The choice between a puncture biopsy or a surgical biopsy for patients with breast tumors 4A needs to be determined on a case-by-case basis. For smaller breast fibroids, direct surgical excision biopsy is recommended. For breast fibroids that are suspected to be malignant, a puncture biopsy is usually recommended first. 1. Puncture biopsy: For larger breast fibroids that are considered to be malignant, it is usually recommended to perform a puncture biopsy first to obtain preliminary pathological results so that the clinician can choose the appropriate treatment based on the biopsy results. 2. Surgical excision biopsy: If the fibroma is too small, forced puncture biopsy may lead to inappropriate sampling or difficulty in accurately sampling from the patient’s lesion, which may affect the results of puncture biopsy. Therefore, it is recommended to perform pathological examination after surgical excision. Patients should pay attention to maintaining a good mood in daily life, avoiding too much emotional tension and stress, eating a light diet and avoiding too much spicy and stimulating food. It is recommended that the patient should seek timely medical treatment and follow the doctor’s advice to clarify the diagnosis and treatment plan.