Fibroepithelial Lesions (Fibroadenoma to Malignant Phyllodes)

In this lecture I cover fibroepithelial lesions with examples. I hope this helps you and provides an objective approach to these lesions mainly on core biopsy.
I hope you find it helpful!!
-Dr. Damron
#Breastpath #Fibroadenoma #PhyllodesTumor

[@nicolopaulonoveda4634]

Short, simple, but very comprehensive. Thank you!

[@bahaaibrahim9404]

I'm a current surgical pathology fellow at Penn and I have to say your lectures are outstanding, keep the hard work!!

[@adamronMD]

Appreciate it!

[@jskim7161]

From Korea, as a general surgical pathologist, this lecture is very helpful for my daily work with breast. Great~~ Thank you very much.

[@adamronMD]

Glad to hear it!

[@vinn8145]

Very underrated channel! You deserve more subscribers Dr Damron!

[@adamronMD]

I appreciate that!

[@prafulkumar3160]

Thank you for such wholesome, informative video Please make more videos on core biopsy interpretatio, especially grey areas

[@storiesforyou1343]

Very informative. A great teacher. Miss your case of the month/week series.

[@adamronMD]

Things have been very very busy! I have a few things I’m working on!

[@5004-x7o]

Thank you so much 🙏. U cleared a very confusing part of fibroepithelial lesions.

[@adamronMD]

Glad to hear it!

[@devisree.ellanti9839]

Fantastic explanations sir! Thank you for great amount of work that you have put into this lecture. Gratitude 🙏🏻

[@user-gd2bd7gh5o]

Tks so much for the detailed video!

[@adamronMD]

Glad it was helpful!

[@marcbannel3760]

Thank you so much, looking forward to the next one!

[@user-ky1db9mk9y]

New video! Hurrray! Thank you!

[@sumasheshadri718]

Thank you very much Very clear and informative on grey zones

[@adamronMD]

Glad you enjoyed it!

[@chingo8878]

thank you so much!!! I am looking forward to another awesome video from you.

[@Knitwitmenow]

Hi Alexander I came across you on KZbin a few weeks ago and subscribed right away. I’ve been listening to your videos while I’m driving at work. You really explain things really well. I’ve been diagnosed recently with two fibroepithelial tumors (Phyllodes). There is something on my test results on my chart that looks odd. It says high risk benign. I’m not sure if you have seen this term before. Please let me know if possible. Much appreciated. Keep doing what your doing👍👍

[@adamronMD]

Sometimes we refer to benign lesions as high risk in sense that even though it is benign it should be excised to rule out more worrisome pathology (such as papillomas or radial scars and even Phyllodes tumors). We call them high risk lesions as we don’t want to leave them in the patient even though it is benign because they have the propensity to grow or be associated with other high risk lesions

[@madhuk5449]

Terrific presentation

[@cheeriooooful]

Thank you that was amazing. Really enjoy revisiting these

[@alabamajenny8751]

Awesome content. Thank you for the work put into this lecture.

[@adamronMD]

My pleasure!

[@courtneywilbanks5755]

What would periappendiceal ileal stromal hypercellularity with nuclear atypia mean on a core biopsy pathology that says Cellular fibroadenomatoid nodule with focal Phylloidal features?

[@jai10121977]

Thank you for the video. I wander if you can come back to me. My wife had just had a malignant phyllodes removed from her, and the Dr wants her to go back to excise some margin area as they were not sure if it was a malignant tumor.. is the area is negative, should we still be concerned? Thank you.

[@ThePriceisRight4094D]

Please respond. I have a PT recurrence following a 10cm mastectomy. I am beginning radiation for 35 treatments. The 3 small tumors have grown together. They are releasing fluid at this stage. It measures 12"x6". and is under my left chest area. I would like input from a doctor who has had experience with PT.

[@margaritamolina5078]

Hi , I have a question I have been diagnosed with Fibroepiphelial lesios on my breast 1.3 cm big they told me I don’t need it to get removed for now but I’ll be in observation incase I feel any changes growing ect I need to let them know . What’s your opinion if I get it removed would it come back ? Is it necessary to get it removed if it’s painful as time

[@Lansvacer]

thank you! this is very helpful

[@najlafakhruddin8206]

Excellent

[@sujathabalija2254]

Thank you very nice

[@shilanameen7247]

Iam currently a pathologist and i have a case of phyllodes tumor (it is 9cm big, it has stromal overgrowth, mild to moderate atypia, infiltrative borders but mitosis 9/10HPF ! How can i grade this case please ?

[@mayasalis4233]

thank you somuch,please there is a case that may interest you, please how do i send you live images and films?

[@ktawata]

Hi Doc I’m at 35 year old male and have two fibroadenomas on my right chest. About 5-6cm from my nipple. They’re about 25x6x30mm in size. I had gyno removed from both sides of my chest in 2016. Now 2022, I have fibroadenoma. Is that another word for gyno? It feel exactly the same as my gyno and it’s sensitive and itchy feeling sometimes. The doctor that did my gyno surgery said let’s watch it and see if it disappears. I doubt it’s going to disappear because it seems to be bigger. I’m just wondering if it’s something I should be concerned about? They said it’s benign, but I also don’t want it in my body due to the irritation it causes. Thanks if you see this message🤙🏽

[@lalamalika1972]

Hola doctor.tengo tumor (phyllodes)manigno que me consejas,muchas gracias

[@syaymasunny1716]

Hi have diagnosed fibroepithelial lesion with adenoisis tumor by breast core needle biopsy should I be concerned?

[@leilabelghiti8560]

Thank you very helpful

[@uyenle9545]

Thank you so much

[@adamronMD]

No problem!

[@alabamajenny8751]

Hello Dr. I am a 51 yo female. I am post menopausal, on 0.1 HRT. I found a lump that was thought to be aAll sebaceous cyst in August of this year 2022. on Mammogram, and US. This “lump” has been there for couple of years, but in August it became more palpable. It raised to the surface of my breast, approx 10 MM, round, non movable and hard. My physician thought it was a sebaceous cyst. I was seen by my OBGyn yesterday where he attempted incision to “empty” the lump. It wouldn’t “emtpy” changing my doctor to assert it wasn’t a sebaceous cyst, but a “fibroadenoma”. He referred me to surgeon. I asked my doc what it looked or felt like and he said “it is white, solid” I have some medical training but I am not a professional. I can follow a lot of what you’re speaking of. Given the Thanksgiving holiday, I suspect I won’t get into the surgeon for bx until after Thanksgiving. I do have hx of tobacco use. I started menses at age 12. I have two children. (Gave birth at 22 and 33) No familial hx of Breast ca. the nodule doesn’t seem to be growing. Rather it has come to surface of skin where as before it was was palpable only. It also has changed the color of my skin. It has a darkened brown, bruised look on skin. Without asking for a diagnosis, Given my age, and the changes in my mammogram and finding, how likely am I looking at possibility of a cancerous fibroadenoma?

[@adamronMD]

Fibroadenomas are never cancerous. These are in fact the most common benign neoplasm of the breast! Phyllodes tumors on the other hand can be malignant (but this is a very rare diagnosis). If your pathologist and treating team have diagnosed a fibroadenoma then generally these are followed with routine follow up. If there are any suspicious features sometimes these are excised to confirm the diagnosis. I wish you all the best!

[@prudencemwiti9767]

Hi Alexander thanks for a most educational video. my breast lump biopsy came back as a tubular adenoma with minimal atypia and no mitosis. Would you kindly help me understand what this means since i have not been able to schedule a meeting with my doctor to get an interpretation of the result? thanks

[@adamronMD]

Tubular adenomas are considered variants of fibroadenomas in the breast. Generally no further treatment is needed but follow up with your radiologist/treating team for next steps based on your individual case. All the best!

[@kenalitsona]

👌🏾 lecture

[@DrAppy01]

Hello, could you also make some good case discussions?

[@adamronMD]

What type of cases are you interested in seeing?

[@DrAppy01]

@@adamronMD more tricky biopsies from routine practice.