What is breast fibroadenoma? Breast fibroadenoma is a mixed tumor consisting of fibrous tissue and glandular epithelium that occurs in the lobules of the breast, and is the most common benign tumor of the breast. It is the most common benign tumor of the breast. It often occurs in women of any age after puberty, and is most common in 20-30 years old. It is generally believed that its occurrence is related to the relatively high level of estrogen in the body. Risks] The main manifestation is breast lumps, mostly found unintentionally by patients, usually not accompanied by pain, and the size of the lumps does not change with the menstrual cycle. The size of the lump does not change with the menstrual cycle. In some cases, breast fibroadenoma can co-exist with breast hyperplasia, and then there can be breast pain before and after menstruation. Breast fibroadenoma occurs in the upper outer quadrant of the breast and is often solitary, but there are also multiple cases. The adenomas are round or ovoid in shape, with a diameter of 1~3cm, and occasionally seen to be huge. The surface is smooth, the texture is tough, the boundary is clear, there is no adhesion with the skin and the surrounding tissues, the activity is large, and there is a sense of sliding. Axillary lymph nodes are not enlarged. Color ultrasound examination suggests that: the boundary of the mass is clear, most of them are transverse oval type, and there is no obvious blood supply in the mass. The mass usually grows slowly, can be several years without change, but in pregnancy and lactation can be rapidly enlarged, individual can occur at this time sarcoma (malignant). When surgery is needed】 1. For unmarried women with a clear diagnosis, elective surgery can be considered, and pre-pregnancy resection is recommended. 2.If the adenoma newly appeared during pregnancy and lactation, the growth of the mass should be observed firstly, and those with rapid growth of the mass should be operated as early as possible; 3.If the adenoma is found for women over 35 years old, especially for post-menopausal women, the adenoma should be operated immediately, and intraoperative pathological section examination should be done to check the malignant tumor; for the cases that recur in the original place after the operation, the malignant transformation of adenomas should be guarded against, and each recurrence will increase the number of malignant tumors in the body. Every recurrence increases the possibility of malignancy. Therefore, in principle, surgery should still be performed, and some of the surrounding glands should be slightly enlarged and removed during surgery. Patients with hyperplasia can be treated with Chinese and western medicines after surgery. The most effective treatment for breast fibroadenoma is surgical excision. 1, Surgery: traditional open excision: Advantages: lower cost, suitable for patients with palpable lumps (especially larger lumps), shallow location. Disadvantages: 1. This type of surgery will leave scars on the breast, affecting aesthetics, for multiple masses in multiple quadrants of the breast or the mass is too small to be able to touch can not be completely removed; 2. young female patients who are not breastfeeding may lead to damage to the milk ducts, affecting breastfeeding. ② vacuum negative pressure rotary excision surgery (McMurtry): is in the armpit, around the breast or areola and other hidden places poke holes (about 3mm), in the ultrasound or molybdenum target guided application of rotary excision knife will be rotary excision of the swelling out of the pain, leaving only a 3mm or so size of the mark after the operation, recovery is fast, do not need to be hospitalized, no need to remove the stitches. Moreover, multiple tumors can be removed at the same time through a single incision, and patients with multiple tumors or tiny tumors that cannot be touched clinically are especially suitable for this surgery. The technical advantage of minimally invasive rotary excision is also reflected in the fact that biopsy and pathological examination can be carried out under the positioning of color ultrasound for lumps of unknown nature, and tumors as small as 3mm can be accurately resected, which is undoubtedly a very good method for the early diagnosis and treatment of breast cancer. Summarize the advantages: less incision, small, beautiful; no need to remove the stitches; can remove the small lesions that can be seen by color ultrasound, which is conducive to the diagnosis of early cancer. Disadvantages: Higher price 【Health Education】 1. After surgery, bandage and pressure dressing are needed, during this period and within one month after surgery, do not do rapid chest expansion, lifting heavy objects, driving and other upper limb weight-bearing, shoulder joint abduction movement, do not unauthorized release of bandage, so as to avoid the formation of hematoma. Half a month after the operation, you can do appropriate massage and physical therapy of the surgical site. 2.Emphasize that balanced diet is the best way for breast fibroid patients to maintain normal weight after surgery. Diet should be balanced, diversified, no partiality, no avoidance of food, meat and vegetarian, coarse and fine. Steaming, boiling and stewing should be used in cooking, and fried food should be minimized. 3.After breast fibroid surgery, it should be reasonable to avoid food: don’t consume royal jelly, honey, sheep’s fetus, placenta preparation for a long time. 4.Because patients with benign breast tumors have an increased risk of breast cancer. Therefore, it is recommended to learn breast self-examination (once a month) after surgery and to have 1-2 times of specialist examination of breast every year.