Are fibroids in the breast serious?

Breast fibroma is a common tumor in women. The tumor tissue is composed of a large number of glandular duct components. The treatment of breast fibroma now includes surgical treatment, as well as traditional Chinese medicine treatment and conditioning methods, which should be decided according to the condition of the disease.

Breast fibroadenoma is actually caused only by the difference in the degree of fibrous components and glandular epithelial hyperplasia that make up the tumor. When the tumor is mainly composed of glandular epithelial hyperplasia with fewer fibrous components, it is called fibroadenoma; if fibrous tissue accounts for the majority of the tumor and the glandular duct components are relatively small, it is called adenofibroma; when the tumor tissue is composed of a large number of glandular duct components, it is called adenoma. Different types of tumors only differ in their pathological morphology, but not in their clinical manifestations, treatments, and prognoses, so accurate classification is not necessary.

1. 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. 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 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.