Dawaa Reference

Clinical reference

Benign breast lump (fibroadenoma)

Treatment options, dosing, cautions and Egyptian brands from the shipped Dawaa Reference card.

Evidence status

Checked against the sources named below

Sources3 sources

Breast Fibroadenoma - StatPearls - NCBI Bookshelf - https://www.ncbi.nlm.nih.gov/books/NBK535345/ · ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class GD30 - condition scope only, no dose · No dose - referral pathway, no medicine given in primary care

Verified against2 documents
  • No dose - referral pathway, no medicine given in primary care
  • Benign breast lump (fibroadenoma) - disease-level clinical article (benign-breast-neoplasm-full.txt)

Verified date2026-08

Presentation reference

Is it this?

Reference only, to read alongside your own examination.

Signs — what you find (3)

  • Fibroadenomas most often sit in the upper, outer part of the breast
  • The lump is painless, freely movable, and a single mass on exam [breast lump]
  • It feels firm and rubbery with a regular edge, and it can enlarge quickly

Tests (6)

  • Mammography is used to check suspicious lumps in women over 35
  • On a mammogram it stands out as a separate area with smooth, rounded edges
  • In older, postmenopausal patients an involuting lesion can show coarse, popcorn-like calcification on mammogram
  • Ultrasound is favored under age 35 and readily separates a solid mass from a fluid-filled cyst
  • On ultrasound the mass looks well-defined, round to oval, and evenly darker than surrounding tissue
  • A core needle biopsy can be done to confirm the diagnosis when needed

If not this — what else fits (5)

  • Breast cyst
  • Breast carcinoma
  • Phyllodes tumor
  • Breast lymphoma
  • Metastasis to the breast from a distant primary cancer

SourceStatPearls "Breast Fibroadenoma" - disease-level clinical article

Presentation findings are traced to the source above.

1

NO DRUG THERAPY IN PRIMARY CARE (REFERRAL & ADVICE)

1st line
Adult dose and duration

Benign breast lump, most often a fibroadenoma in a young woman; the GP recognises the clinical picture, reassures, and refers for imaging/biopsy (triple assessment) to confirm benignity. - Refer, with advice

Paediatric dose

Children follow the same pathway: recognise and refer. No primary-care medicine is implied.

Dose source

No dose - referral pathway, no medicine given in primary care

Why

Benign breast lump, most often a fibroadenoma in a young woman; the GP recognises the clinical picture, reassures, and refers for imaging/biopsy (triple assessment) to confirm benignity.

Cautions
  • No medicine is prescribed for this in primary care - this entry is for recognition and referral. Anything given is decided by the service it is referred to.
  • RED FLAG - Rapid growth, size greater than 2 cm, or patient request are indications for surgical intervention.
  • RED FLAG - Patients with first-degree relatives with breast cancer require closer monitoring for malignant features.
  • RED FLAG - A rapidly enlarging lump, skin dimpling or nipple retraction, bloody nipple discharge, or a new lump outside the usual fibroadenoma age range: assess urgently and refer.

Prices are indicative (dataset snapshot 2026-06); verify with the pharmacy.