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What are the ways to treat fibroadenoma and lymphadenopathy?

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Patient's Query

Hello doctor,

I am a 22-year-old female with masses in both the left and right breasts. A breast ultrasound revealed bilateral fibroadenomas, classified as BI-RAD 2 (breast imaging reporting and data system), indicating benign findings. Bilateral lymphadenopathy was also observed.

Please help.

Thank you.

Answered by Dr. Georges Hany Kozah

Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I have read your query and can understand your concern.

Your breast ultrasound findings show bilateral fibroadenomas (BI-RADS 2), which are benign (non-cancerous) lumps commonly found in young women. The bilateral lymphadenopathy (enlarged lymph nodes) could be a result of a reactive or inflammatory response, but it is important to keep an eye on it.

What this means:

Fibroadenomas (BI-RADS 2)

  1. These are completely benign and typically do not require treatment unless they grow or cause discomfort.
  2. They are often linked to hormonal changes and may increase in size during pregnancy or with hormonal fluctuations.
  3. If they are small and not painful, they can be monitored periodically without intervention.

Bilateral lymphadenopathy (enlarged lymph nodes in both breasts)Common causes:

  1. Infection or inflammation (for example., mastitis, viral infections).
  2. Hormonal responses (this can be normal in young women).
  3. Fibroadenomas themselves may cause mild lymph node enlargement.
  4. Rarely, persistent or growing lymph nodes may need further evaluation.

What you should do next:

  1. Follow-up ultrasound in three to six months—to monitor any changes in the fibroadenomas.
  2. Watch for symptoms – Such as pain, redness, or rapid growth, as these may require further testing.
  3. Monthly breast self-exams – Keep track of any changes in lumps or new masses.
  4. Consult a doctor if lymph nodes stay enlarged or grow – If lymphadenopathy persists beyond two to three months, additional tests (like blood tests or a biopsy) may be recommended.
  5. Lifestyle factors – Consider reducing caffeine intake and eating more vitamin E-rich foods, which may help with tenderness.

Your findings do not suggest cancer, but regular monitoring is recommended. If the lumps or lymph nodes increase in size, further tests (like magnetic resonance imaging or biopsy) may be necessary. Let me know if you have any questions or need more clarification!

I hope this answers your query.

Please let me know if I can assist you further.

Thank you.

Medically reviewed by iCliniq medical review team
Published At May 20, 2025
Reviewed At June 3, 2025

Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

This doctor is not available for online consultations on the platform anymore.

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