Management of breast fibroadenomas

J Gen Intern Med. 1998 Sep;13(9):640-5. doi: 10.1046/j.1525-1497.1998.cr188.x.


Objective: To identify from the literature and clinical experience a rational approach to management of fibroadenomas of the breast.

Method: Recent literature on detection, diagnosis, and natural history of fibroadenomas was reviewed. Experience with over 4,000 women evaluated in the breast clinic at the Tel-Aviv Medical Center contributed to the management strategies suggested by review of the literature.

Results: Fibroadenomas of the breast are common, accounting for 50% of all breast biopsies performed. Physical examination, sonography, and fine needle aspiration are effective in distinguishing fibroadenomas from breast cancer. Transformation from fibroadenoma to cancer is rare; regression or resolution is frequent, supporting conservative approaches to follow-up and management.

Conclusion: Age-based algorithms that allow for conservative management and that limit excision to patients whose fibroadenomas fail to regress are presented.

Publication types

  • Review

MeSH terms

  • Adult
  • Age Factors
  • Algorithms*
  • Breast Neoplasms / diagnosis*
  • Breast Neoplasms / therapy*
  • Female
  • Fibroadenoma / diagnosis*
  • Fibroadenoma / therapy*
  • Humans