A Typical Features of Fibroadenoma, Correlation between Ultrasound and Pathology

Abstract

Background Fibroadenomas (FAD) are benign tumors composed of stromal and epithelial elements. These tumors are commonly seen in young women. Multiple or complex fibroadenomas may indicate a slightly increased risk for breast cancer. Aim of the Work To assess the diagnostic accuracy of ultrasound in atypical fibroadenoma. Materials and Methods This retrospective study was approved by Ain Shams radiology department. On the basis of results of core needle or excisional surgical biopsy, we retrospectively identified 40 consecutive patients between October 2017 and October 2018 with the diagnosis of fibroadenoma. Results In our study, we found that The mean age in the simple fibroadenoma group was 29 years (range 18-49), and in the complex fibroadenoma group, it was 38 years (range 17-62) which represents statistically significant difference between the two groups (P =.021). Conclusion Complex fibroadenomas showed some characteristics that could help in differentiating them from their simple counterparts, namely, an irregular shape, noncircumscribed contours, a complex echo structure. The awareness of these distinguishing features could help radiologists decide which fibroadenomas should be sampled.