Fibroadenoma of the breast is the most common benign tumor of the female breast, accounting for about 75% of benign tumors of the breast. Its occurrence and development are closely related to the stimulation of estrogen, so it is rare before menstruation or after menopause. Fibroadenoma of the breast is usually found in the upper outer part of the breast, and it mostly appears as a round lump with very clear borders and smooth surface, which can be easily pushed in the breast. Other than the lump, the patient does not feel anything else. The lump usually grows slowly and can remain unchanged for many years. It is generally believed that the chance of malignancy in breast fibroadenoma is very low, but malignancy often occurs during pregnancy and lactation, or in older cases with a longer history of disease. The malignant change of epithelial tissue is called carcinoma, while the malignant change of fibrous tissue becomes sarcoma. The malignancy rate of this disease is extremely low for young patients, especially unmarried women who suffer from breast fibroadenoma, not to worry too much. 1. At what age is breast fibroadenoma easy to get? Breast fibroadenoma is different from breast cancer in that breast cancer has a high incidence after the age of 45, while breast fibroadenoma also develops after the age of 45, but it is common in young women between the ages of 18 and 35. Therefore, we often see girls in their early twenties in our clinics, some of whom have just joined the workforce and some of whom are still in school. There is no shortage of patients of Ying Ying’s age, and the younger age of onset is one of the characteristics of this disease. 2. Can oral medication cure fibroadenoma of the breast? Once a breast fibroadenoma has formed, especially when ultrasound shows the presence of an intact envelope, relying on medication can soften the mass and make it smaller, but it cannot completely cure the disease. In the past, some graduate students in the breast specialty have mentioned to me that they have seen some breast lumps that disappeared after taking medications, but after studying these cases, I found that most of these lumps were mastopexy nodules, not true fibroadenomas. Some patients mistakenly believe that they are cured of breast fibroadenoma by taking medication, but in fact, the doctor’s diagnosis of the disease was not accurate enough before the medication was administered. It is now more widely accepted that only surgical excision can completely remove fibroadenoma from the breast. 3.When is the right time to do surgery? Some patients think that since breast fibroadenoma is a benign tumor, it doesn’t matter how early or late the treatment time is; some other patients think the tumor should be removed early and feel anxious because they can’t take time off work temporarily. In fact, the choice of surgery timing is different from person to person. After clinical examination, if breast fibroadenoma is found, for tumor larger than 1cm, we often suggest patients to have surgery to remove it because: firstly, the current diagnosis is only clinical diagnosis without pathological confirmation, so the accuracy rate is not 100%, and there are indeed clinical cases that look like breast fibroadenoma but the pathological return is breast cancer after surgery; secondly, since breast fibroadenoma cannot be completely cured by medicine, it is not possible to remove the tumor after surgery. Secondly, since breast fibroadenoma cannot be completely cured by drugs, although it is a benign tumor, it is not completely free from malignant possibility, and if the lump continues to grow, the scope of surgery is bound to increase, which increases the trauma of patients. However, breast fibroadenoma does not require surgery as soon as it is detected, and it cannot be delayed. Unlike breast cancer, surgery is medically recommended for a limited period of time, i.e. it is not advisable to delay surgery for too long due to the condition. On the other hand, breast fibroadenoma can be operated at an elective stage, which means that it can be operated at an appropriate time. In Ying Ying’s case, it is perfectly fine to wait for a month after she finished her exams and went on summer vacation before surgery. For other patients whose tumors are relatively small (less than 1cm) and temporarily inoperable or unwilling to operate for personal reasons, it is recommended that they should be observed regularly and reviewed once every three months. If the following situations occur, patients are advised not to wait any longer: first: the lump grows too fast, in this case the chance of tumor malignancy increases and delays the treatment time, the lump increases significantly and the surgical trauma is bound to increase; second: patients who are preparing for pregnancy, because pregnancy can stimulate the tumor to grow rapidly, it is better to remove it before pregnancy; third: menopause, therefore the incidence of breast cancer increases at this time, and it is advisable to remove the breast lump when it is found Early removal is recommended. 4.How is surgery done? The traditional surgical method is to make an incision on the surface of the lump and remove the lump completely, which will leave surgical scars on the surface of the breast. Nowadays, many women are paying more and more attention to beauty and do not want to leave unsightly scars on their breasts. Therefore, many large hospitals have introduced minimally invasive techniques to remove breast fibroadenoma, i.e., removing the tumor through a large incision of about 3 mm, which can make breast fibroadenoma surgery almost “beautiful and scarless” with little trauma and fast recovery. Patients can communicate with their doctors to decide the specific surgery method according to their condition. 5.Will there be recurrence after surgery? Surgery can only remove the existing lesion, but it cannot achieve the purpose of cure, that is, it cannot guarantee that there will be no recurrence in the future. Fibroadenoma often has a tendency to recur, and patients may have more than one tumor in both breasts at the same time, and it is possible that tumors may appear in other parts of the body soon after this cure. However, recurrence of breast fibroadenoma is not due to surgical irritation. As a discovered fibroadenoma of the breast, it no longer exists once it is surgically removed. The exact cause of recurrence is not clear at the moment, but patients still need to be reviewed regularly after surgery, and tumor recurrence should be dealt with promptly. There is no definite and effective method to prevent tumor recurrence for the time being.