Talk about the introduction of fibroids

Fibroids are also quite common in daily life. Many patients think that fibroids are not a big deal. Although they will not harm the health of the body for the time being, they will still cause harm to the body if they are not treated for a long time. So, let's take a look at the introduction of fibroids.

1. Basic Overview of Fibroids

Fibroids are often found under the skin, grow slowly, are generally small, have clear edges, smooth surfaces, are hard, and can be pushed. If mixed with other components, they become fibromyomas, fibroadenomas, fibrolipomas, etc. Fibroids are composed of well-differentiated subcutaneous connective tissues, and are more common in adults aged 40-50. The tumor grows slowly, and generally stops growing when the tumor develops to a certain extent. Among them, fibromas, especially desmoids in the abdominal wall muscles, can become malignant and should be completely removed as soon as possible.

2. Main types of fibroids

There are several types of fibroids:

a. Xanthofibroma: It is common in the dermis or subcutaneous tissue of the trunk and proximal upper arms. It often arises from small papules after trauma or itching. The lumps are hard with unclear edges. Because of internal bleeding, they contain hemosiderin and are dark brown. If the tumor is larger than 1 cm and grows rapidly, it should be suspected to be a fibrosarcoma and must be completely removed surgically.

b. Dermatofibrosarcoma protuberans: located in the dermis, protruding from the body surface, with smooth surface skin, shaped like keloid, prone to occur on the trunk, low-grade malignancy, with pseudocapsule, prone to recurrence after resection, multiple recurrences increase the malignancy, and can metastasize through the blood. The tumor focus containing enough normal skin and deep adjacent fascia should be removed as soon as possible.

c. Band-like fibroma: It is caused by the reparative hyperplasia of the abdominal wall muscles after trauma or birth injury. It has no obvious capsule and is suitable for surgical removal.

Key points for diagnosing fibroids

1. They can be seen on all parts of the body, in varying sizes, with a smooth surface or in the shape of a head, and can be observed freely.

2. Some with pedicles can also be seen, which can grow to several kilograms, are mostly loose and hanging, soft to the touch, and have pigmentation.

3. According to its tissue composition and properties, there are two special types: soft and hard. Soft fibroma, also known as skin tag, is often seen on the face, neck, chest and back. It has a pedicle, varies in size, is soft and elastic. Hard fibroma is more common in women aged 20-40 years old, and is more common in the abdominal wall. It is a hard, painless, non-mobile tumor with unclear boundaries from surrounding tissues. It grows slowly, has no capsule and grows in an infiltrative manner. It is easy to recur after removal and can become malignant.