A lump on the chest. It may not be breast cancer
Nov 26, 2024
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Fibroma is the most common benign tumor in the 20s and 30s. Since the main component is fibrous, the boundaries are clear and there is no pain when moving or pressing the tumor. If the size continues to grow, it is rarely accompanied by malignancy, so most of them are treated with resection. Fibrous cysts are the second most common disease after fibroid adenoma and occur frequently in women aged 35 to 50. It is most severe just before menstruation and disappears after menopause.
About 20% of adult women in Korea have breast tumors. However, about 90% of them are benign tumors. If a lump is touched on the breast or secretions come out of the nipple, it is likely to be a benign tumor. Mammography and mammography are performed to diagnose fibrous adenoma and fibrous cyst. For confirmation, a biopsy is performed after the tissue is resected.
On the other hand, high-risk breast lumps include follicular tumors. A follicular tumor is a relatively rare breast tumor, and the inside of the tumor looks like a leaf, so it is called a follicular tumor. Ultrasound is difficult to distinguish from fibroid, but it grows very quickly and greatly. Only 0.5% of all breast tumors, but the probability of being malignant among all follicular tumors is up to 30%,
In the case of malignant follicular tumors, about 20 to 25% metastasize to the lungs or bones. While malignant follicular tumors invade surrounding tissues and metastasize to other parts of the body, benign follicular tumors tend to grow quickly, although they do not metastasize. In the case of incomplete resection, it often recurs locally. Benign follicular tumors have low recurrence if the lump and surrounding tissue are sufficiently removed, while malignant tumors recur in about 40% even if they are sufficiently resected.
Since follicular tumors are sometimes impossible to distinguish from fibrous adenomas even by biopsy, even if they are fibrous adenomas, it is recommended to suspect follicular tumors and perform surgical removal if they grow rapidly. In principle, surgery is necessary to treat follicular tumors, and it is necessary to remove the lump and surrounding tissue sufficiently. A small benign follicular tumor is extensively resected more than 2 cm, including sufficient normal breast tissue. If the lump is very large, mastectomy is desirable for malignant follicular tumors.
Director of Surgery at Seran Hospital Chung Hong-kyu said, `Broast follicular tumors are hard, painless, and have the characteristics of palpable lumps with clear boundaries. If it grows large, the breast skin may be pulled to see the blood vessels under the skin or the skin may be loose. "If a lobular tumor is suspected or it is difficult to distinguish it from cancer, an accurate biopsy is required by resecting all the lumps."
Manager Chung Hong-kyu said, `Even if a lump is touched in a breast, it is not all cancer, but it is more often benign diseases such as fibroadenoma.' `Fibroadenoma does not develop into cancer, but if the lump suspected of fibroadenoma continues to grow, it is desirable to remove it. In particular, if a lump suspected of fibro-adenoma is found after the 40s, it should be removed immediately for a biopsy," he stressed.
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bellho@sportschosun.com
