Is breast keloid a problem?

Breast disease is a common disease among women. Some women feel breast pain and go to the hospital for examination, and the result is breast fibroids. Some doctors will recommend surgical removal, while others suspect the possibility of malignancy, which makes many women worried. Breast fibroma is relatively common in clinical practice and is a benign tumor. So, what should you do if you have breast fibroma? Is there a big problem?

Fibroids are very common in young women, and the rate of malignant transformation is very low, about one in a thousand. If the tumor grows larger within a short period of time, such as half a year or a year, surgery is required. If there is no significant change during follow-up examinations over the past few years, surgery can be temporarily avoided. Since drug treatment is not effective, surgery is the preferred method for treating breast fibroadenomas. The key is timing. Of course, just don't do it, the probability of malignant transformation is very small. But inevitably, fibroadenomas will gradually grow and increase in size (even if it is very slow). In this case, it may be difficult for the patient to maintain a calm attitude towards a breast lesion like a doctor, so surgical resection has its value compared to drug treatment or no treatment.

During pregnancy, the secretion of estrogen and progesterone increases, stimulating the development of breast tissue. Fibroadenomas may grow rapidly due to the action of hormones, and excessive growth increases the possibility of uncontrolled growth. During this period, the patient's mentality may be more tense, so it is better to deal with it before pregnancy. Therefore, my advice to young women is to remove any palpable fibroadenomas after marriage and before pregnancy. The reason for marriage is to avoid the impact of surgical scars on love. Regarding the issue of affecting breastfeeding: Surgery will definitely damage the glands. In theory, the glands in the surgical area will not have the function of breastfeeding because the scars cause the milk ducts to be blocked. However, whether it will completely affect breastfeeding depends on comprehensive consideration of the size, location, and number of the fibroadenoma. In addition, the surgeon's operation is also very important and should not be too rough. If not removed, larger tumors near the nipple or tumors that grow larger during pregnancy may also affect breastfeeding, while smaller tumors near the periphery of the breast may have little effect on breastfeeding even with surgery. It is possible that milk accumulation in the surgical area may induce mastitis, but clinically, the majority of mastitis cases have no history of surgery. The psychological pressure that milk cysts bring to patients also exists if breast fibroadenomas are not removed. Therefore, an issue that cannot be ignored is: informing patients in detail, including the impact on breastfeeding and scar formation, and the impact on body aesthetics.

The surgery for fibroadenoma is not complicated, but preoperative information is important. Regarding the question of surgery: The basic principle for non-breastfeeding women is to protect the glands as much as possible and not be too rough. However, this seems to be contrary to the surgical principles of oncology. Tumor surgery does not advocate simple tumor removal, but requires the removal of the surrounding tissues of the tumor. However, for breast fibroadenomas, especially typical ones, I basically remove them in order to protect the gland. In addition, it is not recommended to perform Mammotome minimally invasive biopsy surgery on all young women. Although the wound on the body surface is small, the internal glandular trauma is too great, and suitable cases with a wound size of less than 2.5CM should be selected with caution. Clinically, each doctor has a different attitude towards the treatment of fibroadenomas, but there is really no need to alarmist and increase the psychological burden on patients. Explaining the patient's condition while treating her to relieve her psychological stress are skills and awareness that a breast specialist should possess.