Fibroadenoma is a benign breast tumor composed of both glandular and stromal tissue. It commonly occurs in young women between ages 15-25. While fibroadenomas are noncancerous and do not spread, some may increase in size over time. Diagnosis is usually made through mammography, ultrasound, or biopsy. Treatment options include surgical excision or observation with regular ultrasound screening, depending on the size and characteristics of the tumor.

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

5. Fibroadenoma
8. 30% of fibroadenoma disappear in size within 2-4 years
9. 10-15% will increase in size progressively . It doesn't occur after menopause unless
there is external hormone intake
10. 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
• Mammography (well localised smooth irreugular shadow . It may
show popcorn calcification)
• FNAC or core biopsy
• Ultrasound (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 !