Fibroids are divided into several grades

In life, we will find that many people in the hospital are frowning every day, because after being sick, they are not only very painful, but the disease will continue to spread and develop. In addition to long-term hospitalization, there are many types of diseases. In fact, the most difficult for people to accept are the various types of fibroids. Moreover, the disease is not a simple one. Fibroma will be divided into different grades, and the development of the disease will also have different types.

Symptoms and signs

Patients often accidentally discover painless lumps in the breast, which are usually solitary but can also be multiple or occur simultaneously in both breasts. They are more common in the upper outer quadrant of the breast. Sometimes the breast is filled with tumors of varying sizes, which is called breast fibroadenoma. The tumor generally grows slowly, but grows faster during pregnancy and lactation. The diameter of the tumor ranges from 1 to 3 cm, but some may exceed 10 cm. It is usually round or oval in shape, with a firm texture, clear edges, a smooth surface, good mobility, and a sliding sensation upon palpation. There was no tenderness to touch and no nipple discharge. It can be divided into 3 types according to clinical manifestations.

1. The common type is the most common, with a tumor diameter of 1 to 3 cm and slow growth.

2. The adolescent type is rare, occurring before menarche. The tumor grows rapidly and is relatively large, which can cause the skin to become tense and thin, and the skin veins to become dilated.

3. Giant fibroadenoma, also known as lobed fibroadenoma, is more common in adolescents aged 15 to 18 and premenopausal women over 40 years old. The tumor is often larger than 5 cm, and can even reach 20 cm. Palpation of the tumor shows lobed changes.

Medication

1. Surgical treatment If breast fibroadenoma has been clearly diagnosed, the principle of treatment is surgical treatment.

(1) Timing of surgery: ① For unmarried women with a clear diagnosis, elective surgery can be considered, preferably before marriage; ② For patients who are not pregnant after marriage, surgical resection is recommended before planning pregnancy. Because both pregnancy and breastfeeding can accelerate tumor growth; ③ If the tumor is discovered after pregnancy, it is advisable to undergo surgical removal between the 3rd and 6th months of pregnancy; ④ For those over 35 years old, surgical treatment should be performed in time; ⑤ In the absence of pregnancy, breastfeeding, trauma and other conditions that promote tumor growth, if the tumor suddenly grows faster in a short period of time, surgery should be performed immediately.

(2) Notes on surgical treatment: Surgical specimens should be routinely sent for pathological biopsy for final diagnosis. The design of surgical incision should take into account both aesthetic and functional needs. If breastfeeding is required, a radial incision centered on the nipple should be made. If the patient does not need to breastfeed in the future, a circular incision can be made along the edge of the areola. If the tumor is multiple, breast incision can be performed. During surgery, it is best to remove the entire tumor and some of its normal breast tissue at the same time, or to perform a segmental resection of the affected part of the breast, because the chance of recurrence is greater if the tumor is simply removed. In fact, even after segmental resection, recurrence is still possible, and each additional recurrence increases the risk of malignancy. However, if the same tumor occurs again in the breast other than the removed tumor, or in the contralateral breast after surgery, it should not be considered a recurrence. Strictly speaking, it should be considered a multiple incidence. The reappearance of this tumor in the original site is considered a recurrence.

2. Traditional Chinese Medicine Treatment

Literature reports that for premarital female patients, if the tumor grows slowly and is small in size, Chinese medicine treatment can be tried. Or for multiple breast fibroadenomas, after the large tumors have been removed, the small ones can be tried with Chinese medicine treatment. The principle of TCM treatment is to relieve liver depression, resolve phlegm and disperse nodules. Commonly used prescriptions are:

Bupleurum 6g, Angelica 9g, Red Peony Root 12g, Curcuma Radix 9g, Whole Trichosanthes (pestle) 30g, Processed Pinellia 9g, Curcuma 30g, Fritillaria 12g, Lithospermum officinale 30g, Ice Ball Seed 9g, Panicum 9g.

For patients with irregular menstruation, add 30g of Xianlingpi and 12g of Curculigo; for patients with multiple fibroadenomas, add 30g of raw Astragalus and 30g of Codonopsis pilosula appropriately; if the effect is not obvious after 1 to 3 months of Chinese medicine treatment and the tumor increases, surgical treatment can be performed.