Surgical methods for fibroadenoma of the breast and their advantages and disadvantages

Fibroadenoma of the breast is the most common benign tumor, rarely malignant, develops slowly, has no symptoms, generally does not affect life and work, and can be closely observed or regularly followed up. However, for the rapid growth of fibroadenoma during the follow-up period; the single large fibroadenoma before preparing for pregnancy (individuals in pregnancy with the change of hormone level in the body can lead to rapid increase of tumor size and pregnancy breast is not suitable for surgery and invasive examination); adolescent giant fibroadenoma (juvenile fibroadenoma), because of the rapid growth of tumor, large size, extrusion of normal breast tissue; surgery should be considered for removal. The following is a brief introduction of several surgical methods and their advantages and disadvantages: 1. Local incision excision. This is the most traditional surgical method, which can be performed under local anesthesia; the cost is provincial, the total cost is just a few hundred dollars; according to different parts, you can choose curved skin incision or radial incision, the operation is simple, general non-specialist doctors can complete this type of surgery; if the routine report is unexpectedly malignant, there is still a chance of breast preservation. However, the scar is obvious after the incision heals, and it can be an option for patients who are a little older, not concerned about the scar, and have poor economic conditions. Therefore, for most patients whose preoperative diagnosis is basically clear as benign, this approach is basically eliminated. 2. Transareolar incision excision. This is a more popular surgical approach, the lump close to the areola can be performed under local anesthesia; if the lump is far from the areola or multiple tumors, we generally recommend that it be performed under general anesthesia, such as general anesthesia, the total cost to 5000; this is the concept of layered incision, which generally does not damage the milk ducts, the surgery is relatively complex and requires a specialist to complete this type of surgery can significantly reduce complications; if the routine report is unexpectedly malignant, it may the chance of breast conservation is lost. However, the scar is not obvious after the incision heals, and it is an option for young women, especially for patients with multiple cases. Therefore, for patients with a clear preoperative diagnosis of benign, this approach is preferred. 3.Minimally invasive excision. This is also a more popular surgical procedure, which refers to the application of a rotary cutter with a machine under ultrasound guidance to spin the swelling cleanly, leaving only a scar of about 3mm in size after surgery, which can be done without hospitalization. However, it is not a complete excision, so it is easy for inexperienced surgeons to cause residual tumor and recurrence. The cost is also more expensive than the above 2 types. However, the scars are the least visible. It is suitable for patients who are particularly aesthetic, who are shy about scars, and who have small tumors (preferably less than 2cm).