Fibroadenoma after menopause: what to know

A fibroadenoma is a solid breast lump made from glandular and fibrous tissue. It is often smooth, firm and mobile when examined, but feel alone cannot establish the diagnosis. Fibroadenomas are more often found before menopause; a lump noticed later may also reflect a cyst, another benign change or a less common serious condition.

Imaging helps show whether the lump has features that fit a benign pattern. A clinician may recommend a breast ultrasound and, depending on the examination and imaging, tissue sampling. A biopsy examines cells or tissue so the team can identify what the lump is.

Arrange an appointment for any new or changing lump and describe when you first noticed it, whether it moves, and whether it changes in size or tenderness. Take note of medicines, hormone therapy and previous breast findings. Your clinician may discuss a Breast Ultrasound, a Breast Biopsy, or monitoring when the combined assessment is reassuring.

Do not repeatedly press the area to test it, as this can make the breast sore. Keep any imaging or biopsy reports available for future appointments. If a confirmed fibroadenoma is uncomfortable, enlarging or uncertain, Breast Lump Excision may be discussed.

Book prompt medical assessment for a new lump after menopause, especially if it persists or changes. Seek urgent advice for a rapidly worsening breast change, redness with fever, an open skin wound, new nipple inversion, bloody nipple discharge, or swelling in the armpit. These signs do not identify one cause, but they should not be postponed for routine observation.

Ask: What did the examination and imaging show? Do I need a biopsy? If this is a fibroadenoma, should it be watched or removed? How will we know if it changes? Which breast symptoms should bring me back sooner?