A 50-year-old woman presents with a 3 cm breast lump. Core biopsy shows fibroadenoma with benign features. On follow-up at 6 months, the lump has increased to 4.5 cm. What is the most appropriate management?
- A Excisional biopsy ✓
- B Continue observation
- C Start tamoxifen
- D MRI breast
Correct answer: A. Excisional biopsy
Explanation
B fibroadenoma that grows rapidly or exceeds 3 cm should be excised to exclude phyllodes tumor, which can mimic fibroadenoma on core biopsy. Phyllodes tumors require wider excision due to local recurrence risk. Observation is inappropriate for a rapidly enlarging mass. Tamoxifen has no role in fibroadenoma management.
Reference: Bailey and Love Short Practice of Surgery, 28th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.