It is a well-known fact that women need to protect their breasts in daily life. After all, women's breasts are too prone to problems. Regardless of their age, they are likely to encounter breast diseases, and even develop breast cancer at a young age. How heartbreaking it is. In clinical practice, breast fibroids are also a common disease. So how do breast fibroids form? Breast adenofibroma is also called fibroadenoma. It is the most common benign breast tumor, accounting for about 3/40 of benign breast tumors. In the middle of the 19th century, foreign scholars explained and named this disease. In the process of understanding this disease, it was once called breast fibroadenoma, adenofibroma, adenoma, etc. In fact, this is only due to the difference in the degree of fibrous components and glandular epithelial hyperplasia that form the tumor. When the tumor is mainly composed of glandular duct epithelial hyperplasia and the fibrous component is relatively small, it is called fibroadenoma; if the fibrous tissue occupies the majority of the tumor and the glandular duct component is relatively small, it is called adenofibroma; if the tumor tissue is mainly composed of a large number of glandular duct components, it is called adenoma. However, the above components only differ in pathological morphology, and there is no difference in clinical manifestations, treatment, and prognosis. Symptoms of fibroids in the breast Clinically, it can be divided into three types: (1) Common fibroadenoma: This is the most common type. The tumor is small and grows slowly, usually less than 3 cm. (2) Adolescent fibroadenoma mostly occurs during the menarche period. It is relatively rare in clinical practice and is characterized by rapid growth and large tumor size. The disease course is about 1 year and can fill the entire breast. The maximum diameter of the tumor is 1-13CM. (3) Giant fibroadenoma: It is more common in middle-aged women and can be seen in women during pregnancy, lactation, and before and after menopause. It is characterized by large growth, which can reach more than 10CM or larger, and may occasionally undergo sarcoma transformation. The formation of breast fibroids is related to vigorous ovarian function and the sensitivity of the body and local breast tissues to excessive estrogen stimulation. When estrogen levels are too high, the breast tissue reacts locally to it, leading to this disease. Lumps - Small in the early stage, growing slowly, generally 1-3CM in size, usually without any obvious symptoms, mostly without pain or tenderness, occasionally with slight tenderness, often discovered accidentally, mostly touched while bathing, single or multiple, the tumor is round or oval, or may be nodular, lobed, with a smooth surface, firm texture, clear boundaries, no adhesion to surrounding tissues, a sliding sensation when touched, no changes in the surface skin, and no enlargement of the axillary lymph nodes. Treatment of fibroids in the breast The cause of breast fibroids is the abnormally increased sensitivity of breast lobule cells to estrogen. Estrogen is the stimulating factor for its occurrence, so fibroids occur during the ovarian function period. Although breast fibroids are benign, a small number of them may become malignant, especially in older women. The treatments for breast fibroids include: 1. Surgical resection Advantages: Existing lesions can be removed immediately, and pathological biopsy can be performed after resection. Disadvantages: 1. Surgical scars will be left after excision, especially for multiple fibroids; 2. Smaller lesions cannot be seen and removed, and are prone to recurrence; 3. If disinfection is not strict, secondary infection may occur. (II) HIFU treatment Advantages: 1. No surgery, no bleeding, no radiation; 2. Treatment is not limited by size; 3. Multiple unilateral or bilateral breast tumors can be treated at one time; 4. Since no surgery is required, there will be no surgical scars and no secondary infection; 5. Real-time monitoring can be performed to achieve thorough treatment. Disadvantages: 1. It takes some time for the product to be completely absorbed and disappear after treatment; 2. The cost of treatment is higher than that of general surgery. |
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