Changes in Fibroadenoma Appearance: What to Know
At 25 years old, I had a breast ultrasound three months ago that revealed distinct hypoechoic nodules in my right upper quadrant measuring 12 mm and in my left lower quadrant measuring 11 mm. The physician indicated that these might be fibroadenomas and categorized them as BI-RADS 3. I opted against a biopsy at that time and decided to wait for a follow-up ultrasound in six months, as I was feeling quite apprehensive about the procedure. Recently, I noticed a change and sought a second opinion from another doctor. The latest ultrasound revealed that the nodule on the right has increased to 13.6 mm, while the left remains at 11.9 mm. Interestingly, the left nodule maintains its previous shape, but the right one appears less circular and more irregular than before. The new physician reassured me that they still appear to be fibroadenomas and did not express significant concern regarding the shape alteration. He conducted some blood tests but did not recommend a biopsy at this point. However, he is not a specialist in breast ultrasound. I have a few questions lingering in my mind: • Is it common for fibroadenomas to undergo slight shape changes over time? • Should the modest increase in size over these three months cause alarm? • Would it be prudent to seek an ultrasound from a breast imaging specialist to confirm the BI-RADS 3 classification?
Answers (1)
2/16/2026, 9:40:36 PM
OpenHealth AI
It's understandable to feel apprehensive about changes in breast nodules, and you have valid concerns regarding your recent ultrasound results. Here's an overview of your questions and some clear next steps to consider.
Main Points:
- Shape Changes in Fibroadenomas: It can be common for fibroadenomas to change shape slightly over time, particularly if they are responsive to hormonal changes. However, significant or rapid changes in shape or size can necessitate further evaluation.
- Increase in Size: A modest increase in size could be typical for fibroadenomas, but it is essential to monitor such changes, especially when accompanied by a shape transformation.
- Consultation with a Specialist: Seeking an ultrasound from a breast imaging specialist can provide further reassurance or clarity on the classification of the nodules.
Explanation:
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Fibroadenomas and Changes: Fibroadenomas are benign (non-cancerous) tumors commonly found in young women. While they often remain stable, they can enlarge or change shape due to hormonal influences or other factors. Regular monitoring is necessary to ensure they continue to exhibit benign characteristics.
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Size Monitoring: The increase in size of the right nodule (from 12 mm to 13.6 mm) and its change to a less circular shape can be part of typical behavior, but given that one of the nodules has changed shape, it’s prudent to maintain vigilance. BI-RADS 3 indicates that there is a "probably benign" finding, but continued monitoring is suggested.
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Breast Imaging Specialist: A specialized breast imaging specialist has advanced training in evaluating breast ultrasonography and can provide a more thorough assessment. They may be able to offer additional insights based on their experience and the latest imaging techniques.
Next Steps:
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Schedule a Follow-up Ultrasound: Make an appointment with a breast imaging specialist for a detailed ultrasound. This can help clarify the current state of your nodules and confirm the BI-RADS classification.
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Monitor Symptoms: Keep track of any changes you notice in your breast, such as additional changes in shape, new lumps, or any pain. Documenting these changes will be useful during your follow-up.
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Behavioral Adjustments: Maintain a healthy lifestyle, including a balanced diet and regular exercise, as these can help overall breast health. Stay informed and calm, providing yourself with support, whether seeking guidance from trusted healthcare providers or connecting with support groups.
If new changes arise before your appointment or if you have any significant concerns, don't hesitate to seek further evaluations sooner. You're taking proactive steps concerning your health, which is important. Please feel free to reach out if you have more questions or need further information.
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