What is the definition of ‘fibroadenomas’?
- Fibroadenomas → is benign solid breast composed of stromal and epithelial elements.
- Fibroadenomas is the most common tumour in women younger than 30 years.
6. What is the usual clinical presentation of fibroadenomas?
- Fibroadenomas are presented as painless, well defined palpable mass that is rubbery in texture and mobile.
- They slide easily under the examining fingers and may be lobulated or smooth.
7. How can be made the final diagnosis of fibroadenoma?
- Although fibroadenomas can be suspected on the basis of their characteristic clinical Presentation, a final diagnosis cannot be made without histologic or cytologic confirmation.
- Pathological confirmation is required because of the need to exclude carcinoma!
8. What does “giant fibroadenoma” mean?
- Giant Fibroadenoma → is a descriptive term applied to a subtype of fibroadenoma that attains unusually large size, typically greater than 5cm.
9. What does “juvenile fibroadenoma” mean?
- Juvenile fibroadenoma → refers to occasional large fibroadenoma that occurs in adolescents and young adults and historically is more cellular than the usual fibroadenoma.
10. What is the management of fibroadenomas?
- There are 2 approaches of in the management of fibroadenomas
- Conservative → (without the need of surgical excision)
- Recommended for women under 25years old, provided that cytological examination, repeated after 3months, rules out malignancy
- Operative → removing of the fibroadenomas
- We accepted operative approach nevertheless of a women age
- Small number of breast cancer can be missed by conservative approach.
- Excision of fibroadenomas can be done either local or general anaesthetic.
11. What does “solitary intraductal papilloma” mean?
- Solitary intraductal papilloma → is true polyp of epithelial-lined breast ducts.
- Solitary papilloma are most often located close to the areola but may be present in peripheral locations.
- Most papilloma’s are smaller than 1cm but can grow to as large 4 or 5 cm in size
12. What is usual clinical presentation of solitary intraductal papillomas?
- Solitary intraductal papilloma → are often accompanied by bloody nipple discharge.
- Less frequently, they are discovered as a palpable mass under the areola.
13. What is the treatment of solitary intraductal papilloma?
- The treatment of solitary intraductal papillomas is excision through a circumareloar incision.
14. What is the definition of “breast cyst”?
- Breast cyst is fluid-filled, epithelial lined cavity within the breast parenchyma that may vary in size from microscopic to large palpable mass (containing as much as 20 to 30ml of fluid)