Fibroadenoma vs Fibroadenosis | How are these two breast conditions different | Dr. Rohan Khandelwal

Summary

Dr. Rohan Kandelwal explains the differences between fibroadenosis and fibroadenoma, common breast conditions. Fibroadenoma, a non-cancerous lump, often requires surgery if it's painful or large. Diagnosed through clinical exam and ultrasound, treatment involves VAB surgery. Fibroadenosis, causing cyclical breast pain, is treated with lifestyle changes and vitamin E. Dr. Kandelwal advises consulting a breast surgeon for accurate diagnosis and management.

Takeaways

• 👨‍⚕️ Dr. Rohan Kandelwal is a lead consultant and head breast surgeon at Sikebralla Hospital Gurgaon.
• 🔍 Fibroadenoma and fibroadenosis are two common breast conditions that patients often confuse.
• 🐭 Fibroadenoma is the most common cause of a breast lump, often referred to as a 'breast mouse' due to its mobility.
• 👩‍⚕️ Fibroadenomas are typically diagnosed through clinical examination and ultrasound.
• 🏥 Surgery is recommended for fibroadenomas that are large, painful, increasing in size, or have a family history of cancer.
• 💉 VAB (Vacuum Assisted Breast Surgery) is a scarless method offered for the removal of fibroadenomas.
• 🌀 Fibroadenosis, also known as fibrocystic disease, is the most common cause of breast pain.
• 🔁 Fibroadenosis pain is often cyclical, increasing before periods and reducing as they start.
• 📉 The condition is diagnosed through clinical examination and ultrasound, and patients may feel a lumpy breast.
• 🍽️ Treatment for fibroadenosis involves lifestyle changes such as weight reduction and dietary modifications.
• 💊 Vitamin E capsules and healthy hydration are recommended to manage fibroadenosis pain.
• 🤔 Stress can trigger pain in fibroadenosis, so managing stress is also part of the treatment.

Q & A

What is fibroadenoma?

Fibroadenoma is the most common cause of a non-cancerous breast lump, also known as a breast mouse, which occurs typically between the ages of 15 to 35.

Why is fibroadenoma sometimes referred to as a breast mouse?

It is called a breast mouse because it tends to move inside the breast, which is a common complaint from patients.

How is fibroadenoma diagnosed?

Fibroadenoma can be diagnosed through clinical examination and an ultrasound.

When is surgery recommended for fibroadenoma?

Surgery is recommended for fibroadenoma if it is increasing in size, causing pain, larger than three or four centimeters, or if there is a family history of cancer.

What is the VAB surgery mentioned in the script?

VAB, or vacuum assisted breast surgery, is a scarless method used to remove fibroadenomas and can be performed on a daycare basis.

What is fibroadenosis?

Fibroadenosis, also known as fibrocystic disease, is the most common cause of breast pain and is characterized by cyclical pain.

What does cyclical pain mean in the context of fibroadenosis?

Cyclical pain refers to pain that is more severe before the menstrual period and reduces as the period starts, building up again in the next cycle.

What age group is fibroadenosis commonly seen in?

Fibroadenosis is commonly seen in females between the ages of 18 to 40.

How is fibroadenosis diagnosed?

Fibroadenosis can be diagnosed through clinical examination and an ultrasound, where patients may feel a lumpy breast.

What are the lifestyle changes recommended for treating fibroadenosis?

Lifestyle changes for treating fibroadenosis include weight reduction, reducing caffeine, chocolate, salt, and sugar intake, and taking vitamin E capsules.

How is stress related to fibroadenosis pain?

Stress, both personal and professional, can trigger pain in fibroadenosis.

What advice does Dr. Rohan Kandelwal give for patients with breast lumps or pain?

Dr. Rohan Kandelwal advises patients with breast lumps or pain to consult a breast surgeon for accurate diagnosis and appropriate management.