A 28-year-old woman presents to the GP with a painless, firm, 2 cm mobile breast lump. She discovered it 2 weeks ago. She has no family history of bre...

Question

A 28-year-old woman presents to the GP with a painless, firm, 2 cm mobile breast lump. She discovered it 2 weeks ago. She has no family history of breast cancer. She is 25 years old. An ultrasound shows a well-defined, solid, homogeneous oval mass consistent with a fibroadenoma. What is the most appropriate management?

Accepted Answer

If triple assessment (clinical, imaging, core biopsy) is concordant with fibroadenoma and the lump is

Answer

Excision biopsy for all breast lumps

Answer

Immediate mastectomy

Answer

Fine needle aspiration only

Answer

No further action - ultrasound alone is diagnostic

uk-drcog MCQ (SBA): Fibroadenoma - Triple Assessment and Conservative Management