Just as the name implies, a Los Angeles fibroadenoma surgeon is responsible for treating patients suffering from fibroadenoma. The doctor will check the breast to see if lumps are present. If fibroadenoma is detected, a course of action is eventually decided. However, some of the fibroadenomas are way too small. Imaging tests have to be used for discovery. When a woman discovers a palpable lump, various procedures or tests can be recommended by the doctor, based on lump characteristics and age.
Evaluating Breast Lumps
This is done through different possible tests, like:
- Diagnostic mammography – This uses X-rays in order to produce a mammogram of the suspicious area. Fibroadenoma sometimes appears on mammograms as breast mass with round, smooth edges.
- Breast ultrasound – The technology is using sound waves in order to produce inside breast pictures. The doctor will recommend this together with the mammogram in order to evaluate the lump. If the woman is younger than 30, the ultrasound is normally chosen first.
When the mammogram shows an abnormality like a breast lump, the ultrasound can further be used to assess a lump. This will help doctors determine if breast lumps are filled with fluid or solid. Solid masses are most likely fibroadenomas and fluid-filled masses are most likely cysts.
When the breast lump needs further evaluation, there are 2 extra procedures that become possible:
- Fine-needle aspiration – A thin needle is used to withdraw breast lump contents. When fluid comes out, a cyst is normally present.
- Core needle biopsy – The radiologist normally performs the procedure.
The great thing is that most fibroadenomas do not require treatment. However, in some cases women do need surgical removal.
- Nonsurgical management
When the doctor is 100% sure that the breast lump is actually fibroadenoma, surgery might be necessary. This is all based on clinical breast exam results, biopsy and imaging tests. Patients decide against the surgery because of the following possible reasons:
- Surgery can potentially distort breast texture and shape.
- Breasts have multiple stable fibroadenomas.
- Fibroadenomas will sometimes disappear or shrink without external influence.
When your decision is not to have the surgery done, you want to monitor fibroadenoma with doctor follow-up visits for the breasts ultrasounds to detect size or appearance changes. When you become worried about the condition at a later point in time, the surgery can be reconsidered.
The doctor can recommend a surgery in order to remove fibroadenoma if a test has abnormal results or in the event that fibroadenoma is too large or increases in size. You can remove fibroadenoma through the following procedures:
- Cryoablation – The doctor inserts a wand-like, thin device through the skin to reach the fibroadenoma. Then, a gas is utilized to freeze and then destroy the present tissue.
- Lumpectomy/Excisional Biopsy – The surgeon is removing breast tissue. Then, it is sent to the lab.
When fibroadenoma is removed, new fibroadenomas might appear in the future. The new breast lumps have to be assessed with the use of the same procedures as the initial one. The main worry is always that the fibroadenoma becomes cancerous.