Breast Fibroid Surgery “Today” and “Yesterday”

Breast fibroids are not new to women because of their common and frequent occurrence. Although the cause of its development is not well understood, it is widely believed to be related to active hormone levels. Simply understood, it is a tumor that forms as a result of structural disorder and overgrowth of local tissues in the breast under the effect of higher estrogen levels. Therefore, fibroadenoma of the breast can be seen at all ages after menarche and before menopause, but most commonly in adolescence and in young women of childbearing age, when hormonal changes are more intense. We will not go into the causes, mechanisms, clinical symptoms and investigations of fibroadenoma of the breast, but we will focus on its surgical treatment. However, before that, it should be mentioned that breast fibroids do not require surgery as soon as they are detected, but the timing of surgery can be more flexible. The timing of surgery can be more flexible. If the imaging suggests BI-RADS grade 3 and the lump is less than 2 cm in diameter, surgery can be suspended and regular follow-up can be performed. If the size of the mass does not change significantly and the nature of the mass is stable during the follow-up, observation can be continued without surgery. If the mass is larger, or grows more rapidly, or continues to increase in size, surgical removal is recommended. The choice of traditional surgical incision for “xie” —- benign tumor The characteristics of this kind of incision are: where the mass is, the incision is chosen; there are several masses and several incisions. Its disadvantage is that it is not hidden and unattractive, which is difficult to accept for young beauty-loving women in today’s society. So, for mammologists, how to do both remove the lump and take into account the aesthetics? “Today” —- Choice of concealed surgical incisions for benign tumors Nowadays, surgical incisions for benign breast tumors can be decided according to the location, size and number of lumps, taking into account the aesthetics, commonly used are curved incisions along the edge of the areola, curved incisions at the lower edge of the breast and so on. The advantages are: it can be done under local anesthesia, the incision is concealed and beautiful, and the cost is small. Secondly, ultrasound-guided minimally invasive rotational excision (McMurdo) is also a very effective method of excision, with a small incision, usually without stitches, and can be done aesthetically, but the cost is relatively high and is not yet included in the basic health insurance in most cities.