Detailed explanation of the diagnosis method of fibroids

Fibroid is a general name. Many patients do not know what the diagnostic methods of fibroids are. There are too many types of fibroids, such as breast fibroids, vulvar soft fibroids, follicular fibroids, etc. The diagnostic methods of different fibroids are different. Today we will explain the diagnostic methods of fibroids in detail!

First, the diagnosis of breast fibroids is:

Intraductal papillary carcinoma: A lump is usually felt under the areola, which is often larger than 1 cm. When pressed, there is bloody discharge from the corresponding mammary duct opening. The surface of the lump is not smooth, and it is often adhered to the skin, not easy to move, and there is no tenderness. The axillary lymph nodes may be enlarged or metastatic, and the milk ducts may be dilated and destroyed. The diagnosis can be confirmed by pathological examination.

Mammary duct ectasia: Nipple discharge can overflow from multiple duct openings, and is mostly transparent or yellow in color. In some cases, multiple small nodules can be felt under the areola. They run in the same direction as the mammary ducts, have unclear boundaries, are often adhered to the skin, and are accompanied by tenderness. The axillary lymph nodes may be enlarged, but are soft and tender. Mammary ductography shows dilation and thickening of the ducts, but no hyperplasia or destruction of the ducts, no space-occupying lesions in the ducts, and smears often show no special findings.

The diagnosis of vulvar soft fibroma is:

1. Fibroma (hard fibroma) generally originates from the fibrous tissue deep in the perineum or round ligament. The stroma is generally denser and contains more collagen fibers.

2. Genital warts have koilocytes and branched papillae.

3. Neurofibromas are more cellular and s-100 positive.

4. Invasive angiomyxoma is not polyp-like, but grows infiltratively in deep tissues. It is richly vascularized (including medium to large blood vessels) and diffusely distributed, with visible smooth muscle cell cords.

5. Angiomyofibroblastoma It is usually a well-circumscribed nonpolypoid tumor with spindle cells and plasmacytoid cells arranged around delicate, thin-walled capillaries.

6. Superficial angiomyxoma Both can grow in a polyp-like manner, but the lesions of superficial angiomyxoma are multinodular, with abundant mucinous stroma and neutrophil infiltration, but without multinucleated stromal cells.

7. Cellular angiofibroma is a well-defined non-polypoid tumor with bland cells that lack multinucleated cells and uniform blood vessels.

8. Leiomyoma is usually not polypoid, and there is a boundary between the spindle cells and the epidermis.

9. Vulvar papilloma is easier to identify under a microscope.

The diagnosis of follicular fibroma is:

(A) Fibrous papules of the nose and face This disease is an inflammatory reaction rather than a tumor. In the dermal papillae, fibroblasts proliferate and are spindle-shaped, stellate, or occasionally multinucleated. There is infiltration and fibrosis of lymphocytes around the appendages and blood vessels, vasodilation, and atypical melanocyte proliferation at the junction of the dermis and epidermis.

(ii) Angiofibroma is a capillary proliferation with perivascular fibrosis, and the epidermal appendages are secondarily affected.

Therefore, the diagnosis methods for different fibroids are different. You still have to go to a regular hospital for specific examinations.