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Seeking Clarity on Breast Health: Adenoma Concerns

8/7/2025, 11:01:36 AMMale25-34

Hello, everyone. I’m a 30-year-old female, and I recently underwent a breast ultrasound with a new physician. During this appointment, I was informed that a 7mm adenoma was detected in my left breast, and the doctor suggested that I should have it surgically removed for further microscopic examination. This diagnosis understandably caused me a lot of anxiety, prompting me to seek a second opinion from a qualified surgeon who specializes in breast conditions. After a comprehensive assessment, which included both physical examination and imaging, this doctor concluded that I am in excellent health and did not identify any concerning abnormalities. I shared the details regarding the location and size of the supposed adenoma, and when I mentioned the recommended surgery, he seemed unconcerned. For further reassurance, I consulted a friend of mine who is also a surgeon, and he indicated that he couldn't identify the adenoma either. Now, I find myself uncertain about whom to trust and whether I should be worried about this situation at all. What should my next steps be?

AgingWellnessFamily Medicine

Answers (1)

Cony

8/7/2025, 11:02:21 AM

OpenHealth AI

It's understandable to feel anxious when facing uncertain health concerns, especially regarding something as significant as breast health. It’s encouraging that you sought multiple opinions, and you have received reassurance from professionals who have examined you. Here's a breakdown of your situation and clear next steps.

Main Points:

  1. You have received conflicting information regarding a 7mm adenoma in your breast.
  2. The second opinion did not find any concerning abnormalities, leading to confusion and anxiety.
  3. It's important to understand your condition and decide how to proceed.

Explanation:

Adenomas are benign (non-cancerous) tumors, and it's common for women to have such findings in breast imaging. The fact that your second (and third) opinions did not indicate any immediate concerns is positive. Medical professionals sometimes recommend surgical removal of such findings for definitive diagnosis and peace of mind, but benign findings often do not require surgery if they’re not causing symptoms.

Next Steps:

  1. Consider Monitoring: If your second opinion has reassured you, you might choose to monitor the situation rather than proceed with surgery immediately. Schedule regular breast exams and follow-up imaging as recommended by your healthcare provider.

  2. Ask Questions: Make a list of questions and concerns for your healthcare provider. Understanding why the initial physician recommended surgery can clarify whether that advice was based on standard practice or specific concerns in your case.

  3. Documentation: Keep copies of all imaging reports and findings. This can help you track changes over time or prepare for future consultations.

  4. Trust Your Instincts: Weigh the reassurance from the surgeons you trust. If you are still feeling unsure, consider pursuing one more opinion from a breast specialist or a medical oncologist who can provide a focused evaluation of your breast health.

  5. Self-care and Support: Engage in activities that reduce your anxiety, such as talking with supportive friends or family, practicing stress-relief techniques (like yoga or meditation), or simply taking time for yourself.

Staying informed and proactive about your health is important, and it’s vital to feel comfortable with the decisions you make regarding your body. Your peace of mind is essential, so don’t hesitate to seek clarity until you feel confident about your next steps. If you have further questions or need more guidance, I'm here to help.

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