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show full textBenign tumors in the mammary glands are a fairly common problem of women's health, there are more than 50 of their forms. Fibroadenomatosis is one of them, represented by an abnormal growth (proliferation) of the connective tissue of the breast.
Women's breasts are often affected by benign tumors due to the fact that the tissues of the mammary glands undergo regular cyclic changes (synchronously with the cycle of menstruation, during lactation, etc.). Violations of this process of changes occurring under the control of hormones, leads to the development of tumors. Changes leading to the development of fibroadenomatosis may occur:
in stressful situations;
in case of gynecological diseases (endometriosis, polycystic ovary syndrome, fibroids, etc.);
in case of endocrine pathologies (hypothyroidism, diabetes, metabolic syndrome, Itsenko-Cushing syndrome, pituitary or hypothalamus lesions);
in case of diseases of the hepatobiliary system (gallbladder, bile ducts and liver);
under the influence of genetic factors.
There are several classifications, which are based on the results of gynecological or radiological studies, as well as on possible clinical manifestations, but a single view of this problem has not yet been developed. In general, fibroadenomatosis can be divided into two forms: diffuse and nodular.
Diffuse fibroadenomatosis is characterized by an even growth of connective tissue, in which a woman is disturbed by:
increased sensitivity, soreness, feeling of heaviness in the chest;
the appearance of seals and breast swelling, passing by the end of menstruation;
discharges from the nipples (transparent, light, milky, dark green and even brownish).
In some cases unpleasant sensations disturb a woman before the beginning of menstruation and in its first days, sometimes it happens constantly, and in some cases fibroadenomatosis develops without obvious symptoms. That is why even in the absence of these symptoms, it is important to undergo a preventive examination by a breast physician.
If at this stage the woman does not turn to the breast physician for help, the transformation of the diffuse form of the disease to the nodular one is possible. Immobile seals without clear boundaries can be felt in the chest (unlike cysts and fibroadenomas, which have clearly defined boundaries). Nodular fibroadenomatosis can be considered as a precancerous condition.
Neoplasms in nodular fibroadenomatosis are arranged in groups, usually affecting a segment or quadrant of the breast. In the diffuse form of the disease, the right breast is more often affected. In addition fibroadenomatosis may be accompanied by the development of breast cysts.
The patient’s examination begins with the analysis of disturbing her complaints, check-up and palpation of mammary glands. Palpation is most informative in the first half of the monthly cycle and is carried out in the vertical and horizontal position of the patient. The existence of tumors is confirmed by ultrasound of the mammary glands. Their biopsy is also carried out under the control of ultrasound and plays the role of an additional diagnostic tool.
Diffuse form of fibroadenomatosis is usually treated with conservative methods - by using drugs that stabilize the endocrine profile, anti-inflammatory drugs and vitamins. For elimination of the root causes of the problem advice and treatment from related specialists (endocrinologist and gynecologist) may be needed.
The nodular form requires surgical treatment and several methods can be used here. Their choice depends on the severity of the process and the presence of concomitant tumors (cysts and fibroadenomas). Large cysts are exfoliated (enucleation), sectoral resection or quadrantectomy can be carried out during which the affected part of the gland is removed. The removed tissues are sent to the laboratory to exclude the development of malignant processes.
Treatment of fibroadenomatosis in Breast Care Department of the "Oxford Medical" clinic is always aimed not only at eliminating the disease, but also at preserving the mammary glands in the maximum volume.
department: Breast care
department: Breast care
department: Breast care
department: Breast care
department: Breast care
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