Defining Multiple Fibroadenomas: A Systematic Review of Clinical Characteristics and Management.

This review systematically evaluates the published literature on multiple fibroadenomas (MFAs) of the breast, focusing on clinical presentation, diagnostic challenges, and treatment strategies. A systematic search of PubMed, Medline, Scopus, and Embase from 1948 to June 2025 was conducted using a Bo...

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Publicado en:Breast Journal Vol. 2026; pp. 1 - 12
Autores principales: Math, Prathiksha, Sajith, Gayathri, Mahadevappa, Kiran, Hegde, Shalini G., Wani, Imtiaz
Formato: research systematic review tables/charts Journal Article
Publicado: Wiley-Blackwell 4/1/2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 4/1/2026
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Defining Multiple Fibroadenomas: A Systematic Review of Clinical Characteristics and Management.
      aug:
        au:
          Math, Prathiksha
          Sajith, Gayathri
          Mahadevappa, Kiran
          Hegde, Shalini G.
          Wani, Imtiaz
        affil: Department of Paediatric Surgery,, St. John's Medical College Hospital,, Bangalore, Karnataka, India
      sug:
        subj:
          Neoplasms, Fibrous Tissue Diagnosis
          Breast Neoplasms Diagnosis
          Neoplasms, Fibrous Tissue Therapy
          Breast Neoplasms Therapy
          Nomenclature
          Human
          Female
          Systematic Review
          PubMed
          Medline
          Embase
          Neoplasms, Fibrous Tissue Pathology
          Neoplasms, Fibrous Tissue Ultrasonography
          Neoplasms, Fibrous Tissue Radiography
          Neoplasms, Fibrous Tissue Risk Factors
          Breast Neoplasms Pathology
          Breast Neoplasms Ultrasonography
          Breast Neoplasms Radiography
          Breast Neoplasms Risk Factors
          Disease Attributes
          Ultrasonography Methods
          Magnetic Resonance Imaging Methods
          Biopsy, Needle Methods
          Contraceptives, Oral Adverse Effects
          Cyclosporine Adverse Effects
          Risk Assessment
          Descriptive Statistics
          Female
      ab: This review systematically evaluates the published literature on multiple fibroadenomas (MFAs) of the breast, focusing on clinical presentation, diagnostic challenges, and treatment strategies. A systematic search of PubMed, Medline, Scopus, and Embase from 1948 to June 2025 was conducted using a Boolean search strategy following the PRISMA 2020 guidelines. Of the 409 studies initially screened, 43 met the inclusion criteria. The level of evidence was assessed using the Oxford Centre for Evidence‐Based Medicine guidelines, and 72% were found to be of Levels 4 and 5. MFA most commonly affects adolescents. Bilateral involvement was observed in 64.6% of patients, and more than 10 lesions were present in 52% of cases. Risk factors included hormonal contraceptive use, family history, and cyclosporine therapy. Ultrasonography was the most common diagnostic tool, followed by MRI and FNAC. Treatment was mainly surgical, with recurrence noted in 15.4% of patients. There was no evidence to suggest that the risk of cancer in MFA was greater than that of solitary FA. The review highlights inconsistencies in MFA definitions and calls for consensus on diagnostic criteria, prospective research, and the creation of standardized treatment algorithms to improve care and outcomes for this particularly distressing subset of benign breast diseases.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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