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Fibroadenomas in adolescence.

Yasmin Jayasinghe1, Patricia S Simmons

  • 1Division of Pediatric and Adolescent Gynecology, Mayo Clinic, Rochester, Minnesota, USA.

Current Opinion in Obstetrics & Gynecology
|July 17, 2009
PubMed
Summary

Fibroadenomas, common breast masses in adolescents, require careful assessment. While many can be monitored, new minimally invasive techniques offer effective management for selected cases.

Area of Science:

  • Adolescent Gynecology
  • Breast Pathology
  • Surgical Oncology

Background:

  • Fibroadenomas are the most frequent breast masses encountered in adolescent females.
  • Understanding their assessment and management is crucial for healthcare providers.
  • This review focuses on the investigation and management strategies for adolescent fibroadenomas.

Purpose of the Study:

  • To outline an approach for the investigation of breast masses in adolescents.
  • To detail the management options for fibroadenomas in this demographic.
  • To highlight current and emerging treatment modalities.

Main Methods:

  • Clinical assessment including history and physical examination.
  • Ultrasonography as the primary imaging modality when needed.

Related Experiment Videos

  • Histological classification based on tumor characteristics.

    • Main Results:

    • Fibroadenomas are benign tumors, commonly presenting in late adolescence.
    • Simple fibroadenomas (smooth, mobile masses ≤3 cm) are most common; giant fibroadenomas are rarer.
    • Core biopsy is not routinely recommended due to the low incidence of malignancy; surgical excision is indicated for large, rapidly growing, or suspicious lesions.

    Conclusions:

    • The majority of adolescent fibroadenomas can be managed with surveillance.
    • Minimally invasive excision techniques are emerging as valuable tools for specific patient selections.