- Fibroadenoma - is able to develop into cancer
- Kinds
Fibroadenoma - a benign tumor of the breast, which in most cases is a single node. It consists of the glandular and connective tissues. Fibroadenoma most often occurs in young women under the age of thirty years. The dimensions of this education usually do not exceed three centimeters, but there are huge tumor.
Causes
The exact cause of the formation of fibroadenoma is not known but it is believed that it occurs on a background of hormonal imbalance. A benign tumor often begins in adolescence or during menopause, when a woman's body is undergoing significant changes in hormonal status.
Estrogen causes increased proliferation of the glandular tissue. The level of these hormones is highest at puberty
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during premenopause and menopause are also sometimes leads to a fibroadenoma.
Signs
In most cases, women find themselves fibroadenoma. This benign has a rounded shape, smooth surface, clear contours and elastic consistency. When the feeling fibroadenoma is painless. Due to the fact that it does not grow together with the surrounding tissues, the tumor is mobile and not soldered to the skin.
More often than fibroadenoma occurs as a single node, but sometimes there are multiple entities that can be felt in both breasts. In some cases, the tumor can be increased in size very rapidly (in two or three months). This is due to severe hormonal changes in a woman's body. For example, during pregnancy there is a rapid growth of fibroadenomas. This tumor is almost never degenerates into cancer.
Leaf-fibroadenoma
Leaf-tumor (fibroadenoma filloidnaya) - a type of benign breast tumors. The name of the fibroadenoma was due to the layered structure on the cut. Leaf-tumor separated from the surrounding tissue, but does not have a capsule. Often it is adherent to the skin and has a tendency to rapid growth. It is also possible biphasic type of growth: in the first phase of the tumor slowly growing in size, and in the second period begins the sudden rapid growth.
In one out of ten cases, the leaf is degenerating fibroadenoma in sarcoma - a malignant tumor of the connective tissue. This type of fibroadenoma occurs in all age groups, but most such tumors detected during two time periods: from eleven to twenty years and forty to fifty years. These periods are most hormonally active.
When needle biopsy revealed abnormal cells. Outwardly, they differ from normal cells, but not yet considered malignant.
Diagnostics
If you find a node in breast woman should seek emergency mammologu. He will survey and inspection of the patient, prescribe the necessary research that will help identify the fibroadenoma.
Generally, the following studies:
- Mammography - X-rays of the breast. On a mammogram rounded shadow visible tumor with clear margins.
- Ultrasonography - more informative method of diagnosis of breast diseases. With it you can identify cysts and distinguish them from fibroadenomas.
- Puncture biopsy of the breast - this research is needed to determine the cellular composition of tumors and to diagnose breast cancer
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. The pathological formation of needle is inserted, and a syringe with a small amount of tissue is sucked. Then, the resulting material is processed by a special dye and examined under a microscope. The results of this study to find out the nature of the tumor (benign or malignant).
- Histological examination. It is carried out after removal of an abnormal formation of the breast. The final diagnosis is made only on the basis of this method. When fibroadenoma revealed an increased proliferation of epithelial cells, which does not represent a risk in terms of degeneration into a malignant tumor.
Treatment
If the size of the fibroadenoma does not exceed one centimeter, it is possible to dynamically monitor the status of the tumor. It includes periodic ultrasound and mammography. In other cases, the main treatment of this disease is surgery.
Indications for surgery:
- Suspected breast cancer (according to ultrasound, mammography, studies the cellular composition of the tumor or specialist examination);
- Suspected filloidnuyu tumor;
- Rapid growth in the mammary gland assembly;
- Large tumor size (more than five centimeters) and the related cosmetic defect;
- Planned pregnancy.
There are two types of operations that are carried out in the presence of fibroadenomas:
- Enucleation of the tumor. This type of surgical intervention in selected cases where there is no suspicion of breast cancer. This involves husking fibroadenoma of the breast tissue through a small incision. Cosmetic defect from such an operation is absent or minimal.
- Sectoral resection - removal of the tumor and surrounding tissue (usually at a distance of up to three centimeters from the edges of the site). This operation is selected when there is suspicion of a malignant process. Cosmetic defects in this situation may be affected.
During the operation, carried out an urgent histological examination of tumors. This is necessary in order to prevent prostate cancer or sarcoma.
Such surgeries are easily carried by women, and almost no postoperative pain and discomfort. Sutures are removed after about nine days after surgery.
After some time in the breast can form new fibroadenomas, but it happens very rarely. Surgical treatment helps to eliminate both from any tumors, but has no effect on the cause.