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. 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. abortion   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.   have a dense, well-decorated capsule differ plotnoelasticheskoy consistency, grow very slowly or does not increase in size at all. 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   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 . aspiration biopsy   tumor tissue sample and its further cytology .

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.

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. Today, for the surgical treatment of these tumors is most commonly used enucleation   swelling of . The operation should be done only in specialized institutions. Generally, after it is no necessity for treatment in a hospital. 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