Fibroadenoma Deformity

[pixelgirl]

I am a 29 year old female diagnosed with a single palpable fibroadenoma with an initial size of approx 2cm. It has been almost 6 months since the initial core biopsy. I was told to remove the tumor and after learning of the scar resulting from this procedure, I made an appt. with a cosmetic surgeon. The breast with the tumor is already approx. 1 cup size smaller and I am a 32 DD. I can tell the tumor has grown since it was measured and is painful at times. I am trying to get more information regarding the possible deformity such as indentation, puckering, or noticeable asymmetry. The cosmetic surgeon recommended I have a lift with implant done along with the tumor removal to maintain symmetry. I am trying to find out if it is possible insurance would cover some or all of this type of procedure and what evidence is available of deformity after removal of tumors 3cm and up.

[Howard Rosenberg, MD]

First, while fibroadenomas are benign tumors, I think you attention should be toward the implications of leaving this tumor in place.  If it is best to remove the tumor for health reasons, then any scarring or shape change would be of secondary importance.  Your health and longevity are primary.  With any volume removal from excision of the tumor, there will be some deformity, but I often find that this is much less than expected.  In addition, if implants and a lift are performed, this will significant reduce the risk of any deformity with tumor removal.  Your plastic surgeon is in the best position to discuss the potential results with you.  

Finally, your surgeon or you should obtain prior authorization from your insurance carrier (often a letter and photos are required), so that you know before the procedure if it will or will not be covered.