Conservative. Some clinicians advocate conservative management of
fibroadenomas, especially in young women, because they can be diagnosed
by ultrasonography and core-needle biopsy or fine-needle aspiration with a
high degree of confidence, and in some cases they will resolve. A survey of
patient preferences, however, has revealed that many women choose
excisional biopsy even when they are assured that the lesion is benign by fine-
needle aspiration.
Excision. Typically, the lesion is “shelled out” with a surrounding thin rim of
breast tissue to avoid the necessity of re-excision in the rare instances when
the tumor proves to be a phyllodes tumor. This is a mixed epithelial and
stromal tumor that has benign, borderline, and malignant variants. The
biology of the phyllodes tumor is determined by its stromal elements; in its
fully malignant form, it behaves as a sarcoma.
kiana
(Kiana)
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