How to Treat Benign Breast Masses and Several Methods for Treating Benign Breast Masses

Benign breast masses, also known as benign breast tumors, are related to hormonal imbalances in the body. So, how to treat benign breast lumps?

1. Surgical treatment

Surgical treatment is not recommended for commonly diagnosed fibroadenomas, but close observation and regular follow-up are necessary. Improving the diagnostic accuracy of breast fibroadenoma is the key to reducing the surgical rate.

Surgery is the most effective treatment for breast fibroadenoma. Whether it is a common fibroadenoma or a special type of fibroadenoma such as juvenile or giant fibroadenoma, complete resection can cure it. The surgical treatment of single breast fibroadenoma is easy, but the surgical treatment of multiple breast fibroadenoma is more difficult. For scattered multiple fibroadenomas of the breast, if all are removed and the breast is covered with incisions, it is clearly unacceptable. Consideration can be given to selecting larger tumors or suspected masses for resection, while observing typical fibroadenoma masses. During the observation process, if enlargement of the masses is found or malignant tumors cannot be excluded, timely surgical treatment can be performed.

After complete resection, some patients still have new tumors in the original surgical site or other parts of the breast, or even in the contralateral breast. This is not a true recurrence of the original tumor, but rather a secondary primary tumor. The claim that removing a breast fibroadenoma can lead to the development of another tumor is baseless.

(1) Surgical timing: ① For unmarried women, if the diagnosis is basically clear, they can undergo selective surgical resection before or after marriage according to the patient's wishes under close follow-up; ② For patients who plan to conceive and have children after marriage, it is recommended to undergo surgical resection before planning pregnancy to avoid pregnancy and lactation surgery, as both pregnancy and lactation can accelerate tumor growth; ③ Those who discover tumors after pregnancy should undergo surgical resection between 4-6 months of pregnancy; ④ For cases where there is no pregnancy, lactation, or trauma that promote tumor growth, if the tumor suddenly grows faster in the short term, timely surgery should be performed It is best to avoid pre menstrual and menstrual periods during the surgery.

(2) Surgical method: Traditional surgical excision selects a surgical skin incision based on aesthetics and the convenience of complete surgical excision. The curved incision along the areola edge has a small and visually less obvious scar after healing. For those with multiple cases, an incision at the fold of the lower breast edge can be considered. During surgery, the principle of layered incision should be implemented. The skin and subcutaneous layer can follow the direction of the dermatoglyph, while the glandular layer of the breast needs to undergo a radial incision centered on the nipple to reduce damage to the breast ducts. The surgery requires complete removal of the entire tumor. The disadvantage of traditional surgery is that it can leave scars on the skin incision, which affects the aesthetics of the breast. For those with a large resection area of the tumor that affects the cosmetic effect of the breast, it may be appropriate to consider combining mastoplasty and reconstruction surgery Minimally invasive surgical resection is generally chosen for breast fibroadenoma with a clear diagnosis. It is to poke a hole (about 3mm) in a concealed area such as the armpit or areola, and use a vacuum assisted circumcision system for breast tumors using ultrasound or molybdenum target guidance to circumcise the tumor. The needle is inserted multiple times in one go, resulting in minimal pain and leaving only a hole mark of about 3mm after the surgery. The recovery is fast, and the incision does not need to be sutured, so there is no need to remove the suture. Multiple tumors can be removed simultaneously through a single incision, which is particularly suitable for small tumors that cannot be touched clinically. The disadvantage is that the cost is relatively high, local bleeding, subcutaneous ecchymosis are prone to occur, and sometimes complete resection cannot be guaranteed..