Smooth, firm, spherical mass in the breast
Introduction
Introduction A smooth and tough spherical mass in the breast is one of the characteristics of breast fibroma. Slow growth, the mass is spherical or oval, the surface is smooth, the texture is tough, the boundary is clear, and the touch is slippery. Common in 20 to 25 years old young women, mostly single, slow growth, no symptoms, often inadvertently found in the breast spherical mass.
Cause
Cause
The occurrence of this disease is related to the excessive stimulation of estrogen, so it is more common in women with sexual function during the 20 to 25 years of age. During pregnancy and lactation or premenopausal, due to the massive secretion of estrogen, tumors can grow rapidly; animal experiments have also confirmed that a large number of estrogen can induce tumor formation.
Examine
an examination
Related inspection
Chest B ultra-molybdenum target X-ray examination blood routine
Since the mammary gland is an organ located on the body surface, the diagnosis of fibroadenomas that occur in the breast is relatively easy.
The diagnosis of breast fibroadenomas is based on:
(1) The disease occurs in adolescent women and is most common in 18 to 25 years old.
(2) Tumors often occur on one side of the breast, often single, and the upper quadrant of the breast is more common. The mass is usually round or oval, the size is different, the texture is hard, the surface is smooth, the boundary is clear, the activity is large, it does not adhere to the surrounding tissue, and there is no pain or tenderness. Slow growth, no pus ulceration. Not related to the menstrual cycle.
(3) X-ray film of mammography and other imaging examinations can help diagnose. If necessary, a needle aspiration cytology or biopsy can be performed to confirm the diagnosis.
It should also be noted that if a woman over 35 years old, especially a woman after menopause, has a breast lumps, even if the lumps of the breast are very similar to those of breast fibroadenomas, it is not easy to diagnose this. The diagnosis of fibroid adenoma may be followed by surgery, and surgical treatment should be preferred.
Diagnosis
Differential diagnosis
Differential diagnosis of smooth and tough spherical masses in the breast:
1, the areola can be seen in the deep part of the areola: the deep part of the areola can be seen and the mass is one of the symptoms of Parker's disease. The nipple has persistent redness, unclear secretions, and hard peeling that causes itching and burning. At the beginning of the disease, the nipple is itchy or itchy, burning, and then the nipple and areola skin are red, and there are yellow-brown scaly-like suede. The skin of the suede is mildly erosive and shows chronic eczema. There are wounds on the nipple that cannot heal. The diseased skin is hard and the boundary is clear. With the development of the disease, the nipple may be invaginated and damaged, and the deep part of the areola may be swollen and swollen.
2. Hard lump with no pain in the breast: The hard mass of painless single hair in the breast is the clinical feature of breast fibroadenoma. Breast fibroadenomas are formed by the simultaneous proliferation of fibrous tissue and glandular epithelium in the lobular lobes of the breast. They are the most common benign tumors of the breast, which occur mostly in young women and are characterized by painless masses in the breast, usually single-shot. More common in the upper quadrant of the breast. The mass is mostly round, the surface is smooth, the boundary with the surrounding tissue is clear, the activity is non-adhesive, and the disease is less likely to be malignant, about 1%. Breast tuberculosis is more common in middle-aged women, and there are few systemic symptoms of tuberculosis. The main manifestations are breast lumps. The course of the disease is slow. Most of the cases are isolated nodules. Afterwards, several masses are formed. The tenderness is not obvious. After a few months. The mass softens and forms a cold abscess. After the ulceration, ulcers and long-lasting unexpected discharges may occur, and there is a thin pus of bean dregs, and the ipsilateral axillary lymph nodes are often swollen.
Since the mammary gland is an organ located on the body surface, the diagnosis of fibroadenomas that occur in the breast is relatively easy.
The diagnosis of breast fibroadenomas is based on:
(1) The disease occurs in adolescent women and is most common in 18 to 25 years old.
(2) Tumors often occur on one side of the breast, often single, and the upper quadrant of the breast is more common. The mass is usually round or oval, the size is different, the texture is hard, the surface is smooth, the boundary is clear, the activity is large, it does not adhere to the surrounding tissue, and there is no pain or tenderness. Slow growth, no pus ulceration. Not related to the menstrual cycle.
(3) X-ray film of mammography and other imaging examinations can help diagnose. If necessary, a needle aspiration cytology or biopsy can be performed to confirm the diagnosis.
It should also be noted that if a woman over 35 years old, especially a woman after menopause, has a breast lumps, even if the lumps of the breast are very similar to those of breast fibroadenomas, it is not easy to diagnose this. The diagnosis of fibroid adenoma may be followed by surgery, and surgical treatment should be preferred.
