Fibroma of the breast

Fibroma of the breast. Under the breast fibroma understood benign tumor that develops from connective tissue. Manifested in the form of a dense , painless seals , sometimes accompanied by a feeling of fullness in the chest , especially before menstruation . Upon detection of breast fibroma is obligatory to seek qualified help from a doctor , who is obliged to eliminate breast cancer , and then decide on the tactics of the patient and the ways of further treatment.classification of diseasesIt should be noted that to date, doctors often have to deal with benign tumors of the breast, which in most cases are diagnosed women themselves . In addition, fibroids are usually subdivided into fibroadenoma of the breast and diffuse fibroadenomatosis .In the first case refers to the localized form of fibroids , whereas diffuse fibroadenomatosis neoplasm characterized by tendency to the growth of fibrous tissue on the breast , and the presence of seals observed in iron and chest pains .Fibroadenoma of the breast is a dense consistency circular formation , detectable in the form of a movable , not connected to the wheel assembly , the diameter of which can vary from a few millimeters to seven centimeters.

In addition, breast fibroadenoma further be divided into:

•     Perikanalikulyarnuyu ( characterized by overgrowth of tissue around the ducts );
•     Filloidnuyu or leaf- ( able to develop into cancer , characterized by rapid tumor growth );
•     Intrakanalikulyarnuyu ( characterized by overgrowth in the lumen of the ducts );
•     Mixed ( characteristic signs and intrakanalikulyarnoy perikanalikulyarnoy form).

causesTo date, no clear theory that she could explain the occurrence of breast fibroids . But in the course of numerous scientific experiments it was observed that promotes hormonal failure disease in women , in which the blood was increased in the amount of estrogen . For this reason, there are women in menopause and puberty girls .Fibroid symptoms of breast cancer

The peak incidence occurs between the ages of 20-30 years , although in some cases physicians have to deal with the first identified cases of breast fibroids at a later age , which can be explained by the absence of symptoms.In most cases the tumor is detected as a single tumor , breast cancer, although sometimes you can meet multiple fibroids , which are simultaneously present in both breasts .

The clinical picture of the disease is characterized by:

•     Large fibroids are defined as subcutaneous tumor formation of breast cancer;
•     Located outside the areolar zone ( typical location in the upper outer quadrant of the breast );
•     On palpation the tumor is defined as a clearly demarcated and shifts tumor - tight elastic consistency , the amount of which may vary from a few millimeters to 7 centimeters.

Typically , the tumor is determined and the identity only one breast, although 10-15 % of cases develop fibroids in both mammary glands.diagnosticsDiagnosis of breast fibroma zhelezyDlya diagnosis compulsorily held :

    Clinical examination ;
    Palpation of the breast ;
    ultrasound ;
    Biopsy ( fine needle aspiration variation procedure) cytology material.When in doubt for billing diagnosis conducted further tolstoigolnaya biopsy , x-ray mammography and medical-diagnostic resection ( sectoral ) breast with compulsory intraoperative histological examination .When the diagnosis of breast fibroma conducted differential diagnosis of diseases such as :

    Lactocele ;
    Breast cancer;
    Tsistadenopapilloma .complications of the diseaseWhen breast fibroma rarely observed complications , which include the rapid growth of the tumor , followed by deformation of breast cancer and the possibility of rebirth benign growths in breast cancer, which is typical for leaf-shaped fibroma .Treatment of breast fibromaTactics of treatment fibroids breast is determined by two important points :

    Lack of clinical effect of conservative therapy;
    Rare incidence of malignancy of the tumor.It should be noted that the majority of breast fibroids are treated by surgical removal of tumors . With minor amounts of tumor (5-8 mm) can be assigned to conservative treatment , which is performed under ultrasound guidance . But even under strict medical appointments rarely enough to achieve the desired clinical effect and visible from the therapy.The operation to remove the breast fibroids . For this reason, the absolute indications for surgical resection are :

•     The rapid growth of education (an increase in tumor size by 2-3 times for 3-4 months );
•     Patient's wish to remove the fibroids ;
•     Plus Sizes education (over 2 inches );
•     Size of the tumor , causing cosmetic damage ;
•     Leaf-shaped structure of the tumor;
•     Pregnancy planning ( tumor overgrowth may block the milk ducts , causing inability to feed the baby and to the stagnation of milk, which can cause the development of breast cancer ) .

In other cases, fibroids can be observed , but only after the morphological findings.To date, tumor removal can be carried out according to two methods :

    Sectoral resection ( for suspected cancer and the tumor is removed with the surrounding tissues );
    Enucleation ( in the absence of suspicion of cancer and removed , husks , only tumor) .With proper and simple operation on the skin is left visible traces. The postoperative period was uneventful and requires prolonged treatment and hospitalization .
forecastThe prognosis is favorable . But we should remember that even with strict adherence to medical recommendations and destination is at risk of fibroids in the other breast .prophylaxisTo date, no specific measures devised prevention of breast fibroids . In the secondary prevention of the disease can be considered a regular breast examination by ultrasound .