Diagnosed Fibroadenoma, Advised Lumpectomy. Could It Be Phyllodes ?
Can anyone tell me if I have reason to worry . oh, my lump is 12mm x 9 x 16mm. I have previous fibroadenomas since I was 19 that have not changed...so I do have a history of fibroids..this is a new one since I had a child over two years ago. I am now 42. Ive attached the preliminary core biopsy pathology report.
Im looking to get a little peace of mind since I have to wait until May 18 for the lumpectomies and the final biopsy of those lumps once taken out. Are the odds good that report will show the same, no cancer? Help!!!!
Thanks for the query.
I can understand the anxiety which you are experiencing. But you just don't have to worry. I have read your histopathology report and would like to make some comments.
1. Regarding the A part of the report, it is a fibroadenoma of the intracanalicular type. Now phyllodes tumor histologically resembles an intracanalicular fibroadenoma. But over and above the features of a fibroadenoma there needs to be increased stromal proliferation and dysplasia which are absent in your case. So histologically it is not a phyllodes tumor.
Many a time diagnosis may be equivocal. In such cases due consideration is given to clinical features. That is the main reason why it was written to correlate clinically. Clinical correlation in your case considering the small size of the lump goes against the diagnosis of phyllodes tumor. In addition phyllodes tumor grows very rapidly and usually occupies the whole breast.
2. Regarding the B part of the report it is purely a fibroadenomatous lesion which is always benign or non malignant.
From you history and the histopathological report sent by you are suffering from a condition called fibrocystic disease of the breast. Therefore your attending doctor has advised you to adopt a wait and watch policy.
So you can safely wait until the date of removal.
I hope this clears your doubts and allays your fear of malignancy. Let me know if you have any more concern.
With Regards