Definition of multiple breast fibroadenomas: Multiple breast fibroadenomas are the most common benign breast tumors, referring to those with more than 2 fibroadenomas in the breast unilaterally or bilaterally, and the percentage of their occurrence is about 20%. It is most common in women of childbearing age between 20-39 years old, because of the high ovarian function and sex hormone activity at this age. It is generally believed that multiple breast fibroids are related to estrogen stimulation, mainly manifested as different degrees of hyperplasia of epithelial and fibrous tissues of the breast. Most of them are benign, usually patients can not feel, because it does not hurt or only have a slight swelling pain, dull pain, this pain and the size of the menstrual cycle has nothing to do with the slow growth of the lump, the surface is smooth, due to the tumor has a layer of envelope, so the boundary with the surrounding tissues is very clear, and feel the toughness is also relatively good. Second, the causes of multiple breast fibroadenomas: the epithelial and fibrous tissues of the breast will undergo different degrees of hyperplasia under the stimulation of estrogen, thus forming breast fibroadenomas. It may appear at any age after puberty, but is most common in women between 18 and 25 years of age due to the high ovarian function and peak estrogen levels in this age group. Clinical factors closely related to the formation of multiple breast fibroids are as follows: 1. Endocrine factors: multiple breast fibroids are related to reproductive or endocrine factors to a certain extent, and the occurrence of multiple breast fibroids in the following groups of people is 1.3-3 times higher than that in the normal population, such as the age of menarche is less than 12 years old or the age of menopause is greater than 55 years old; high level of oestrogen or the use of oestrogen substitution therapy after menopause; the age of first child is greater than 35 years old; the age of first child is greater than 35 years old. The childbearing age of the first child is greater than 35 years old, or no childbearing, no breastfeeding after childbirth; short menstrual cycle, which indicates that estrogen acts for a long time. 2, congenital factors, that is, abnormal increase in the sensitivity of fibroblasts to estrogen in the lobules of the breast, which may be caused by the higher number of estrogen receptors contained in these fibroblasts. 3, In addition, it is generally believed that the production of multiple breast fibroids is related to the stimulation of estrogen. Since the breast tissue of a part of people is more sensitive to estrogen, the epithelial and fibrous tissues of the breast will undergo different degrees of hyperplasia due to the stimulation of estrogen. 4, genetic inheritance: in the first generation relatives (mother, sisters, etc.), if there is multiple breast fibroid disease, this family may be a high-risk group for the development of the disease. Now it is found that if the patient’s blood or tissues contain BRCA-1 genes, and at the same time, if the BRCA-1 genes can be detected in her children, her children are in the state of high risk, but it does not mean that this disease However, this does not mean that the disease is hereditary. Principle of treatment of multiple breast fibroadenomas: because multiple breast fibroadenomas can be close to each other and merge with each other, and can also be scattered in one side or both sides of multiple parts, so it is difficult to remove all of them surgically. Therefore, for those multiple adenomas which are not too large in size, such as less than 25px, clinical observation or oral treatment with traditional Chinese medicine can be given; for those adenomas which are larger in size, more than 25px, their resection can be considered, and if there are fibroadenomas smaller than 25px in the vicinity can also be resected, and those who are farther away and with smaller adenomas can continue to observe them. Surgery for multiple breast fibroadenomas: Surgery is the only cure, although breast fibroadenomas are benign, there is a possibility of malignant transformation, so once found, they should be surgically removed. Surgery can be performed under local anesthesia. It is divided into open surgery and minimally invasive rotary excision surgery. Girls who love beauty can choose minimally invasive surgery, and the scar is almost completely invisible after surgery. In fact, at present, the clinical application of more is the arc-shaped small incision cosmetic surgery next to the areola, after the operation is almost a faint line shape, even can not see the scar. It will definitely not affect your ability to wear a beautiful bikini. After revealing the tumor, it is excised in its entirety along with its envelope. The excised mass must be routinely examined pathologically to exclude the possibility of malignant lesions. Fifth, multiple breast fibroadenomas recurrence after surgical excision: most fibroadenomas are not easy to recur after complete excision, young patients may occur in other parts or collar near the original surgical area of a new lesion. To explain, let’s think of the breast as a field, and the fibroadenoma is a weed. Our surgery only removes one or more weeds, but as long as the field is still there, there is still a chance that new weeds may grow in other areas. Another reason some people won’t have surgery is that they say they are more likely to recur after removal, which is complete nonsense. There is absolutely no relationship between the regrowth of lumps in the rest of the area and whether or not you remove the lumps you already have. Therefore, if you need surgery, don’t hesitate to find an experienced specialist for regular surgery, and don’t worry about recurrence after surgery. Six, multiple breast fibroids prevention First, keep a good posture of chest and abdomen at all times. Women’s back is closely related to breast health. When walking, keep your back straight and your breasts naturally lifted, and when sitting or standing, you should also lift your chest. Second, eat less barbecue food and fried food. Whether it is to prevent or treat breast disease, you can choose the following foods: crab, crab meat can clear heat and blood, bone marrow, nourish liver yin, stomach fluid, nourish tendons and blood, crab shells and claws can also break the blood to eliminate the accumulation of treatment of breast pain and hard lumps; seaweed foods, such as seaweed, seaweed, wakame and so on, can effectively regulate the acid-base balance in the body; cauliflower, cabbage, cabbage, and other cruciferous vegetables have a very good prevention of tumors; soybeans and their products; soybean and their products, and so on, to prevent breast cancer. effect; soybean and its products, yogurt products and so on. In addition, fish protein, vitamin A, vitamin D, etc. also have to protect the mammary glands, the role of preventing breast cancer. Thirdly, wear less corsets or tight clothes and use bras reasonably. The right type of bra is very important to breast health, and it is best to use soft, breathable and absorbent cotton bras. Usually pay attention to bra cleaning, sleep must remove the bra. Fourth, be careful with breast enhancement products. Moderate consumption of fish, meat and dairy products in daily life can increase a small amount of fat and keep the breasts plump. Fifth, avoid stimulating the breasts with hot water when bathing, not to mention not soaking in hot water for a long time, and the temperature of the water in bathing should be about 27℃. Regular sex life can promote the blood circulation of breasts, sex hormone secretion increase, is conducive to the health of female breasts. Sixth, maintain a moderate amount of exercise. Exercise not only helps breast health, but also reduces the incidence of breast disease. Doing four hours of exercise a week will reduce the chance of getting breast cancer by 60% compared to not doing exercise. Seventh, must do breast self-examination every month, must do professional examination every year. Seven to 10 days after each menstrual period is the best time for women to do self-examination. If you find that your breasts have lumps, localized breast or nipple indentation, or enlarged lymph nodes in the armpit, you must consult a doctor in time. During the annual physical examination, women-specific examination, breast ultrasound, mammography and gynecological examination should be done, which can timely detect the early foci of breast diseases. Eighth, keep your mood happy and relaxed, and ensure sufficient sleep. Chinese medicine believes that music has the effect of promoting blood circulation, invigorating the spirit and preventing breast diseases. Warm tips: Suffering from breast fibroids is not terrible, but do not be careless, to develop a regular hospital checkup habit. Do relax your mind, don’t carry the burden of thought for this. If surgical removal is needed, early surgery is recommended.