Benign Breast Tumor (Fibroadenoma)

A fibroadenoma is a benign (non-cancerous) breast lump most commonly seen in younger women. It is made up of glandular and fibrous breast tissue and usually feels smooth, firm, and mobile (“rubbery”) on examination. Fibroadenomas are not cancer but may increase in size, cause discomfort, or create anxiety, which is why assessment and follow-up are important.

What to expect

Before Your Surgery

  • Authorization will be arranged by the rooms or hospital staff.
  • Fasting:
  • No solid food for 6 hours before surgery
  • No clear liquids for 2 hours before surgery
  • Most chronic medications may be taken, except diabetic medication (to be discussed with your doctor).
  • Inform your doctor if you are taking blood-thinning medication.

Day of Surgery

The procedure is usually performed under general anaesthesia. A small incision is made over or near the lump to remove it. Dressings are applied, and post-operative instructions are provided.

Procedure

Management depends on the size of the fibroadenoma, symptoms, patient preference, and investigation findings.

  • Many fibroadenomas can be safely monitored with imaging and clinical follow-up.
  • Imaging such as ultrasound and/or mammography is usually performed.
  • A core needle biopsy may be required to confirm the diagnosis.
  • Surgical removal (excision biopsy) is recommended if the lump is enlarging, painful, cosmetically concerning, or if there is diagnostic uncertainty.
  • The removed tissue is sent for histological analysis.

Procedure Length

Surgical excision usually takes 30–60 minutes.

Possible Complications

  • Bleeding
  • Infection
  • Bruising or haematoma
  • Scarring or cosmetic breast changes
  • Altered nipple or breast sensation
  • Recurrence or development of new fibroadenomas
  • Unintended damage to surrounding structures
  • Complications are uncommon. Contact the rooms promptly if you experience increasing pain, swelling, redness, discharge, or fever.

Discharge Instructions

  • Keep the wound clean and dry.
  • Follow dressing-care instructions.
  • Wear a supportive bra for comfort.
  • Avoid strenuous activity for a short period.
  • Monitor for signs of infection or bleeding.

Return to Activities

  • Light activities may resume within 2–3 days.
  • Avoid strenuous exercise or heavy lifting for 1–2 weeks.
  Most patients can return to work within 3–5 days, depending on comfort and job demands.

A follow-up appointment is usually scheduled 1–2 weeks after surgery for:

  • Wound inspection
  • Review of histology results
  • Discussion of ongoing breast surveillance if required

If a follow-up appointment is not provided, please contact the rooms to confirm.