Fibroadenoma

Fibroadenoma – the organospetsifichesky benign tumor of a mammary gland consisting of fibrous and ferruterous fabric. Fibroadenomas Фиброаденома – органоспецифическая доброкачественная опухоль молочной железы are the most widespread tumors of mammary glands at women of teenage age, sometimes occur at women during the period after a menopause.

The fibroadenoma of a mammary gland is the benign tumor consisting of two elements: epithelium and stroma. Depending on proportions and a ratio between these two components, there are two histologic types – an intrakanalikulyarny and perikanalikulyarny fibroadenoma. Most often the mixed tumor type meets.

Signs and symptoms of a fibroadenoma

Typical signs and symptoms of a fibroadenoma is existence of the painless, firm, single, mobile, slowly growing education in a breast of women of childbearing age. The tumor round or ovoid, elastic, nodal also has a smooth surface.

About ninety percent of the met fibroadenomas is less than three cm in the diameter, and ten percent which in the majority remained – four cm and more, appear generally at women up to twenty years.

Fibroepitelialny tumors occur at men very seldom and are generally connected with treatment by anti-androgens.

Diagnosing of a fibroadenoma

Fibroadenomas are usually diagnosed by means of clinical and ultrasonic inspection, and also by means of a palpation of a mammary gland and mammography. When diagnosing a fibroadenoma often it is also necessary to do a fabric biopsy to exclude suspicions of breast cancer.

Treatment of a fibroadenoma

Treatment of a fibroadenoma is possible by means of surgical intervention at which are removed with a small stock the normal and struck tissue of a mammary gland.

The biopsy often is reliable diagnostic testing on the basis of which some doctors can make the decision not to operate a tumor, and instead choose a method of clinical trial for observation of defeat some time and definitions of growth rates of a fibroadenoma.

Growth rates Примерно девяносто процентов встречаемых фиброаденом меньше трех см в диаметре of a tumor less than sixteen percent a month at women up to fifty years and less than thirteen percent a month at women are more senior than fifty years are safe for numerous operational treatment and clinical observation.

Some fibroadenomas will respond to treatment by Ormeloksifen.

Not so long ago treatment of a fibroadenoma of a mammary gland by means of an ekhoterapiya became possible. The essence of the procedure consists in use of the focused ultrasound of high intensity which is applied as to cancer therapy milk by glands, and benign tumors. This method is noninvasive and consists in fabric heating that leads to destruction of cells of a fibroadenoma.

Also for removal of a fibroadenoma the cryolysis – the procedure at which by means of cold nitrogen abnormal cells of fabric are destroyed can be used. This method is safe, effective and minimum invasive alternative of open surgery.

The procedure can be performed in out-patient conditions under local anesthesia, its advantage is that after the procedure there are much less hems, than at open surgical procedures.

The world community of surgeons recommend a cryolysis for removal of a fibroadenoma with the following established criteria:

Defeat has to be sonografichesk visible;
The diagnosis of a fibroadenoma has to be confirmed histologically;
Defeat has to be not less than 4 cm in the diameter.

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