How to deal with breast fibroids?

The formation of breast fibroids is closely related to the increasing estrogen levels in women's bodies. If breast fibroids are confirmed, it is best to undergo surgery as soon as possible, and the timing of the surgery should also be appropriate. Secondly, Chinese medicine is also very effective in treating breast fibroids.

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 unable to conceive after marriage, surgical resection should be performed 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, etc. 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. According to the literature on traditional Chinese medicine treatment , for pre-married female patients, if the tumor grows slowly and is small in size, traditional Chinese medicine treatment can be tried. For multiple breast fibroadenomas, after the large tumors have been removed, the small ones can be tried with traditional 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 Epimedium 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.