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fibroadenoma
The most common benign breast neoplasm.
Epidemiology:
- commonly occurs in young women in their teens & 20's
Clinical manifestations:
1) generally smooth, nontender & freely mobile
2) the lesions continue to grow
Radiology:
- initial evaluation should include ultrasound, since mammograms are generally unreliable in young women
Differential diagnosis:
1) cystosarcoma phyllodes
2) carcinoma
Management:
- surgical excision if > 2 cm
- biopsy-proven fibroadenomas < 2 cm should not be routinely removed [2]
General
adenoma
References
- Medical Knowledge Self Assessment Program (MKSAP) 11, American
College of Physicians, Philadelphia 1998
- American Society of Breast Surgeons
Benign Breast Disease.
Five Things Physicians and Patients Should Question.
Jan 8, 2018.
http://www.choosingwisely.org/societies/american-society-of-breast-surgeons-benign-breast-disease/