Mayo Clinic Talks Obstetric and Gynecologic Health Series: Benign Breast Tumor Conditions
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Sep 30, 2025 Danielle O’Laughlin, PA-C, MS, is an expert in obstetric and gynecologic care at Mayo Clinic. She discusses various benign breast tumor conditions, focusing on their clinical features and diagnostic methods. Learn about fibroadenomas, their management strategies, and the differences in symptoms from fibrocystic breasts. O’Laughlin also covers intraductal papillomas, including their potential cancer risks, and delves into the characteristics of phyllodes tumors. This informative talk demystifies common breast findings and their management.
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Fibroadenoma Characteristics And Risk
- Fibroadenomas are benign, often firm or rubbery, mobile, well-circumscribed breast masses likely related to hormones.
- Simple fibroadenomas do not increase breast cancer risk and can often be observed with periodic imaging.
Follow-Up Schedule For Likely Fibroadenomas
- If imaging looks consistent with fibroadenoma and there are no risk factors, perform targeted ultrasound at 6, 12, and 24 months then resume routine screening.
- Refer for surgical excision if lesions cause pain, enlarge, or show atypical features on biopsy.
Fibrocystic Changes Are Hormone-Linked And Bilateral
- Fibrocystic changes commonly affect both breasts with nodular/glandular texture that fluctuates with the menstrual cycle.
- Most fibrocystic findings are benign and do not substantially increase cancer risk except for rare subtypes.