Fibroadenomas are non-cancerous breast lumps that are commonly found in young women. They feel firm smooth, and move quickly under the skin when touched. These lumps do not usually turn into cancer, but in some cases, doctors may recommend surgery to remove them.
While fibroadenomas are generally harmless, some women choose surgery due to pain, discomfort, or changes in the size of the lump. The decision to undergo surgery depends on factors such as lump size, biopsy results, and personal preference.
This article will explain why fibroadenoma surgery is done, what to expect, and how recovery happens.
When is Fibroadenoma Surgery Needed?
Not all fibroadenomas require surgery. Doctors often monitor them over time to check for any changes. However, surgery may be recommended in the following situations:
- Large or Growing Fibroadenomas: If the lump is increasing or more significant than usual, doctors may suggest removal. A growing fibroadenoma can cause discomfort and may need to be removed for relief.
- Unclear Test Results: If a biopsy does not diagnose clearly or shows unusual features, doctors may recommend surgery to confirm that the lump is non-cancerous.
- Pain or Discomfort: Some fibroadenomas can cause pain, especially if they press on nearby tissue. If the discomfort affects daily activities, removing the lump may help.
- Personal Choice: Some women prefer to have a lump removed for peace of mind, even if it is harmless. If the lump causes anxiety or emotional distress, surgery may be an option.
Types of Surgery for Fibroadenoma
There are different surgical methods to remove a fibroadenoma. The type of surgery depends on the size of the lump and the patient’s condition.
- Lumpectomy: This is the most common method. The surgeon removes the fibroadenoma while keeping the rest of the breast tissue intact. It is a simple procedure often done under local or general anaesthesia.
- Cryoablation: In this method, extreme cold destroys the fibroadenoma without making a large incision. A small probe is inserted into the lump, and freezing gas is applied to shrink and destroy it.
- Minimally Invasive Removal: Some newer techniques use vacuum-assisted devices to remove small fibroadenomas through a tiny incision. This leaves minimal scarring and has a faster recovery time.
The choice of surgery depends on the doctor’s recommendation and the patient’s preference.
What to Expect Before Surgery?
Before undergoing fibroadenoma surgery, some preparations are needed:
- Medical Evaluation: The doctor will examine the lump and review the test results to confirm the need for surgery.
- Discussion of Procedure: The type of surgery, anaesthesia, and possible risks will be explained. Patients can ask questions to understand what to expect.
- Fasting Instructions: Patients may need to avoid eating or drinking for several hours before the procedure if general anaesthesia is used.
- Pre-Surgery Tests: Blood tests, imaging scans, or other evaluations may be done to ensure the patient is ready for surgery.
Being well-informed about the procedure can help ease any concerns before surgery.
The Surgery Procedure
Fibroadenoma surgery is usually a short and straightforward procedure. It can be done in an outpatient setting, meaning patients can go home the same day.
- Anaesthesia: Depending on the type of surgery, local or general anaesthesia is given to keep the patient comfortable.
- Removal of the Lump: The surgeon makes a small incision, removes the fibroadenoma, and closes the cut with stitches or adhesive strips.
- Duration: The surgery usually takes 30 to 60 minutes, depending on the method used.
- Minimal Scarring: Most procedures leave a small scar that fades over time. The location of the incision is chosen carefully to make scarring less noticeable.
After surgery, the patient is monitored briefly before being allowed to go home.
Recovery After Fibroadenoma Surgery
Recovery from fibroadenoma surgery is usually quick, but some aftercare steps are needed:
- Pain and Discomfort: Mild pain or soreness may be felt in the breast area. Pain relievers prescribed by the doctor can help manage this.
- Swelling and Bruising: Some swelling or bruising is normal and should disappear within a few days.
- Rest and Activity: Most patients can resume normal activities within a few days. However, heavy lifting and strenuous exercise should be avoided for at least a week.
- Dressing and Stitches: The doctor will provide instructions on how to care for the wound. Stitches may dissolve independently or need to be removed in a follow-up visit.
- Follow-Up Visit: A check-up is scheduled to ensure healing progresses and review lab results if needed.
Possible Risks and Complications
Fibroadenoma surgery is generally safe, but as with any procedure, there are some risks:
- Infection: Though rare, there is a slight chance of infection at the incision site. It is very important to keep the area clean and following aftercare guidelines can reduce this risk.
- Scarring: Doctors are very cautious while making incisions, but some patients can develop a noticeable scar. Over time, the scar usually fades.
- Changes in Breast Shape: In rare cases, removing a large fibroadenoma may slightly change the shape of the breast.
- Fluid Buildup: Some patients may experience a fluid buildup in the area where the fibroadenoma was removed. This usually resolves on its own.
Discussing these risks with a doctor can help patients prepare for the procedure.
Frequently Asked Questions
Amerix Cancer Hospital is one of the leading hospitals in Delhi for fibroadenoma breast surgery. The hospital has experienced doctors who specialise in breast health and surgery. Patients receive proper diagnosis, advanced treatment options, and post-surgery care to ensure a smooth recovery. The hospital also provides regular follow-ups to monitor healing and prevent complications. Personalised care and modern surgical techniques make Amerix a preferred choice for fibroadenoma removal.
Fibroadenoma removal is a minor surgical procedure. The surgery is usually done under local or general anaesthesia, depending on the size and location of the lump. It typically takes 30 to 60 minutes, and most patients go home the same day. Recovery is quick, with mild discomfort that can be managed with pain relief medications. Most women resume normal activities within a few days after surgery.
Once a fibroadenoma is removed, it does not grow back. However, new fibroadenomas can develop in the same or different areas of the breast. Regular breast self-exams and follow-up visits with a doctor can help detect any new lumps early. If new fibroadenomas appear, the doctor will assess whether monitoring or another surgery is needed. Keeping track of any breast changes is essential for long-term health.
There is usually a tiny scar after fibroadenoma removal, but doctors try to place the incision in a way that makes it less noticeable. Over time, the scar fades and becomes less visible. Following post-surgery care instructions, such as keeping the area clean and avoiding heavy activities, helps with proper healing. As advised by a doctor, using scar creams or natural remedies may also help improve scar appearance.
References
https://www.healthline.com/health/fibroadenoma-removal
https://www.mayoclinic.org/diseases-conditions/fibroadenoma/diagnosis-treatment/drc-20352756
https://my.clevelandclinic.org/health/diseases/15690-fibroadenomas-of-the-breast
https://www.thewomens.org.au/health-information/breast-health/fibroadenomas