A fibroadenoma may be monitored for long-term stability or they may be removed by vacuum-assisted needle biopsy (VAB) or surgery.
It may be difficult to differentiate a large fibroadenoma from the phyllodes tumour, another type of breast tumour, based on ultrasound or even core needle biopsy. If the latter is suspected, surgical excision with a margin to completely remove the tumour is recommended.