First of all, let’s clarify the concept that most tumors in the breast are “fibroadenomas”, which some patients refer to as “fibroids”, and strangely enough, so do some doctors. In fact, they should be called “fibroadenomas”. This is because there are two components in this type of tumor, a “fibrous component” and a “glandular cell component”. It is obviously wrong to call it a “fibroadenoma”. What causes fibroadenomas? Patients with multiple fibroadenomas are often seen in outpatient clinics. These patients are mostly young women aged 20-30 years old, some of whom have had surgery to remove one to several lumps, but after a few months to a few years, a number of lumps are found to have appeared again. Patients are often confused and ask me, “Why do I keep getting lumps? My diet is already very light!” It should be noted that there is a relationship between diet and the growth of fibroadenomas; however, diet is not the underlying factor in the growth of fibroadenomas. Sisters who grew up in the same living environment often have one of them grow breast fibroadenomas repeatedly, while the other has only some breast enlargement and never grows fibroadenomas. Therefore, the emergence of fibroadenomas must be determined by internal factors, that is, “estrogen”. According to the available information, estrogen promotes the growth of fibroadenomas. Estrogen is like the food of fibroadenoma, the more this kind of “food” is eaten, the faster the fibroadenoma will grow; of course, there are quite a part of patients with multiple fibroadenomas whose estrogen level is found to be completely normal in the blood test, which is generally caused by more estrogen receptors of tumor cells. This situation results in the tumor utilizing estrogen at a higher rate than others. It is just like obese people eat very little still keep growing meat, thin people big fish and meat still slim figure. So where do these tumors come from? I’m afraid that it should be attributed to somatic factors, that is to say, your genes determine that you are prone to this kind of tumor. These patients have many tumor “seeds” in their bodies, and when the time is ripe, they will take root, germinate and grow. This time is stimulated by estrogen. How to avoid tumor growth? Endogenous estrogen should not be interfered with, but exogenous estrogen can be reduced. Try not to choose oral contraceptive pills. Don’t have repeated abortions. Repeated abortions not only destroy the reproductive function of women, but also are one of the factors for the development of benign and malignant diseases of the breast. 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. Here mainly refers to royal jelly, pollen, placenta, animal ovaries and so on, some claim to have whitening and delicate skin cosmetics may also contain estrogen, choose to be careful. 4, daily life, as little as possible to eat animal fats, vegetable oil intake should also be moderate, because the oil into the body will become the raw material for the manufacture of estrogen. 5, some artificial breeding of plants and animals, the cultivation process will put more hormone-like additives, these plants and animals are consumed by people, there is no degradation of the additives continue to play an estrogen-like role in the human body. Back to the previous question, “Why do I keep getting 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 even worse than it is now, so please continue to live the way you have been living. Surgery is the only treatment for fibroadenomas So far, surgery is the only way to treat fibroadenomas, and relying on methods such as massage, physical therapy, topical applications, and Chinese herbs is ineffective. Surgery will definitely bring about scarring, the key is whether this scarring is acceptable. Does multiple fibroadenomas mean “holes in the breast”? Surgeons are not supposed to be crude, they are supposed to be aesthetically pleasing, and they are supposed to “cut gently and remove the tumor”. Multiple fibroadenomas can also be treated without a scar, or with a faint scar after surgery. Generally, the following ways are used to achieve the above purpose. 1.Patients with multiple lumps, and the lumps are all relatively large. Choose preoperative ultrasound localization, general anesthesia during the operation, the use of areola incision to remove all the lumps. 2.Multiple lumps, some of the lumps are large and palpable, some are small and not palpable. Select areola incision to remove all large lumps, and then use minimally invasive rotary incision along the areola incision to remove small lumps. 3.Patients with multiple lumps, which are difficult to reach. Select the minimally invasive rotary excision method to remove the lumps. 4.Some patients have too many lumps, so they will use the method of two operations to deal with them. Firstly, the lump on one side of the breast will be removed cleanly, 1 month later, when the wound is completely well, then the tumor on the other side will be removed.