Imaging of fibroadenoma: Be careful with imaging follow-up

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.