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Do Breast Tumors Always Require Surgery? 3 Key Factors to Consider

Breast cancer is the most common cancer among women in Taiwan.
Breast cancer is the most common cancer among women in Taiwan.

As awareness of breast cancer increases, more women are willing to undergo breast screenings and seek medical help when abnormalities are found. When a breast tumor is discovered, patients often ask: &ldquoWill a tumor turn cancerous if left for too long?&rdquo &ldquoDoes a benign tumor always need surgical removal?&rdquo

Self-exams can miss early tumors&mdashregular screening is crucial
Taiwan&rsquos Health Promotion Administration offers free mammograms to asymptomatic women aged 45&ndash69. Dr. Luo Zhujun, breast surgeon at Chengda Hospital, explains that tumors detectable by self-exam are usually over 2 cm. Deep or small tumors often go unnoticed, so imaging is vital for early detection.More and more women are willing to undergo breast screening.More and more women are willing to undergo breast screening.

Common types of benign breast tumors

  • Fibrocystic changes: Most common, often affecting both breasts with tenderness linked to menstruation.
  • Fibroadenomas: Occur in women aged 15&ndash35, firm, round, movable rarely become cancerous.
  • Phyllodes tumors: Leaf-shaped, rare (~1%), may be benign or malignant pathology confirms type, surgery is the main treatment.
  • Breast cysts: Common in women aged 30&ndash40 best diagnosed by ultrasound, fluid can be aspirated.

Three factors to decide on surgery
Dr. Luo lists key criteria:

  • Benign cells with precancerous traits
  • Inconsistent imaging and biopsy results
  • Tumor growth risk affecting breast appearance

Surgical options
Traditional surgery suits all sizes but may leave larger scars.
Minimally invasive surgery uses a vacuum-assisted device via a 0.5 cm incision, best for tumors under 3 cm. It&rsquos quicker, leaves smaller scars, and enables faster recovery.

Even benign tumors should be regularly monitored every 3 to 12 months for safety.Dr. Lo Chu-Chun, Breast Surgeon at Cheng Kung University Hospital (Image/Heho Health)Dr. Lo Chu-Chun, Breast Surgeon at Cheng Kung University Hospital (Image/Heho Health)

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