50 yr old female p2 with lcb 20 yrs back C/o premenstrual mastalgia and tingling sensation in breasts ,on mammography she has multiple fibroadenomas ,one of it is calcified. pt gives h/o excision of adenomas from both breasts 30 yrs back . she also has multiple uterine fibroids. kindly advice if calcified fibroadenoma should be excised or can be left with regular follow-up

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Considering her age, excision biopsy is advisable. For fibroids, if small and asymptomatic, follow up scans needed.

Thank-you doctor

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Hystrectomy is best . If pt. is not willing , try GNRH agonists monthly for 5 . It will also helps for premenstual mastalgia .

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