What to do with breast fibroma

Most people who suffer from breast fibroma are young women. This is mainly because the ovaries are more active and the secretion of estrogen is too high. If there is an imbalance in regulation at this time, it will cause excessive proliferation of the skin tissue fibers of the breast, resulting in disorder of the breast fiber structure, thus resulting in the breast fibroma we see. In general, breast fibroma is mostly benign.

treat

1. Close observation and regular follow-up

Breast fibroadenomas are common benign tumors that rarely become malignant. It develops slowly, has no symptoms, does not affect life and work, and can be closely observed and followed up regularly.

2. Surgical Resection

(1) During the observation process, if you self-examine your breasts or go to the hospital for examination and find that the fibroadenoma tends to grow, or if the color Doppler ultrasound originally showed no blood flow signals in the tumor but now shows a large amount of blood flow signals, it should be surgically removed.

(2) Patients with breast fibroids should undergo fibroadenoma removal before preparing for pregnancy. Cause: a. The occurrence of breast fibroadenoma is related to the increase of estrogen levels. During pregnancy and lactation, as the hormone levels in the body change, the tumor volume can increase rapidly. b. Breast surgery and invasive examinations are not recommended during pregnancy and breastfeeding.

(3) Giant fibroadenomas (juvenile fibroadenomas) in adolescents should be surgically removed because of their rapid growth and large size, which squeezes normal breast tissue. The surgery will not have an adverse effect on subsequent pregnancy or breastfeeding.

(4) Those with a family history of breast cancer may consider surgical resection.

3. Minimally invasive breast excision surgery

Select those with a clear diagnosis of breast fibroadenoma (not suitable for breast cancer treatment). Using a vacuum-assisted excision device, under the guidance of breast ultrasound, the tumor is removed by inserting the needle once and making multiple cuts. The incision is only 0.3 cm, with quick recovery and good aesthetic effect. Fibroadenomas rarely recur after complete excision, but they can recur.

examine

1. Color Doppler Ultrasound

It can display the structures of each layer of the breast and the shape, size and echo condition of the mass. Breast fibroadenomas are mostly round or oval, uniformly hypoechoic masses on color Doppler ultrasound. Smooth and clear capsule echoes are often visible. The echo behind the mass is normal or slightly enhanced. Lateral acoustic shadows can be seen, and coarse calcifications accompanied by acoustic shadows can be seen inside the mass. Color Doppler showed no blood flow signal or only a small amount of blood flow signal in the mass, and RI < 0.7.

2. Mammography

Adolescent girls with dense breasts are not suitable for mammography. In breast X-rays of middle-aged women and above, fibroadenomas appear as round or oval masses, or lobed masses, with a diameter of 1 to 3 cm and smooth and clear edges. Compared with normal glands of the same volume, the masses have equal or slightly higher density and may be surrounded by a low-density halo. Calcification can be seen in some lesions. Calcification is mostly located in the center or edge of the tumor and is mostly coarse granular, dendritic or spotted. It can also merge into large masses, occupying most or all of the tumor, which is different from the clustered sand-like calcification foci of breast cancer.

3. Breast lesion biopsy

For breast lumps that are difficult to identify based on medical history, physical examination, or imaging examination, a biopsy or surgical resection can be performed for histopathological examination to confirm the diagnosis.