FIBROADENOMA

Description

  • Benign oestrogen dependant breast tumour composed of fibrous and glandular tissue that is usually found in premenopausal women
  • Fibroadenoma is the most common benign tumour of the breast 
  • It forms from the proliferation of epithelial and mesenchymal elements and stroma
  • Peak incidence is between 15 and 35 yrs of age
  • It is symptomless, being accidentally discovered by self-palpation 

Etiology

  • Unknown, but they might be related to reproductive hormones
  • It occurs more often during reproductive years, can become bigger during pregnancy or with the use of hormone therapy, and might shrink after menopause

Types

  • Painless swelling
  • Smooth, firm, non-tender mass – commonly bilateral
  • Well-defined
  • Moves freely within the breast tissue – ‘breast mouse
  • Axillary lymph nodes – not enlarged
  • Fibroadenoma with size >5 cm is known as a giant fibroadenoma

Investigation

  • Mammography
  • Fine Needle Aspiration Cytology (FNAC)
  • USG
  • MRI
  • PET

Treatments

  • No treatment is necessary unless rapidly growing or symptomatic
  • Surgical excision and biopsy is indicated only when the mass enlarges
  • Ultrasound-guided cryoablation

Ayurvedic Treatment

Internal medicines

  • Varunadi Kashaya
  • Saptasara kashaya
  • Kanchanara Guggulu 
  • Punarnavaasava
  • Guggulu pancha pala choorna
  • Varunadi gritha

Procedure 

  • Snehapana - Thrayamanadya Gritha
  • Virechana

Department

Prasoothi & Stree Roga

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