Fibroadenoma Enucleation - Khobragade Multispeciality Hospital

What is Fibroadenoma Enucleation?

Fibroadenoma Enucleation is a surgical procedure to remove a fibroadenoma, which is a non-cancerous (benign) breast lump. Fibroadenomas are made up of glandular and fibrous tissue and are commonly found in young women. Enucleation involves removing only the lump without removing surrounding breast tissue, preserving the breast’s natural shape and function.Fibroadenoma Enucleation is a safe, effective, and straightforward surgical procedure to remove benign breast lumps. It provides relief from anxiety, maintains breast aesthetics, and ensures accurate diagnosis through histopathological examination. If you notice any breast lump or change, consult your breast surgeon for timely evaluation and treatment options.

Symptoms of Fibroadenoma

Presence of a firm, smooth, and rubbery lump in the breast
Lump that is easily movable under the skin
Usually painless, but can cause discomfort in some cases
Size may remain the same or gradually increase
Typically feels distinct from surrounding breast tissue

Procedure or Treatment for Fibroadenoma Enucleation

Preoperative Assessment:
- Breast examination by a surgeon
- Ultrasound or mammography to assess the lump
- Fine Needle Aspiration Cytology (FNAC) or core needle biopsy to confirm diagnosis
Surgical Procedure:
- Performed under local or general anaesthesia
- A small incision is made near the lump or along the areola for better cosmetic results
- The fibroadenoma is carefully enucleated (shelled out) without removing excess breast tissue
- Incision is closed with fine sutures to minimise scarring
- Generally done as a day care procedure, allowing same-day discharge
Postoperative Care:
- Pain management with analgesics
- Minimal restrictions in daily activities
- Stitches removal after 7-10 days if non-absorbable sutures are used
- Regular follow-up to monitor healing

Prevention

Currently, there are no specific preventive measures for fibroadenomas as their exact cause is not known. However, the following can help in early detection and management:

Regular breast self-examination
Routine clinical breast examinations
Prompt evaluation of any new lump or breast change

Benefits of Fibroadenoma Enucleation

Removal of lump causing anxiety or discomfort
Relief from pain or tenderness if present
Cosmetic improvement of breast contour
Minimal scarring with careful surgical technique
Preserves healthy breast tissue and function
Peace of mind knowing the lump has been removed and confirmed benign by histopathology

Types of Fibroadenomas

Simple Fibroadenoma:
- Most common type
- Small, painless, and does not increase cancer risk
Complex Fibroadenoma:
- Contains other changes like cysts or calcifications
- Slightly higher risk of breast cancer than simple fibroadenomas
Giant Fibroadenoma:
- Larger than 5 cm or rapidly growing
- More common in adolescents and may require removal due to breast distortion
Juvenile Fibroadenoma:
- Occurs in girls and adolescents
- Often grows rapidly but remains benign