Puberty fibroadenoma should not be "everything." puberty fibroadenoma is a unilateral, single, painless mass that appears at the beginning of puberty or shortly after puberty. Patients can often see a doctor because of unilateral breast enlargement or asymmetric breast.
Clinically, the diagnosis of adolescent fibroadenoma is not difficult. The triple evaluation of history, physical examination, ultrasound and pathology is the gold standard. The sonographic features of fibroadenoma are oval or lobulated mass with capsule, smooth margin, homogeneous hypoechoic interior, no obvious posterior echo attenuation, etc.
Once breast fibroma appears, conservative treatment can not be completely cured, the most effective way is surgery.
Incidence rate of breast malignancy is very little in women less than 20 years old, with a morbidity rate less than 0.1% / 100 thousand, accounting for less than 0.1% of all breast cancers. However, the recurrence or recurrence of primary breast tumor in the same side or near the same side or the opposite side may occur after the removal of fibroadenoma in puberty. Repeated surgical incision has an impact on the cosmetic effect of puberty women's breast.
Clinical study also found that 10% - 40% of adolescent fibroadenomas may completely disappear due to calcification infarction or hyaline degeneration. In addition, the treatment of progesterone in some adolescent fibroadenoma patients can also achieve better results.
Therefore, for puberty fibroadenoma less than 5cm, we can communicate with doctors and go back to hospital every 3-4 months for close follow-up, including regular physical examination and ultrasound examination.
However, if the tumor diameter has exceeded 5cm, or the tumor has grown rapidly in the past year and a half, it may be malignant from the point of view of symptoms or signs, especially if the histopathology is complex fibroadenoma, surgical treatment may be considered.
In short, the choice of adolescent breast fibroma observation or surgery, should be based on different conditions, do not need to rush "everything.".
In addition, adolescent fibroadenoma patients should reduce the intake of high protein, high estrogen food in their diet, and be careful with drugs and health care products containing estrogen. Usually also learn to self breast examination, monitoring the size of breast tumor changes, even after the removal of breast fibroma do not take it lightly.