Nowadays, many friends who are suffering from fibroids will scare themselves, always thinking that they have a tumor, which is very dangerous, and they are always afraid that they will not live long. They often live in a kind of fear of their own imagination, which not only affects their own condition, but also makes people around them suffer. So now let's take a look at how much everyone knows about the harm of fibroids! Pathology of fibroids: Macroscopic lesions Fibroids are usually well circumscribed. 1. Desmoid tumor Most of them are round and hard, with dry cut surface, white or yellowish white, and the fiber bundles can be vaguely seen in cross section and longitudinal section when carefully observed. Desmoid tumors not only have more glial fibers, but also the nuclei of connective tissue cells are mostly spindle-shaped. 2. Soft fibroma The cut surface is spongy, with many blood vessels and often edema. The lymph fluid contained can coagulate into a gelatinous state, with few colloid fibers and loosely arranged cells. The appearance of fibroids on the skin is round or oval, with a good shape. Ulcers and secondary infections may occur on the surface, and they appear homogeneous grayish white. Fibroids are often found under the skin, grow slowly, are generally small, have clear edges, smooth surfaces, are hard in texture, and can be pushed. If mixed with other components, they become fibromyomas, fibroadenomas, fibrolipomas, etc. Fibroids, especially hard fibromas in the abdominal wall muscles, can become malignant and should be completely removed as soon as possible. Depending on the age and location of onset, they mainly include juvenile fibromatosis, cervical fibromatosis, infantile fibromatosis, infantile myofibromatosis, lipofibromatosis, etc. The age of onset is mostly between 30 and 50 years old, and it is also not uncommon in children and adolescents. Tumors can occur in large muscles in any part of the body, most commonly in the rectus abdominis of the abdominal wall and the aponeurosis of adjacent muscles, and are more common during pregnancy and late pregnancy. Those outside the abdominal wall are more common in men, and are more common in the scapula, thigh, and buttocks. The cause is unknown, and some cases may be related to trauma or radiation exposure. Histopathology: The morphology has characteristics between fibroblasts and smooth muscle cells. There are varying amounts of collagen between the proliferating cells, lacking the characteristics of malignant cells, with very few or no nuclear divisions, and an invasive growth pattern. Lymphocyte infiltration can be seen around the blood vessels at the edge of the lesion. The treatment option should be prompt and thorough surgical resection, including a wide area around the affected tissue, and sometimes the entire affected muscle needs to be removed. Only in very rare cases, amputation is forced due to its local invasiveness. Radiotherapy may be effective for local control of the disease and can be used after conservative surgery. Therefore, after reading the above description, patients should have a new understanding of their condition. They must keep a happy mood and live a positive life, so that the disease can recover faster! |
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