Which lesions with a radiological or core biopsy diagnosis of fibroadenoma should be excised?

• DOI: 10.1308/rcsann.2021.0208
• Publication Date: 2022-04-30T23:31:27Z
• Authors: AHS Lee; J James; L Whisker; EA Rakha; IO Ellis
• Keywords: Core biopsy

A recent Association of Breast Surgery summary statement on fibroadenoma management recommends excision only for cellular fibroepithelial lesions and rapidly growing with a core biopsy diagnosis fibroadenoma; persistent pain is relative indication excision.This retrospective study looked at the impact this approach would have phyllodes tumours.From 2014 to 2018, there were 1,058 diagnoses 112 excised, which 98 fibroadenomas, 4 hamartomas 10 tumours. In group, an tumour was associated size more than 40 mm, age years radiological suspicion or carcinoma. One hundred sixty-six excised no previous included eight tumours; in rapid growth diagnosis. Twelve 26 classified as B3 (cellular lesion tumour) diagnosed tumours excision. Using combination radiological, clinical pathological features it possible create policy that recommend 22 31 period. Eight nine 'missed' benign.The will reduce number fibroadenomas but may also result delayed some Appropriate safety netting advice should be provided identify lesions.