What exactly is this tumor called?
First of all, to clarify one concept, most of the tumors in the breast are “fibroadenoma”, some patients would say it is “fibroid”, and strangely enough, some doctors would say the same thing. 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 correct to call it “fibroadenoma”.
What is the cause of fibroadenoma?
Patients with multiple fibroadenomas are often seen in outpatient clinics. Most of these patients are young women in their 20s and 30s. Some of them have had surgery to remove one to several lumps, but after a few months to years, several more lumps appear. 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 one of them repeatedly develop breast fibroadenoma while the other one just has some breast enlargement and never has fibroadenoma. 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, a considerable number of patients with multiple fibroadenoma have their blood tests found to have completely normal estrogen levels, which is usually caused by more estrogen receptors in the tumor cells. This condition causes the tumor to have higher utilization of estrogen 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 tumor growth
We should not interfere with the endogenous estrogen, but we can reduce the intake of exogenous estrogen.
1. Try not to choose oral contraceptive pills for birth control. Oral contraceptives generally contain more or less estrogen and progestin.
2, do not repeatedly abort. Multiple abortions not only destroy women’s reproductive function, but are also a factor in the development of benign and malignant breast diseases.
3, try not to use those supplements, health products and cosmetics that may contain estrogen, whether they are for internal or external use, should be avoided. Some cosmetics that claim to have whitening and skin refining 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. 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 fish and meat, the problem will be worse than it is now, so please continue with your old lifestyle.
Surgery is the only way to treat fibroadenoma
So far, surgery is the only treatment for fibroadenoma, and relying on massage, physical therapy, topical application, and herbal medicine is not effective. 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 obvious. I would not be able to accept this kind of scarring on me as a male, not to mention the girl.
Does multiple fibroadenoma mean “a lot of holes” in the breast?
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 or a faint scar after surgery.
We generally achieve the above purpose through the following ways.
1. Patients with multiple lumps and all of them are relatively large. Pre-operative ultrasound localization, intraoperative general anesthesia, and areolar incision to remove all lumps are chosen.
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 rotational incision method.
3.Patients with multiple lumps and lumps that are difficult to reach. Minimally invasive rotary incision is used to remove the masses.
4.Some patients have too many lumps and will be treated with 2 separate surgeries. The lump on one side of the breast will be removed first, and then 1 month later, when the wound is completely healed, the tumor on the other side will be removed.