⚕️FREE MSRA PODCAST –Breast Fibroadenoma
🎧 A clear, high-yield breakdown of this common benign breast lump – perfect for exam prep and real-life clinicalscenarios.
🧠Key Learning Points
📌Definition
• Most common benign breast tumour
• Composed of glandular and fibrous breast tissue
• Often called "breast mice" due to mobile, rubberyfeel
📌Causes & RiskFactors
• Exact cause is unknown
• Strong link to oestrogen stimulation
• Common in women aged 15–35
• Risk factors:
• Early menarche /late menopause
• Nulliparity
• Hormonereplacement therapy
• Family history
📌Pathophysiology
• Hormonalstimulation → overgrowth of stromal + epithelialtissue
• Forms a discrete,mobile lump
📌Symptoms
• Firm, rubbery, painless and mobile breast lump
• Typically <5 cm, unilateral,in upper outer quadrant
• 🐭 “Breast mouse” = key mnemonic
• No skin/nipplechanges
📌DifferentialDiagnosis
• Breast cyst
• Phyllodes tumour
• Breast cancer
• Lipoma
• Papilloma
📌Diagnosis
• Clinical exam: inspection + palpation
• Imaging:
• Age <35 → Ultrasound
• Age ≥40 → Mammogram
• Biopsy (FNA or core) if imaging is atypical ordiagnosis unclear
🎯 Age-based imaging cut-offs = crucial for MSRA!
📌Management
• Observe if small, asymptomatic
• Surgical excision if:
• >3 cm
• Patientpreference
• New lump in age>40
• Growing oratypical
• Follow-up as needed
💡 Most shrink or remain stable
📌Complications
• Anxiety overfinding a lump
• Surgical risks:infection, scarring, altered breast shape
• Rarely →recurrence
• NOT associated with ↑ breast cancer risk
📌Prognosis
• 🌟 Excellent – benign and often regresses
• No increase inbreast cancer risk
📎More MSRA Resourcesfor Breast Fibroadenoma
📝 Revision Notes:
https://www.passthemsra.com/topic/breast-fibroadenoma-revision-notes/
🧠 Flashcards:
https://www.passthemsra.com/topic/breast-fibroadenoma-flashcards/
💬 Accordion Q&A Notes:
https://www.passthemsra.com/topic/breast-fibroadenoma-accordion-qa-notes/
🚀 Rapid Quiz:
https://www.passthemsra.com/topic/breast-fibroadenoma-rapid-quiz/
🧪 Quiz Page:
https://www.passthemsra.com/quizzes/breast-fibroadenoma/
🎓 Full Course – Obstetrics & Gynaecology for theMSRA:
https://www.passthemsra.com/courses/obstetrics-and-gynaecology-for-the-msra/
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