Clinical features of fibroadenoma

Fibroadenoma is a non-cancerous breast growth made from glandular and supporting tissue. It may feel round or oval, have clear edges, and move beneath the skin when pressed. It often causes no pain, although tenderness can occur, particularly when hormone levels change. A person may notice one lump or more than one, in one breast or both.

Touch alone cannot confirm the cause of a lump. Cysts and other benign breast changes can feel similar, while some concerning lesions may not have a textbook appearance. Assessment therefore considers age, symptoms, examination findings, imaging, and sometimes a tissue sample rather than relying on mobility or tenderness alone.

Book a clinical appointment for any newly found breast lump. Note when you first felt it, whether its size or tenderness changes, and whether there is nipple discharge, skin change, or a lump in the armpit. The clinician may arrange breast ultrasound and, depending on the complete picture, other imaging or breast biopsy.

A confirmed fibroadenoma may be monitored if it is not troublesome and the findings are reassuring. Removal can be discussed when a lump grows, causes discomfort, creates uncertainty, or when examination, imaging, and sampling do not agree.

Seek an earlier appointment if the lump enlarges quickly, becomes fixed or distinctly different, or is accompanied by skin dimpling, nipple inversion, bloody nipple discharge, persistent redness, or an armpit swelling. Fever with a hot, painful, red breast also requires prompt assessment because infection may need treatment.

You might ask which finding supports the diagnosis, whether imaging is appropriate, whether a sample is needed, how the lump should be monitored, and what change should bring you back sooner. If removal is offered, ask about the expected scar and whether observation remains an option.