Do Fibroadenomas Have to Be Removed Before Breast Augmentation?

i had a ultrasound one year ago showing a possible fibroadenoma and recently had a new ultrasound showing no changes at all in size or shape of it. i thought it would have to be removed but after having two consultations with board certified plastic surgeons who reviewed my reports they both told me that my fibroadenoma would not need to be removed.

i am 23 and have no history of breast cancer in my family. is it safe to continue with breast augmentation or should i insist on having it removed.

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7 Doctor Answers | Asked by Los Angeles2599 in Los Angeles, CA

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It would be worthwhile having the opinion of an oncologic breast surgeon

Your are asking the right questions. Certainly your youth, family history and stable breast mass favors a benign lesion. Depending on the location of the lesion within the breast, a breast augmentatin may alter you ability to follow it over time. Before proceeding further, it would be wise to see an experienced oncologic breast surgeon to have his expert opinion from an oncologic surveillance veiwpoint before proceeding with breast augmentation. more

Removing a breast mass before breast augmentation

You need to have this mass biopsied before having breast augmentation-you don't know for sure if this is a fibroadenoma yet. This can be done by a general surgeon or by a plastic surgeon at the time of breast implant surgery. The mass can be sent for a frozen section-which is where a pathologist can look at the tissue immediately- and give a diagnosis before the breast implants are inserted. Your plastic surgeon needs to have access to this type of service at his/her surgery... more

You don't have a diagnosis

Although the lump has not changed over the past one year, I still think it should be removed prior to breast augmentation or at least have a needle biopsy. The ultrasound you had showed a possible fibroadenoma. So you do not have a firm diagnosis of what this could be.

Fibroadenomas and breast augmentation

Fibroadenomas are benign (non-cancerous) and most are asymptomatic and painless. They appear as well-circumscribed, rubbery, mobile masses. Most are solitary, but up to 25 percent of patients have multiple tumors. Adult women with fibroadenomas have a higher risk for developing breast cancer than women of similar age in the general population. Features of the fibroadenoma seen under the microscope influence this risk. There have been no documented reports of malignancy occurring within a... more

Fibroadenoma and Breast Augmentation

If you were going to have the mass removed, you should have had it removed a year ago. Now you have more information and know that the mass is not changing. That, together with the appearance that says it is benign, should be enough to safely just watch it. If it ever does change, you would need to biopsy it immediately. If you are worried about it, your surgeon could always biopsy it at the time of your augmentation.

Fibroadenomas and breast augmentation

Thickened areas on breast examination may be fibroadenoma, though you may still have a breast augmentation if the evaluation is complete and there is no need for any further treatment. You may have a fibroadenoma, though there are other benign breast thickenings, none of which plastic surgeons remove before breast implants as they don't 'become something' and there is no need to remove them. Before and after breast augmentation, regular examination, and regular mammogram when... more

Fibroadenoma

i would have it removed. you never know the diagnosis until it is under the microscope. i guess we are all colored by experience, but i have seen 3 women all under 25 who were watching fibroadenomas which ended up being malignancies. this is probably not the popular answer but it removes the doubt . good luck