The classic indication is surgical removal of fibroadenomas. However, operations performed due to fibroadenomas can be problematic due to scars on the breast skin and anesthesia risks.  

With developing technology, methods have been developed that allow fibroadenomas to be treated without surgery.

1.Needle excisions:

Treatments that enter the breast with a thick needle under sonography guidance and remove fibroadenomas from the breast as a whole or by breaking them apart (BLES, Vacuum Biopsy System).
 
Vacuum biopsy system is a method that has been used for years when high volumes of biopsy material need to be taken in the breast. In this system, after a thick vacuum needle is inserted into the fibroadenoma to be removed, the fibroadenoma is vacuumed into the needle and cut with a rotating blade system. Sonography-guided Vacuum Biopsy System has been used successfully for years in the treatment of fibroadenomas (by removing a large number of pieces of tissue). Fibroadenoma excisions with vacuum biopsy technique are the most commonly used method in the non-surgical treatment of fibroadenomas.

2.Ablations:

 Ablation treatments (Cryoablation, Laser Ablation, Ablation with sound wave (echotherapy)) that destroy fibroadenomas on the skin or inside the breast, disrupt their development and shrink them, 
 
In ablation with sound waves (echotherapy), high-energy, focused, repetitive sound waves are sent to the fibroadenoma targeted by sonography, causing the fibroadenoma to lose its vitality. This procedure is performed entirely on the skin and the patient is not given even a single injection.
 
In cryoablation and laser ablation, a special needle (probe) is inserted into the center of the fibroadenoma under local anesthesia and under sonography guidance. Then, the fibroadenoma is destroyed by freezing (cryoablation) or burning (laser ablation) using this needle. Fibroadenoma, which loses its vitality, shrinks over time.

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