Treatment of breast fibroma

Breast fibroma is a common benign tumor with less malignant transformation and slow development, which does not affect life and work. You can closely observe and follow up regularly. If fibroma appears, surgical resection should be taken to prevent further malignant transformation.

First, medication.

This disease generally does not require medical treatment.

Second, surgical treatment.

Surgical resection is the only effective method to treat breast fibroma. Because pregnancy will increase fibromas, fibromas found before or after pregnancy are generally surgically removed. The tumor should be removed as a whole with its capsule, and a small amount of normal breast tissue should be wrapped around it. Routine pathological examination of the tumor is necessary. There are two commonly used fibroma resection operations: traditional surgery and minimally invasive surgery, which include ultrasound-guided minimally invasive rotation and ablation.

1, traditional surgery:

(1) Incision fibroadenoma resection: An arc incision should be made in areola under local anesthesia or general anesthesia, which is suitable for patients with fibroadenoma within 3cm from nipple. Or make a small incision on the skin surface near the fibroadenoma to completely remove the fibroadenoma.

(2) Traditional surgery is suitable for patients with large fibroadenoma. When patients have temperature rise or menstrual cramps unrelated to the disease, they should consider postponing the surgery.

2. Minimally invasive rotary surgery: Minimally invasive rotary surgery is suitable for resection of fibroadenoma with a size less than 3cm. The operation needs to be performed under local anesthesia. The doctor made an incision about 5 mm long on the surface of the breast. Under the guidance of ultrasound, the rotary knife was inserted under the fibroadenoma, and it was completely taken out by negative pressure suction. After resection, the surgical site was compressed to stop bleeding. After the complete resection is confirmed by ultrasound, the local tissue is pressurized and bandaged. 72 hours after operation, the pressure bandage was removed and the dressing was changed.

3. Microwave radiofrequency ablation: Under the guidance of ultrasound, microwave radiofrequency ablation needs to locate fibroadenoma first, then puncture the lesion with an ablation needle, and use microwave to heat up the surrounding tissues in a short time to make fibroadenoma cells necrotic, thus achieving therapeutic effect. Microwave radiofrequency ablation is not suitable for patients with menstrual period, pregnancy and lactation, abnormal coagulation function, severe diabetes and breast augmentation.