    • Introduction Most common benign tumor of breast Benign tumors that represent a hyperplastic or proliferative process in a single terminal ductal unit Young females:15 -25yrs of age
    •  Aberration in normal development of a lobule Cause -unknown. 10% of disappear spontaneously each year Most stop growing after they reach 2-3 cm.
    •  involute in postmenopausal women- coarse calcifications develop. Conversely grow rapidly during pregnancy, HRT or immunosuppression-(multiple or growing fibroadenomas -related to Epstein barr virus infn)
    • Variants - juvenile fibroadenomas - myxoid fibroadenomas- Carney complex, an autosomal dominant neoplasia syndrome (skin mucosal lesions, myxomas, and endocrine disorders.)
    • TypesGross- Soft Hard GiantMicroscopy- Intracanalicular-mainly cellular tissue Pericanalicular-mainly fibrous
    • Gross
    • Intracanalicular
    • Pericanalicular
    • Clinical featuresPainless swellingSmooth, firm, non-tenderWell-localizedMoves freely within the breast tissue- breast mouse.Axillary LN not enlarged.
    • InvestigationsMammographyFNACUSG
    • Mammogram
    • Cytology
    • USG
    • TreatmentExcision of the lumpIn pericanalicular type- periareolar incisionIntracanalicular-submammary incision
    • ComplicationsRarely, sarcomatous change
    • Thank you…