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Fibroadenoma
Etiology

Unknown
Pathogenesis

Stromal component of the lesion is clonal
Derives from intralobular stroma
May arise within individual nodules and apparently "coalesce",
Epidemiology

Most common benign neoplasm in the breast
More frequent in women under 30
General Gross Description

Gray-white, spherical nodule that is rubbery and mobile on palpation
Neoplasm can be "shelled out" of the surrounding breast tissue
In teenagers may reach enormous size (10-15 cms) so called juvenile fibroadenoma
•Examples:
General Microscopic Description

Consists of a proliferation of both ducts and stroma
Stroma contains numerous fibroblasts and palely eosinophilic cytoplasm
Broad birefringent collagen bands are absent until lesion involutes
Glandular spaces are lined by typical duct epithelium and may be compressed by fibrous proliferation
•Examples:
Fibroadenoma (Low Power) Fibroadenoma (Low Power view) Fibroadenoma (Medium Power) Fibroadenoma (High Power) Fibroadenoma (High Power)
References

Cotran RS, Kumar V, Robbins SL: Robbins Pathologic Basis of Disease. 5th edition. Philadelphia, W.B. Saunders, 1994, pp. 1097-8.

For Most Current Information Search Medline at National Library of Medicine
This link will directly take you to the relevant new literature
Fibroadenoma
Synopsis by: Melinda Sanders M.D. (T04000M90100)[318]
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