Letter to the Editor
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 6, 2022; 10(25): 9176-9179
Published online Sep 6, 2022. doi: 10.12998/wjcc.v10.i25.9176
Imaging of fibroadenoma: Be careful with imaging follow-up
Bunyamin Ece, Sonay Aydın
Bunyamin Ece, Department of Radiology, Kastamonu University, Kastamonu 37150, Turkey
Sonay Aydın, Department of Radiology, Erzincan University, Erzincan 24142, Turkey
Author contributions: Aydın S was responsible for conception and supervision; Ece B was responsible for design; Ece B and Aydın S conducted the literature search and reviewed the manuscript critically, were responsible for materials, and wrote the manuscript; All authors have read and approved the final manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Bunyamin Ece, MD, Associate Professor, Doctor, Department of Radiology, Kastamonu University, Kuzeykent 57, Alay Street No. 4, Kastamonu 37150, Turkey. bunyaminece@hotmail.com
Received: April 19, 2022
Peer-review started: April 19, 2022
First decision: May 30, 2022
Revised: June 10, 2022
Accepted: July 29, 2022
Article in press: July 29, 2022
Published online: September 6, 2022
Processing time: 128 Days and 18.6 Hours
Abstract

The present letter to the editor is related to the study titled, “Preoperational diagnosis and management of breast ductal carcinoma in situ arising within fibroadenoma: Two case reports.” Fibroadenoma is the most common benign mass lesion in young females. Based on this study showing that malignancy can develop on fibroadenomas, we want to emphasize that careful sonographic follow-up of fibroadenomas should be done and that each lesion should be followed carefully and separately in cases with multiple fibroadenomas. Additionally, we want to emphasize the critical role of sonographic examination in diagnosing fibroadenoma, the importance of correctly defining benign and malignant sonographic findings, and which lesions should be followed up sonographically and which lesions should be evaluated histopathologically.

Keywords: Breast; Fibroadenoma; Malignity; Follow-up; Ultrasound

Core Tip: We read with interest the case report of two cases presented as examples of malignancies developing from fibroadenoma followed as benign. With this letter to the editor, we wanted to emphasize the importance of sonographic evaluation of single and multiple fibroadenoma cases, which we frequently encounter in daily practice, as well as which lesions should be referred for sonographic follow-up and which lesions should be referred for histopathological examination. Additionally, based on the first case in this case report, we want to emphasize the importance of carefully following each lesion in cases with multiple fibroadenomas.