First, to clarify one concept, most tumors in the breast are “fibroadenomas”, which some patients refer to as “fibroids” and, strangely enough, some doctors do too. In fact, it should be called “fibroadenoma”. This is because there are two components in this tumor, one is the “fiber component” and the other is the “glandular cell component”. It is obviously not right to call it “fibroadenoma”. What is the cause of fibroadenoma? Patients with multiple fibroadenomas are often encountered in outpatient clinics. Most of these patients are young women between the ages of 20 and 30. Some of them have had surgery to remove one to several lumps, but after several months to years, several more lumps are found. Patients often ask me in confusion, “Why do I keep growing lumps? I’m already on a very light diet!” It should be said that there is a relationship between diet and the growth of fibroadenoma, but diet is not the underlying factor in the growth of fibroadenoma. Sisters who grew up in the same living environment often have fibroadenomas in one of them repeatedly, while the other one just has some breast enlargement and never has fibroadenomas. Therefore, the appearance of fibroadenoma must be determined by internal factors, that is, “estrogen”. According to the available information, estrogen can promote the growth of fibroadenoma. Estrogen is like food for fibroadenoma, the more this “food” is eaten, the faster the fibroadenoma will grow; of course, there are quite a few patients with multiple fibroadenoma whose blood test found that the estrogen level is completely normal, this part of the population is generally caused by more estrogen receptors in the tumor cells. This condition causes the tumor to utilize estrogen more than others. It is just like obese people who eat very little but still keep growing meat, while thin people who eat a lot of fish and meat still have a slim figure. So where do these tumors originate from? I am afraid it should be attributed to physical factors, that is, your genes determine your susceptibility to such tumors. These patients have many tumor “seeds” in their bodies, and when the time is right, they will take root, germinate and grow. When the time is right, they will take root, sprout and grow. This time is the stimulation of “estrogen”. How to avoid the growth of tumor Endogenous estrogen should not be interfered with, but exogenous estrogen can be reduced. Do not choose oral contraceptives as much as possible. Do not have repeated abortions. Multiple abortions not only destroy women’s reproductive function, but also are a factor in the development of benign and malignant breast diseases. 3, try not to use those supplements, health products, cosmetics that may contain estrogen, whether internal or external, should be avoided as much as possible. Some cosmetics claiming to have whitening and skin refinement effects may also contain estrogen, so be careful when choosing them. 4. In daily life, try to eat less animal fat and vegetable oil in moderation, because oil and grease can become raw materials for estrogen production in the body. 5. Some artificially raised plants and animals have more hormone-like additives in the cultivation process, and after these plants and animals are consumed, the additives that are not degraded will continue to play estrogenic roles in the human body. Back to the previous question, “Why do I keep growing lumps? My diet is already very light”. All I can say is that if you eat a lot of meat and fish, the problem will be worse than it is now, so please continue with your old lifestyle. Third, surgery is the only way to treat fibroadenoma So far, surgery is the only treatment, relying on massage, physiotherapy, external application and herbal medicine is ineffective. Surgery will definitely bring scarring, and the key is whether this scarring is acceptable. As you can see from the picture above, no matter what incision is chosen, as long as the incision is made on the “white flesh” outside the areola, the scar is very obvious. Not to mention the girl, if this kind of scar is put on me, as a male, I can hardly accept it. Fourth, multiple fibroadenoma means that the breast “a thousand holes”? If you look at the previous pictures, you may be scared off a lot of patients. How can you find someone with this kind of appearance? Surgeons should not be rough, they should have an aesthetic eye, they should “make a gentle cut and the tumor will disappear”. Multiple fibroadenoma can also be done without a scar after surgery, or a faint scar after surgery. We usually achieve the above purpose through the following ways. 1. Patients with multiple lumps and all the lumps are relatively large. Pre-operative ultrasound localization, intraoperative general anesthesia, and areolar incision to remove all the masses are the preferred methods. 2. Patients with multiple lumps, some of which are large and palpable, and some of which are small and not palpable. The areolar incision is used to remove all the large masses, and then the small masses are removed along the areolar incision using a minimally invasive rotary incision. 3. Patients with multiple lumps and lumps that are difficult to reach. Minimally invasive rotational incision is used to remove the masses. 4. Some patients have too many lumps and will be treated in 2 separate surgeries. The lump will be removed from one side of the breast first, and then 1 month later, when the wound is completely healed, the tumor on the other side will be removed. The scar after the surgery is actually more beautiful.