Several treatment methods are available for fibroadenomas detected in the breast. The choice of method depends on the size and characteristics of the fibroadenoma, as well as the patient's individual circumstances.
1. Lumpectomy or Excisional Biopsy: This surgical procedure is performed under general anesthesia. A general surgeon removes the fibroadenoma along with a small margin of surrounding breast tissue. The removed tissue is then sent to a laboratory for pathological examination. The procedure typically lasts approximately one hour, and an overnight hospital stay may be required depending on the patient's recovery.
2. Vacuum-Assisted Excision Biopsy (VAE): This minimally invasive technique is suitable for smaller fibroadenomas. Under local anesthesia, a specialized needle with a vacuum mechanism is used to extract multiple tissue samples or even the entire fibroadenoma. Patients generally do not require hospitalization for this outpatient procedure.
3. Cryoablation: An option for smaller fibroadenomas, cryoablation involves freezing the tumor. Rather than surgical removal, an incision is made, and a cryoprobe delivers extreme cold (gas) to destroy or freeze the fibroadenoma tissue.
4. Radiofrequency Ablation (RFA): This procedure uses heat to destroy the fibroadenoma. Performed under local anesthesia, RFA is guided by ultrasound imaging to precisely target the lesion.