Fibroadenoma

November 27, 2011

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Fibroadenoma is a benign, characterized by very clear boundaries, there is no capsule. This tumor has a soft and supple texture, easy to move and does not cause pain. It is a symptom of the so-called "float" is the main hallmark symptom of fibroadenomas. The tumor is composed of connective   and glandular   tissue develops in the mammary gland. The fibroadenoma, unlike adenoma Predominates connective tissue stroma , but not glandular parenchyma . Until today there is no accurate data on the causes of the development of such entities. Size may vary fibroadenomas, reaching a diameter of from a couple of millimeters to five centimeters. Height fibroadenoma occurs due to the influence of estrogen. If fibroadenoma of the breast is small in size (1 cm) is guided by ultrasound data, it is quite difficult to distinguish from the cyst. Quite often fibroadenoma diagnosed in girls in adolescence: the formation occurs due to menstrual irregularities. Also fibroadenoma often appear in women after abortion   and use contraceptives . Very often
fibroadenomas disappear on their own in the process of puberty. And during pregnancy they can become larger.

The clinical picture of fibroadenomas

This education does not provoke symptoms of overt symptoms. Most often it is detected in women, aged between 20 and 30 years old. However, asymptomatic fibroadenoma can be diagnosed and patients a much older age. Typically, in such cases, such as education in the chest detected during routine surveys.

Fibroadenoma can be divided into two types. Mature fibroadenoma   have a dense, well-decorated capsule differ plotnoelasticheskoy consistency, grow very slowly or does not increase in size at all. They usually diagnosed in women, aged between 20 and 40 years. In its turn, immature fibroadenoma   myagkoelasticheskuyu have consistency and tend to grow very quickly. Tumors of this type are mainly detected in patients early age, who are in puberty. In many cases, such a fibroadenoma of the breast disappears on its own, after the girl completely set a monthly cycle. Basically, the unit appears as fibroadenoma in the breast tumor. More rarely diagnosed cases of multiple fibroadenomas. However, such education can occur in both breasts.

During the examination, the patient's specialist defines such education as a subcutaneous tumor in the breast. During palpation fibroadenoma very clearly delimited and shifts, noticeable as its dense elastic consistency. In most cases is located fibroadenoma areola area . The tumor is localized mainly in the outer upper quadrant of the breast.

Diagnosis fibroadenoma

In order to quickly and efficiently establish a diagnosis, experts use the following methods. First of all, a thorough inspection and subsequent palpation   breast cancer. For a more accurate diagnosis should be carried out ultrasonography   breast cancer. If a specialist, there are certain doubts about the diagnosis, then further held X-ray mammography . The method of accurate diagnosis, excluding the malignant nature of education, is a fine needle aspiration biopsy   tumor tissue sample and its further cytology .

In the process of diagnosis it is very important point is the clear differentiation with the following diseases: mammary cancer . tsistadenopapilloma . lactocele .

During the diagnosis determined by the following histological types fibroadenoma: intrakanalikulyarnaya . the leaf   ( filloidnaya ) perikanalikulyarnaya   fibroadenoma. Most often today fibroadenomas diagnosed mixed-type structure (intra- perikanalikulyarny type). The most rare type of tumor - leaf-fibroadenoma. Leaf-fibroadenoma is defined as the border between malignant and benign tumors. It is in most cases is quite impressive size and is growing extremely fast in a short time, reaching gigantic proportions.

Treatment fibroadenoma

When determining the methods and the overall treatment strategy fibroadenoma of the breast, it is important to consider the two most important features of this formation. Firstly, conservative treatment has no effect on the fibroadenoma. Secondly, fibroadenoma with time does not pass in a malignant form. Only leaf-fibroadenoma about 10% of cases may degenerate over time sarcoma, breast . Therefore, the treatment of the breast fibroadenomas performed by surgical intervention. The indications for surgical treatment of fibroadenomas can be regarded as a series of the following characteristics. The absolute indication for surgery should be considered as the presence of the sheet-type fibroadenoma. Also education should operate, which has a large size (more than 2 cm) or causing a cosmetic defect. The tumor was removed at the request of the woman or if the fibroadenoma is growing very fast. Today, for the surgical treatment of these tumors is most commonly used enucleation   swelling of paraareolyarnogo access . The operation should be done only in specialized institutions. Generally, after it is no necessity for treatment in a hospital. After the transaction within ten days the wound should be treated with antiseptics, and then stitches are removed. After several years tripe   It becomes virtually invisible. In all other cases, after the diagnosis of fibroadenoma must constantly monitor and regularly conducting ultrasound. In some cases, the place where the tumor was removed after some time again there is a new education.

Prevention fibroadenoma

Today is known about the specific methods of primary prevention fibroadenoma. As a secondary prevention should carry out regular thorough examination of the breast using modern methods of examination.