Susan Martin24
Active Member
79 messages
joined Apr 2006
Breast lumps ๐
Back in the day, doctors used to just cut out every single fibroadenoma they found... but nowadays, how we handle them has changed quite a bit thanks to better diagnostic tech.
I remember seeing a ton of posts about breast health on this forum a few months back... Iโm feeling a bit lazy right now, so I can't be bothered to dig up the specific links for you guys.
Basically, an FA is a benign breast tumor, meaning it isn't cancerous.
That said, because they don't always look 100% distinct on an ultrasound or mammogramโsometimes they mimic cancer or even just look like a simple cystโdoctors usually want to do a quick cytological check via a fine needle aspiration (FNAB) just to be absolutely sure.
Most of the time, surgeons won't operate on an FA unless it's getting big enough to actually change the shape of the breast. Sometimes, especially in younger women, an FA can grow large enough to take over the whole area and cause some real disfigurement.
These things are pretty unpredictable; their size can fluctuate depending on where you are in your cycle, and once you hit menopause, they often disappear entirely or sometimes just calcify.
Much like uterine fibroids, they tend to grow during pregnancy... though that's not a universal rule.
The general rule of thumb is that if there's any doubt, you get a biopsy to confirm it's an FA, and then you just keep an eye on it with follow-ups every 6 to 12 months. If it starts growing too fast, there's a chance it could outgrow its own blood supply (ischemia), which can lead to necrosisโbasically, it dies off and causes some inflammation.
I've actually noticed that right after a period, they can shrink so much that they barely show up on an ultrasound, only to swell up again around ovulation.
All in all, there's nothing to stress about... it's just like dealing with a breast cyst. ๐