ICD codes for this disease: ICD codes are internationally valid medical diagnosis codes. They are found e.g. in medical reports or on incapacity certificates. D24ArtikelübersichtFibroadenom
- Causes and risk factors
- Examinations and diagnosis
- Disease course and prognosis
Fibroadenomas are the most common benign breast lumps (breast) in women between the ages of 20 and 40 years. But they can also occur in older menopausal women and under hormone treatment. When women take the pill, they are less likely to develop.
A fibroadenoma arises from mammary and connective tissue and feels as rubbery as rough. Fibroadenoma pain usually does not affect those affected. They often discover the knot randomly when it is two to three inches tall. Usually it is a single node, but more rarely, several fibroadenomas can arise. In five to ten percent of cases, both breasts are affected.
Only rarely is the fibroadenoma larger than three centimeters. It can even regress itself with age. In young women, however, there is a special form that grows very quickly and can change the shape of the breast. Since it is a benign node, it is not necessary to remove the fibroadenoma from a medical point of view. In some cases and at the request of the patient it is possible to operate out a knot. Very rarely (in 0.1 to 0.3 percent of those affected) can arise from the fibroadenoma mammary carcinoma (breast cancer). Therefore, affected women should have the breast checked regularly by the gynecologist.To the table of contents
The fibroadenoma is usually asymptomatic. Women are therefore more likely to spot a rough knot in the chest. Sometimes several nodes are close together. If the gynecologist examines the breast at the annual check-up, almost no woman feels pain through the fibroadenoma. Sometimes, however, the fibroadenoma breast feels particularly tense, especially before the period. This is what some women find uncomfortable or slightly painful.
In rare cases, and usually in younger women, there is a fast-growing type of this nodule. Then the fibroadenoma can change mamma shape and size. The chest may bulge slightly and appear enlarged.To the table of contents
Fibroadenoma: causes and risk factors
Fibroadenoma cells are stimulated by female sex hormones (estrogens) to multiply. Increasing the concentration of these hormones, for example, under a hormone treatment or during pregnancy, many new glandular and connective tissue cells. They can form a tough knot, the fibroadenoma. Women take the pill for a long time, but it reduces the risk of it developing. If a fibroadenoma has been removed in the past, the surgery may leave residual cells in the chest and grow into a knot again.To the table of contents
Fibroadenoma: examinations and diagnosis
Most women notice a fibroadenoma itself as they palpate their breasts. To make the diagnosis, the doctor first asks for complaints and the history (history). The doctor must rule out that it is a malignant change (breast cancer). He checks if the breast shape has changed and scans the chest and the armpits. If he discovers a conspicuous nodule or another unclear alteration, the following investigations can follow:
With a special ultrasound device, one can usually clearly identify a fibroadenoma and differentiate it from other nodes. The doctor applies gel to the chest and armpit and systematically ablates the chest with the ultrasound head. This examination is not painful. At most the cold ultrasound gel can be perceived as unpleasant.