Experts introduce the diagnosis and differentiation of fibroids

Experts introduce what is the diagnosis and differentiation of fibroids? If we go to the hospital for treatment when we are sick, the doctor will recommend patients to do some relevant examinations based on the different symptoms of the body, and help diagnose and differentiate based on the examination results. So today we will take a look at the experts' introduction to the diagnosis and differentiation of fibroids:

Diagnosis and Differentiation of Fibroblastoma: The diagnosis of fibroblastoma should be suspected for a long-standing osteolytic lesion with huge foamy bone ridges and no characteristics of a malignant tumor. Histologically, fibroblastoma must be differentiated from grade I fibrosarcoma, which has more cells and more plump and pleomorphic nuclei, and common mitotic figures. In fact, there is no clear distinction between fibroblastoma and low-grade fibrosarcoma, and it is difficult to distinguish in some cases.

Fibroid Diagnosis:

1. It is a relatively common benign tumor of well-differentiated fibrous connective tissue. It is more common in young people, solitary, mostly millimeters to several centimeters, and painless.

2. Often found accidentally, hard, with clear boundaries, movable, and slow growth. It can occur in subcutaneous tissues of all parts of the body. For example, tumors that grow in the breasts of young women and are mainly glandular are called fibroadenomas, and tumors that grow in muscles with muscle tissue are called fibromyomas. When multiple tumors occur, they are called tumor-like lesions, called fibromatosis. For example, congenital systemic fibromatosis is "benign" in morphology, and new lesions that appear in important organs can also lead to death. If they grow in the compressed area of ​​the sacrum, they will grow rapidly, erode, ulcerate, bleed, and become malignant.

3. Desmoplastic fibroids (ligament-like tumors) that grow on the rectus abdominis of the abdominal wall, neck, trunk, and limbs are more common in women. If not radically removed, they are very likely to recur, but they do not metastasize, so they are called borderline tumors.

Check items:

1. Physical examination: The lumps are mostly in the upper outer quadrant of the breast, mostly single, but multiple lumps may appear simultaneously or successively in one or both breasts. They are round or oval, with a smooth surface, clear boundaries, hard texture, and can be pushed. They are not adhered to the skin and deep tissues. They grow slowly and can increase rapidly during pregnancy. Axillary lymph nodes are not enlarged.

2. X-ray mammography: The edge of the mass is clear and smooth, and the mass appears evenly.

3. Biopsy: The fibroma is covered with a capsule and is hard in texture. The cut surface is grayish white and shiny, and many irregularly arranged cracks can be seen with the naked eye.

4. Pathological histological examination. Fibroma should be surgically removed at an early stage, and the surrounding tissues connected should be removed appropriately. Desmoid tumors should be extensively removed at an early stage. The tumor should be sent for pathological examination after surgery to exclude malignancy. Generally, no medication is required.