After removal of the fibroadenoma, it is possible to become pregnant. Fibroadenoma of the breast during pregnancy. What is the danger of fibroadenoma during pregnancy

It can be found in women at any age. Usually, experts recommend removal, except in a number of cases of detection of the disease in the initial stage, where it is possible to try conservative treatment aimed at the possible resorption of a small (no more than 7 mm) tumor.

In other cases, mammologists recommend immediate removal of the neoplasm due to the possible possibility of degeneration into a malignant tumor. Usually, the growth of fibroadenoma begins with a sharp hormonal disruption in the woman's body or against the background of chronic mastopathy.

Risk factors also include excess weight, problems at work endocrine system and gynecological diseases... It is not uncommon for a woman to find such a neoplasm in herself during the period of pregnancy.

And this, of course, cannot but worry her: will the disease affect the health of the unborn child, will breastfeeding be possible and, finally, how will she behave?

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Peculiarities

Most often, fibroadenoma occurs in women young age having no children. Unlike cysts, fibroadenoma does not dissolve, therefore, experts usually recommend surgical removal of the tumor.

With ordinary fibroadenomas, a woman can live for years and not experience any discomfort: she does not grow and is not reborn. But in the case of the appearance of phylloid fibroadenoma, an urgent operation is necessary, since it grows very quickly and can degenerate into a cancerous tumor.

It's important to know: in case of detection of thickening on the mammary glands or discharge from the nipples during palpation, you should contact a specialist to establish an accurate diagnosis.

In the event of a pregnancy, such a neoplasm can cause irreparable harm not only to the mother, but also to the unborn child.

Diagnostics

The first examination is carried out by palpation by an experienced specialist. This is followed by an ultrasound examination and mammography (x-ray of the breast).

If necessary, the doctor prescribes a puncture (biopsy) of the contents of the breast.

Even in the event of pregnancy, these studies will not do any harm to the unborn baby.

There is no definite answer to the behavior of fibroadenoma during pregnancy. Some experts believe that fibroadenoma and pregnancy are incompatible.

They argue that during pregnancy and further breastfeeding, a powerful hormonal change occurs in the body, and since the tumor is hormonally dependent, pregnancy can cause its rapid growth.

Therefore, experts unequivocally recommend the removal of a fibroadenoma during pregnancy, even one that is no more than 1 cm in size.If the neoplasm is more than 1 cm and is mature with a solid nucleus, then the resection method is used during the operation - the fibroadenoma is removed along with the adjacent tissues.

In most cases, if the operation is performed under local anesthesia (especially on early dates pregnancy), then it is not at all dangerous for the unborn child, but in more severe cases, when the operation is performed under general anesthesia, there is a high risk of losing the child.

Other experts are inclined to believe that when carrying a baby and breastfeeding, benign fibroadenoma will resolve. And the longer the period of feeding, the greater the likelihood of resorption of the tumor.

It has been proven that the longer the feeding period, the better the woman's reproductive system is. Thus, long-term breastfeeding has only a positive effect on a woman's health.

Note: if there was previously an operation to remove fibroadenoma, during pregnancy the tumor may appear again and not even in a single copy. It is believed that this is due to the sudden release of hormones into the bloodstream.

When planning a pregnancy, it is imperative to get rid of existing neoplasms so as not to provoke their growth. With normal analyzes (especially histology) and positive prognosis of doctors six months after the operation, pregnancy can be planned.

Before making any decision, you should consult with several specialists and carefully weigh the pros and cons! A sure recommendation for an operation to remove a tumor is its rapid growth or already existing large sizes. Undoubtedly, for a start, the doctor will prescribe drug treatment, but if there are no positive changes on the repeated ultrasound, and the growth of the neoplasm continues, then one should not hesitate and wait for the tumor to degenerate.

ECO

Since during IVF (in vitro fertilization) a woman is stimulated with hormonal drugs, the risk of fibroadenoma occurrence or recurrence increases, especially if the woman is over 30 years of age.

Therefore, before the procedure, it is required to undergo the most thorough examination. It is believed that women who have undergone IVF are at risk for.

What is fibroadenoma, see the following video:

2014-01-27 13:03:23

Olga asks:

Good afternoon. I am 37 years old, married for 5 years, we really want to become parents, but so far alas. The first pregnancy was in 2001, ended in abortion. In 2007, a miscarriage at 4-5 weeks, curettage, salpingo-oophoritis, a course of antibiotic treatment, apparently After marriage, going to the doctors, analyzes, metrosalpingography revealed that the left tube is not passable, the right one is partially. Despite this, she became pregnant in 2011, but the pregnancy ended in antenatal fetal death at a period of 29 weeks against the background of prolonged, chronic fetal hypoxia. were not found, the analysis for the kareotype was good. Further planning did not lead to success, AMH was 0.49, myoma (it was before and during pregnancy), premature decrease in ovarian function is questionable (by ultrasound). In 2013 I went for lapooscopy, diagnosis: chronic Bilateral salpingo-oophoritis. Endometriosis of the pelvic peritoneum. Salpingo-ovariolysis was performed, coagulation of foci of endjometriosis (with CHT, the fallopian tubes are passable). Recommended: tab. "Vizanna" 2mg1t1p / d 4 months, candles gidaza "z000ed1 times in 3 days 10 days, magnetotherapy 10 days, candles" diklovit "5 days passable, the right one is partially obstructed. The mammologist found fibroadenoma in both mammary glands, and recommended to remove it. At this stage, the examination was interrupted, because the reproductologist also recommended to remove the tubes in order to exclude an ectopic pregnancy during IVF. from the hospital where the fibroadenomas of the mammary glands were removed, but I can not bring myself to remove the tubes. She herself (before the operation) donated blood for hormones on the 3rd day of the cycle. Anti-Müllerian hormone-0.1 ng / ml. I also donated FSH, LHi estradiol, but I do not understand the decoding: WBC-7.5; LYM-27.1; MON-4.6; GRA- 68.3; LYM # -2.00; MON # -0.30; GRA # -5.20; Next analysis (?) RBC_4.28; HGB-137; HCT-0.399; MCV-93; MCH-32.1; MCHC-344; RDW-13.6; The next analysis (?) PLT-310; MPV-7.6; PCT-0.237; PDW-16.7; What can you advise me? Is it worth removing the pipes and what are my chances of a successful eco?

Answers Palyga Igor Evgenievich:

The interpretation of the analyzes is also not clear to me, and it is imperative to know the FSH indicator for sure, so that one can judge the ovarian reserve. AMH is low, which is not surprising given their age. However, it is too early to say exactly about the depletion of the ovarian reserve - it is necessary to estimate the number of antral follicles on ultrasound and to know the FSH and AMH indicators.
I see no reason to remove the fallopian tubes, because you don't have hydrosalpins, your reproductologist is just a little reinsured. The chances of success for IVF on your own eggs with AMH 0.1 are very small, in which case oocyte donation is usually necessary, which will be quite effective.

2015-07-28 14:07:25

Angela asks:

Hello! I am 22 years old. I am 30 weeks pregnant, found fibroadenoma of the right breast, the doctor said it should be removed. Please tell me if it is possible to remove it during pregnancy and how can I then feed the baby, or is it better to wait and remove it after giving birth and feeding?

Answers:

Hello! Pregnancy is not an absolute indication for removal of fibroadenoma, but in some cases (intense tumor growth, leaf-shaped fibroadenoma), it is better to remove the tumor as soon as possible. Discuss the timing of the operation and the indications for it with your mammologist. Take care of your health!

2015-04-08 10:42:08

Elena asks:

Good day! Please help me with my problem! In 2013, an ultrasound of the mammary gland revealed fibroadenoma of the left breast, the doctor reassured that this fibroadenoma is not malignant and that at the birth of a child it will resolve on its own. I am now 6 weeks pregnant, because of the threat of termination of pregnancy, the gynecologist prescribed to take morning sickness. The question is whether it is possible to use this drug due to a lump in the chest, since the instructions for this drug contain a contraindication for established or suspected malignant neoplasms of the mammary glands ?? And can ultrasound really show if fibroadenoma is not malignant or malignant? Thank you for your help !!

Answers Medical consultant of the portal "site":

Hello, Elena! Fibroadenoma of the mammary gland is not a malignant neoplasm and is a contraindication to the use of morning sickness. There are clinical and ultrasound signs that indicate a potential malignancy of the tumor, judging by the doctor's opinion, you have not found such signs. Take care of your health!

2012-08-20 09:48:26

Marina asks:

Hello. I'm 34 years old. There is a child of 10 years old. There were no abortions. Three months ago, on an ultrasound, I was diagnosed with an endometrioid cyst of the left ovary, I was in several uzists, the diagnosis was confirmed, (LYA 50 * 48 * 40 mm, there is a formation in it 48 * 38 mm in size with the content in the form of a suspension), also on ultrasound they found 4 fibroadenomas in the breast - two in the LV and 2 in the permanent residence (5.6 * 4.9 mm, 5 * 4.6 mm, 4.4 mm, 3.7 mm). 2 years ago I had two fibroadenomas removed, another 10 years back there was an operation to remove one FA. As a treatment for a cyst, one doctor prescribed buselirin injections (for 3 months), another doctor prescribed a drink to OK Diana or Logest, my choice, if there is no result, an operation to remove it. Plus, there is f.k. mastopathy, the mammary glands are very painful, I have been drinking mastodinon for 2 months, but I did not notice much of the result.
The question is, is it possible to drink hormones with fibroadenomas, I'm afraid that fibroadenomas will increase in size. Advise what to do in this situation!
And my husband and I are planning a second child, is pregnancy possible with all these problems after treatment?

Answers Demisheva Inna Vladimirovna:

Good evening, COCs are not contraindicated for fibroadenomas, but in terms of treating endometrioid cysts, I would rather take buserilin.

2012-05-24 15:12:42

Anna asks:

Good afternoon.
My name is Anna, 29 years old. No kids. During pregnancy planning, stimulation was prescribed (Klostilbegit + utrozhestan), which caused the formation of fibroadenoma and its subsequent growth. 3rd breast size.
04/11/12 I had an operation - the sector (above the nipple) of the left breast, as well as the lymph nodes were removed.
Diagnosis: infiltrating ductal breast cancer with a scirrosal component. The lymph nodes are not affected. Stage 1A.
Results of immunohistochemical diagnostics.
Estrogen 45% (0-5 -, 5-100 +, 100-200 ++, 200-300 +++) 75+,
Progesterone 10% (0-5 -, 5-100 +, 100-200 ++, 200-300 +++) 20+
HER2 / NEU negative
P53 1%
Ki 67 15-20%
Treatment prescribed:
1) 4-6 courses of red chemotherapy (the first course has already been completed).
2) Radiation therapy(after the 2nd or after the 4th chemotherapy)
3) Diphereline - at least 2 years. (The first injection has already been made)

Tell me please,
What does the term ‘with a scirrosive component’ mean?
What does Ki 67 15-20% mean? Is this the rate of cell growth? If so, are these indicators characterized as fast growth?
How correct is the treatment prescribed at your discretion? How much chemotherapy is necessary for my diagnosis?
What is the likelihood of metastasis or recurrence?
Thank you in advance.
Regards, Anna.

Answers Olga Bondaruk:

We are discussing the need for chemotherapy at stage 1; more often it is not prescribed. In your case, given the young age, rather high cell proliferation and the scirrosal component (a more malignant type of tumor), it probably makes sense to carry out the 4th course of PCT according to the AS scheme. It is preferable to combine diphereline with fareston or tamoxifen.

2012-01-30 10:53:59

Oksana asks:

Hello!!! tell me how pregnancy can affect multiple fibroadenoma in both mammary glands ?? and is it possible to get pregnant at all with their presence ?? will they not increase in size ?? and is surgical intervention required?

2011-07-09 20:51:16

Victoria asks:

Good day! I am 27 years old. She did not give birth, there were no pregnancy and abortions. Diagnosed with fibroadenoma of the left breast, size 1.3 * 0.5. Diagnosis is based on ultrasound and biopsy results.
I took a blood test for hormones - progesterone: 23.3 nmol / l, (at the norm: lf.f. up to 3.6 median 1.5; l.f. 3.0-76.0), estradiol - 55.8 ng / ml (at the rate of f.f. 0-160 median. 42 l.f. 27-246 med. 91 ovu 34-400 med.), both analyzes were taken with a 3-day delay of menstruation. I want to add that my cycle is not normalized, there are delays, my periods do not go for 3 days, but from 5 to 7 days. The mammologist said that I had an underestimated level of one of the hormones for my age and that he prescribed 6 months to improve the function of the ovaries. drink "Lindinet 30", besides this for the chest: progestin, smear both breasts for 3 months, mastodinon - drink for 3 months.
When I started taking "Lindinet 30" (on the first day of the cycle), my period instead of the usual 7 days went for 2 weeks and then there was a daub for another week. I decided to seek advice from a gynecologist, opinions were divided - one told me that everything is fine and continue drinking, another doctor said that Lindinet 30, on the other hand, is contraindicated in case of breast problems and advised me to quit taking this drug or at least replace it with another.
Question: 1) can I do with the treatment only with progestin and mastodinon.
2) whether according to the results of the blood test I have an underestimated level of one of the hormones and it is worth taking contraceptive pills.
Please help me figure it out, thanks in advance!

Answers Demisheva Inna Vladimirovna:

If you have pain or tension in the mammary glands in the premenstrual period, you can indeed get by with taking mastodinon and progesterone, although in the treatment of mastalgia and mastodinium (pain and tension), the use of two drugs is recommended, well, for example, dysmenorm, vitamin therapy, and always herbal sedative drugs. I must tell you that the treatment is not aimed at resorption by fibroadenomas, since they do not dissolve (with the exception of juvenile fibroadenomas), they are simply monitored.
As for hormones, the interpretation is not entirely correct, since you took it against the background of a delay, but your progesterone is normal, and estradiol is reduced, but against the background of a delay this is not indicative.
Lindinet is not contraindicated for mastopathy.

2011-06-07 00:18:54

Lina asks:

Hello! Today I did an ultrasound of the mammary glands, the conclusion: in the upper outer square for 2 hours, a hypoechoic formation 28 * 29 mm, with a smooth contour, is determined. Fibroadenoma of the left breast (lipoma?). The chest initially ached during pregnancy (child 1.5 g), then, after childbirth and until recently, there was no pain. Myoma began to decrease in size, but my chest began to hurt again. Is it possible to do without surgery to remove fibroadenoma and is it possible to take hormonal drugs for this disease (Janine)?

22.10.2018

One of the benign breast tumors is fibroadenoma.

It is one of the varieties of mastopathy, formed when the hormonal background in the female body is disturbed.

Often, the disease is detected in women of childbearing age, therefore, breast fibroadenoma and pregnancy are often detected simultaneously when the patient comes to the doctor for examination.

Fibroadenoma is a dense, rounded formation that does not grow together with the skin, but retains mobility. The disease affects only one breast. The body of the tumor contains fragments of connective tissue and fibrous fibers.

The dimensions of the neoplasm can be different, doctors detect tumors in the mammary gland ranging in size from 0.2 mm to 7.5 cm. There are no special symptoms - there are no skin changes, no discharge from the nipple, no discomfort. You can detect a tumor on your own while taking a shower and simple self-control.

Factors that can increase the risk of a tumor are:

a state of stress, depression for a long time;
pregnancy;
hormonal disruption and disturbances in the work of the endocrine system;
heavy physical exercise.

Doctors distinguish between several types of fibroadenomas, differing in structure: leaf-shaped, intracanalicular, mixed. By their nature, tumor formations are divided into: mature and immature.

The former include fibroadenoma with a capsule that grows slowly. Immature is a rapidly growing tumor with a soft capsule, we can say that without it.

Does fibroadenoma interfere with conception?

If a woman plans to have children in the near future, she needs to undergo an examination of the body to check how ready she is for this responsible mission. If the examination reveals fibroadenoma, then doctors recommend removing the tumor, and then thinking about the children.

During the carrying of a child, changes occur in the female body, including hormonal ones. This provokes an active proliferation of tumor cells.

There is a risk that, against the background of hormonal changes, the existing benign breast fibroadenoma during pregnancy will mutate and turn into a malignant tumor. Such concerns relate to rapidly growing nodular or leafy fibroadenomas.

Breast swelling after childbirth

As soon as the baby is born, milk is produced in the mother's body. Prolactin, a pituitary hormone that suppresses the production of estrogens, is responsible for the production of milk by the mammary gland. This effect of prolactin causes the absence of ovulation, suppression of the growth of oocytes, against this background, the inability to become pregnant while breastfeeding.

Deficiency of estrogen for a long period can slow down the growth of the tumor or stop its development completely. Breastfeeding mothers with fibroadenoma are advised to breastfeed their baby for longer. This is not a panacea, the recommendation does not work for all tumors.

If the neoplasm is small and almost does not increase, lactation will not give a special effect. As for the leaf-shaped tumor, it will not respond to breastfeeding and does not depend on hormones. In some cases, the presence of fibroadenoma can negatively affect the ability to breastfeed.

Tumors interfere:

intracanalicular - grows deep into the milk ducts;
pericanalicular - it grows deep into the duct, like the previous one, and also squeezes it;
mixed - blocks the movement of milk in the ducts, creates a risk of milk stagnation and mastitis (inflammation of the mammary gland).

Pregnancy and fibroadenoma

Often, fibroadenoma and pregnancy are diagnosed at the same time. What to do with a tumor in the breast - the doctor should decide on the basis of data on the nature of the disease, the general condition of the patient, and the duration of pregnancy. The problem is that no one can predict the behavior of fibroadenoma during pregnancy.

During gestation and hepatitis B, the connective tissue is actively stimulated, as a result of which the breast increases in volume. In 25% of cases, pregnancy provokes an active proliferation of fibroadenoma, since it is during this period that the number of parenchymal cells increases. Of such negative consequences, there are also those that are attributed to the area of "miracles", when a tumor from small nodules disappears, as if it did not exist.

Fibroadenoma in the breast does not affect the development of the child in the womb and the pregnancy itself, but for the health of the expectant mother it is dangerous for its unpredictable behavior.

Usually, doctors do not risk removing the tumor during pregnancy, since this carries certain risks for the mother and baby. If there are serious indications for this, fibroadenoma can be removed under local anesthesia if the gestational age has stepped beyond the first trimester. After the baby is born, the swelling shrinks due to the effects of progesterone.

Situations when surgical removal of a tumor in the breast is indicated:

the large size of the neoplasm (over 5 cm), which may indicate the presence of a phylloid tumor;
suspicion of the malignant nature of the tumor (during the diagnosis, specialists cannot determine the nature of the neoplasm);
cosmetic defect - if a pregnant woman is upset by the sight of her own deformed breast;
the presence of carcinophobia in a woman is a rare situation, therefore, one may not consider it a reason to resort to surgery.

Breast tumor with IVF

The presence of fibroadenoma in the breast in itself will not be an obstacle to in vitro fertilization, doctors recommend getting rid of diseases before the procedure.

Considering how serious and expensive the procedure is, it makes sense to listen to doctors. The fact is that the body undergoes preparation before IVF, including the stimulation of a woman's ovaries, as a result of which the number of estrogens in the body increases.

Hormones provoke tumor activity, so the best option is to get rid of the fibroadenoma before conception so that the pregnancy goes smoothly.

Breastfeeding with fibroadenoma

As mentioned above, during lactation, there are no surges in estrogen in the hormonal background of a woman, her menstrual cycle stops for a while so as not to conceive a child. Prolactin inhibits not only estrogen production, but tumor growth as well.

To restrain its growth or stop the process, you can breastfeed as much as possible, visiting a mammologist every 3 months. When breastfeeding is stopped, the tumor can be treated with medication.

In order not to injure the breast with the operation during feeding, which will bring stress and threaten with the loss of milk. Expectant tactics are not dangerous, lactation will prevent the tumor from growing.

Breast cancer during pregnancy

In some cases, fibroadenoma can transform into a cancerous tumor. They provoke the process of hormonal changes. If you manage to identify a malignant neoplasm on early stage, there is a chance for mom and child to recover.

That's just the identification of the disease is hampered by changes in health, breast augmentation. The first signs in the form of breast tenderness and imbalance appear when the tumor is actively growing.

The breast tumor does not affect the child, and the mother is prescribed antineoplastic agents that are minimally harmful to the body. After the baby is born, you can start treating cancer in all available ways.

Treatment with folk remedies

In most cases, treatment of diseases folk remedies perceived as an adjunct to or supportive therapy. Method of treatment self-administration folk recipes it cannot and should not be.

You need a doctor's consultation and accurate diagnostics, which is important during pregnancy, because a woman is responsible not only for her health, but also for the life of the child.

Today, there are many breast pathologies, among which one of the first places in prevalence is occupied by breast fibroadenoma. Many women are rightly concerned with the question of what is the combination of fibroadenoma and pregnancy, and this question is very fair.

Features of pathology

Fibroadenoma of the mammary gland is a benign tumor formation with a mobile structure. Most often, the pathology affects only one half of the mammary gland, for a long time does not manifest itself in anything and does not even hurt, but is often found during random examinations.

The features of the pathology are as follows:

All of these signs are not individual only for fibroadenoma, and therefore women need to refrain from trying to conduct an independent diagnosis of pathology. In some cases, other tumor diseases can be masked under fibroadenoma, which can be more dangerous than fibroadenoma, therefore, if a neoplasm resembling it is found, it is worth seeking professional advice from a doctor.

Planning phase

Doctors who discover a breast neoplasm in a young girl who is just planning a pregnancy usually recommend surgery to remove the tumor first. Such recommendations were not invented from scratch. The fact is that the female body, preparing for pregnancy, releases a huge amount of hormones that trigger a number of processes that help to adapt to a new condition.
At the same time, many breast tumors are defined as hormone-dependent, that is sharp leap the level of hormones can provoke their increased growth, and in some cases even their transformation into a malignant neoplasm.

Special attention it is worthwhile to pay when planning a pregnancy to breast fibroadenoma, which rapidly increases in size initially. Another reason for such recommendations is in the upcoming lactation period. The fact is that a tumor can easily create an obstacle to the outflow of milk, than provoke the development of lactostasis or mastitis. Depending on the position of the tumor, it can either simply squeeze the milk duct or burrow it with its own body, if it grows initially inside it.

After surgery for fibroadenoma, a woman is recommended to go through a full rehabilitation period, and only then plan a pregnancy.

Detection during pregnancy

The detection of fibroadenoma during pregnancy is also a common combination in relation to which one has to take action.
Basically, doctors on the spot decide what to do in a particular case. Detection of a tumor neoplasm of the breast during pregnancy is a situation that is considered dangerous and poses a direct threat to women's life in some cases, therefore, this must be treated with the utmost care and attention.

The unpredictability lies in the fact that a huge amount of hormones constantly affects the tumor during pregnancy and lactation, which makes it difficult to fully predict its further development and, accordingly, choose the appropriate tactics for solving the problem. In about a quarter of cases recorded by medicine, fibroadenoma against the background of pregnancy begins to actively grow, responding to a jump in the level of hormones in the blood, which occurs due to the active multiplication and differentiation of cells of the glandular tissue. On the other hand, in some cases, a small formation under the influence of hormones can independently decrease even more or even disappear. It is impossible to predict the outcome.

The question is whether the tumor has any effect on the course of pregnancy itself. No, it doesn't. Pregnancy takes place according to the standard scheme, nothing threatens the life and health of the fetus, only the health of the woman herself, who was diagnosed with fibroadenoma during pregnancy, is under threat. In rare cases, when the risk to the health of the mother outweighs the risks to the health of the fetus, a decision is made about surgical intervention during pregnancy. In this case, the only important condition is the intervention for a period not earlier than three months.

Women with diagnosed fibroadenoma of the mammary gland need to carefully consider planning pregnancy, since during this period the hormonal load on the body increases significantly, which can provoke tumor growth. Doctors recommend to undergo an examination before planning pregnancy, and only then seriously engage in conceiving a child in order to avoid unpredictable discoveries and prevent dangerous accidents.

prozhelezu.ru

Fibroadenoma of the breast during pregnancy

A combination such as breast fibroadenoma and pregnancy is considered dangerous. The reason is that during this period the woman's body is rebuilt, the hormonal background changes greatly. All this contributes to the development and growth of the tumor. Therefore, doctors for the most part advocate unequivocally the removal of fibroadenomas before pregnancy.

What is the danger of fibroadenoma during pregnancy?

Fibroadenoma is a benign neoplasm that occurs in the mammary gland due to a hormonal shift. Under the influence of estrogen, the tumor can begin to grow vigorously. This explains why the diagnosis of fibroadenoma is most often made in young women. With the onset of menopause, the level of estrogen decreases, so the neoplasm with a high degree of probability stops growing.

Fibroadenoma usually appears before pregnancy, not during pregnancy. The main reasons for its occurrence are as follows:

past abortions
inflammatory diseases of the female reproductive system;
constant stress;
frequent bathing in hot water;
sunbathing without a swimsuit for a long time;
unsuccessful massage of the mammary gland or other traumatic effect in relation to it.

With the onset of pregnancy, fibroadenoma usually begins to develop actively, but not always. There are cases when the tumor, on the contrary, grew more slowly during this period. For example, this often happens if the neoplasm before pregnancy was small (up to 3 cm) and did not increase. But if the tumor grew rapidly before pregnancy, then after its onset this process can become uncontrollable. Women under the age of 30 are at greatest risk.

Especially dangerous is the leaf-shaped or phylloid form of fibroadenoma, which is more often detected after 40 years. Such a tumor grows rapidly, and the chance of its transformation into a malignant one is very high.

It was found that the presence of fibroadenoma does not affect the health of the fetus and is dangerous only for the woman herself.

How does fibroadenoma behave after childbirth?

After the birth of a child, active milk production occurs in the mammary glands under the influence of prolactin. This pituitary hormone reduces the production of estrogen. This explains the fact that during lactation a woman cannot become pregnant - ovulation simply does not occur.

This natural estrogen deficiency over a long period of time can significantly slow down or even stop the growth of fibroadenoma. Therefore, doctors advise breastfeeding for a longer time.

If the tumor was already slow-growing and small, then lactation would not affect it in any way. Leafy fibroadenoma will grow no matter what. The mechanism of its transformation into a malignant neoplasm is still poorly understood.

Fibroadenoma in the breast during pregnancy can interfere with normal breastfeeding. Some of its types are capable of blocking the milk ducts, causing milk stagnation:

intracanalicular grows into the milk duct;
pericanalicular develops around the lactiferous duct and gradually compresses it.

There is a mixed tumor that can also block the ducts. This increases the risk of lactostasis, a pathological condition characterized by milk stagnation.

Fibroadenoma can also cause mastitis, an inflammation of the breast.

Treatment of fibroadenoma at different stages

At the planning stage of pregnancy, if a fibroadenoma is detected, it is recommended to immediately remove the tumor. Especially if it grows quickly or has a nodular or leaf-like shape. Moreover, the operation is simple, lasts no more than an hour and is done both under general and local anesthesia. Hulling of the tumor or enucleation is carried out, that is, the removal of fibroadenoma while preserving the mammary gland.

Removal of fibroadenoma is carried out even with the onset of pregnancy, if there is an indication for this. The operation is not dangerous for the health of the fetus.

During lactation, the tumor, as a rule, does not develop, so it makes no sense to remove it or try to contain it. Operations during this period are not carried out. But a woman should definitely visit a mammologist every 3 months. After the end of lactation, you can start drug therapy or prepare for surgery.

And what to do if a woman is to undergo in vitro fertilization? If IVF is planned, then at the preparatory stage, enhanced stimulation of ovarian function is performed. This, in turn, provokes the release of estrogen, which means that the tumor can begin to grow at an accelerated rate. The decision on how to treat and whether it is necessary to remove fibroadenoma before IVF should be made by a specialist. But, most likely, the operation will be performed.

All about breast fibroadenoma - video

mastopatiya.su

Breast fibroadenoma and pregnancy

A woman's breast is a multifunctional organ that is responsible not only for the aesthetic appearance, but also for the full feeding of a newborn baby. Unfortunately, the mammary glands are very sensitive to the negative effects of external factors and internal malfunctions in the body. That is why breast diseases are the first on the lists in terms of their number and number among women of all age groups. Most often, in young nulliparous and planning pregnancy girls under the age of 30, the so-called fibroadenoma of the mammary gland occurs.

Fibroadenoma is a benign formation that has a spherical shape, a dense consistency. At the same time, the patient does not observe other clinical manifestations, except for probing the elastic and movable node. The unambiguous reasons preceding the appearance of a tumor are not fully understood. However, the fact is established that fibroadenoma is dependent on the hormonal background of the woman, and in particular, on the level of estrogen. This explains the appearance of seals just during periods of hormonal changes, one of which is pregnancy.

Fibroadenoma during pregnancy

Regardless of when the fibroadenoma appeared: during pregnancy or before it, there are two options for the development of events. Moreover, both of them are scientifically grounded and have a lot of examples in practice.

In the first case, urgent removal of fibroadenoma is assumed, since, according to some experts, this phenomenon and pregnancy are incompatible. By the way hormonal changes associated with the restructuring of the body and its preparation for bearing and giving birth to a child can provoke active tumor growth. This is especially true of seals that exceed 1 cm in size and mature formations with a dense capsule that do not have the ability to dissolve.

There is also an opposite opinion, supporters of which suggest that the presence of breast fibroadenoma during pregnancy, with its normal course, cannot have negative consequences. On the contrary, subsequent long-term breastfeeding, with an appropriate hormonal background, affects the seal in the best way and promotes its resorption. The chances for the tumor to disappear on its own increase significantly if the formation is immature and the woman continues to breastfeed for 1.5-2 years.

Fibroadenoma has no effect on the condition and development of the fetus.

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Development of fibroadenoma during pregnancy

Fibroadenoma during pregnancy is not the most common, but still occurring phenomenon. And for a woman faced with this problem, it is important to find out all the possible risks and find out how to minimize them.

Can fibroadenoma appear during pregnancy?

Fibroadenoma is a benign neoplasm localized in the mammary gland, suggesting a predominance of connective components, but at the same time having a glandular origin. Most often, this tumor occurs in women, and young women. The peak falls on childbearing age - the period from 20 to 30-35 years.

As a rule, fibroadenomas are detected directly by women themselves during self-examination. They can also be diagnosed completely by accident during a routine examination. The tumor is a kind of well-palpable neoplasm. It has an elastic-dense consistency and marked boundaries, and also moves in the tissues of the gland.

On palpation, you can find a small lump that will be easy to move. Sizes can range from a few millimeters or 1 cm to 5-7 centimeters or more. The disease can be almost asymptomatic and not cause any discomfort to the woman. But if the fibroadenoma begins to grow rapidly, then it can change the shape and size of the breast and even cause unpleasant or painful sensations.

Reasons for the appearance

The exact reasons for the appearance are unknown, but hormonal changes play a certain role in development, since the mammary glands are considered hormone-dependent organs. The provoking negative factors include such as:

trauma to the soft tissue of the breast
frequent and severe stress
increased emotional or physical stress
concomitant endocrine or gynecological diseases or disorders
frequent insolation (sunbathing) and thermal effects

It is logical that pregnancy can provoke the development of fibroadenoma, because this stage is associated with serious hormonal changes that have the most direct effect on the structure of the mammary glands. But in fact, looking at the statistics, one can come to the conclusion that the period of pregnancy itself is incorrect to consider the cause of a neoplasm. In most cases, benign tumors are detected even before their onset. If fibroadenoma is diagnosed after conception, this does not mean at all that it was fertilization that became the trigger. Most likely, the neoplasm was present in the mammary gland earlier.

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How pregnancy affects the development of the disease

Can fibroadenoma grow in size during pregnancy or, on the contrary, decrease? It is impossible to predict the exact scenario of the development of the disease, since it depends on many factors, such as the type of neoplasm, its structure and size, concomitant diseases, and so on. And although the tumor does not affect the course of pregnancy negative impact, its size and structure under the influence of hormones can change, and not for the better.

Since significant changes in hormonal levels occur during gestation, the fibroadenoma of your mammary gland during pregnancy can change, and both grow and decrease or slightly change the structure. Often, an increase in the level of female hormones, which provokes cell proliferation, causes tumor growth. And it is especially often observed if the size is more than 3 cm. If the fibroadenoma has a small diameter (1 centimeter or less), then, most likely, a noticeable increase will not be observed.

Anamnesis is also taken into account, that is, the features of the course of the disease before pregnancy. If before conception the tumor increased at a rapid pace, then after fertilization, unfortunately, it can continue to grow. If the growth was insignificant or absent, then there is a high probability that the diameter will remain the same during pregnancy, and it does not matter what it was before: 1 cm or 3-4. Interesting: phylloid or leaf-shaped fibroadenomas are considered the most dangerous. They are prone to rapid growth, and hormones produced during pregnancy can accelerate it.

Pregnancy planning

In order for a pregnancy to proceed without complications, it must be planned, especially if a woman is diagnosed with fibroadenoma, even one that is less than 1 cm in size. Moreover, it is not enough just to know about the neoplasm, it is extremely important to minimize or completely eliminate all risks. But even an experienced doctor will not be able to evaluate them, because it is not known how the female body will behave after conception. And therefore, almost all women with fibroadenomas and planning a pregnancy are advised to remove the tumor. Removal is also recommended and even mandatory before IVF, because the protocol includes stimulation of ovulation, and it involves taking hormonal drugs and therefore can lead to serious consequences, provoking the growth of a neoplasm.

2014-01-17 18:06:32

Asks Love:

Hello!
My name is Lyubov, 39 years old, no pregnancies, no childbirth.
In early October 2013, a sectoral fast-growing phylloid fibroadenoma of the left breast was removed. Histology results: benign phylloid fibroadenoma. A month later - organ-preserving abdominal surgery to remove multiple fibroids. Now, for medicinal purposes, as prescribed by a doctor, I take Janine's contraceptive.
Ultrasound results after 3 months:
Left: in the upper outer quadrant (at the site of the removed fibroadenoma) - local FAM 3.6 x 2.0 cm. There are no large formations, cysts, calcifications.
Right: no masses, cysts, or calcifications.
Axillary lymph nodes are not changed, without signs of specificity.
My questions:
How serious is this situation - FAM after fibroadenoma removal? Could this be a consequence of taking a contraceptive? Will you need surgery again? Is drug therapy necessary?
Regards, Love

2008-11-18 22:08:43

Lily asks:

Good afternoon, Andrey Ivanovich.
11.11.08 I asked you a question:

Maybe you need to be tested for some hormones?

11/18/08 You answered me:
There is, and the most direct one. Determine the content of prolactin and estradiol in the blood (5-7 days of m.c.), progesterone (19-21 days of m.c.). Let me know the results.

thank you very much for your reply
My hormone test results:
Progesterone (on day 22 m.c.) - 8.5 ng / ml. reference values 1.5-15.9 ng / ml
Prolactin (on day 22 m.c.) - 30.92 ng / ml. reference values 1.2-29.93 ng / ml
Estraiol (on day 7 m.c.) - 56 pg / ml. reference values 21-251 pg / ml.
I would be very grateful for an explanation of my analyzes.

Answers Babik Andrey Ivanovich:

You have increased prolactin levels, decreased progesterone levels. I think that this is the main reason for all your problems. I recommend that you contact me by phone, or even better - meet in person to prescribe a full-fledged effective treatment.

2008-11-05 21:00:31

Lily asks:

Give me a seat. My fibroadenoma was excised 0.5 years ago.
before that there was a miscarriage. And after the removal of the fibroadenoma, there was also a frozen pregnancy.
Could there be a link between fibroadenoma and failed pregnancies?
Maybe you need to be tested for some hormones?

Answers Babik Andrey Ivanovich:

There is, and the most direct one. Determine the content of prolactin and estradiol in the blood (5-7 days of m.c.), progesterone (19-21 days of m.c.). Let me know the results.

2013-04-05 10:56:10

Natalia asks:

IM 33 years old. There were no abortions or childbirth. In the left and right breast, together 8 fibrocysts and fibroadenomas were found. The chest does not hurt or worries. Was examined in two clinics. The largest fibroadenoma is 8x16 mm. ultrasound was done repeatedly and biopsy was done 2 times (the first time they just took the liquid with a syringe, and the second time they made one incision on each breast and took the liquid together with the tissues). According to the results of the study, they wrote that fibrocystic disease breasts with apocrine metaplasia. After that, they gave the material from the biopsy for analysis to another clinic and there they made a conclusion that: fibrocystic breast changes from early metaplasia of columnar cells. As a result, one doctor proposes to remain under observation, while another recommends removing one fibroadenoma, which is with metaplasia and the largest of all (the rest of the fibroadenomas without metaplasia are also easy to observe). The reason for which he recommends removing the planned pregnancy. For me it is very difficult to make a choice. I would like to understand how much fibroadenoma removal is indicated for me with my diagnosis? Thanks in advance for your reply.

Answers Demisheva Inna Vladimirovna:

Good afternoon, indeed, a larger fibroadenoma should be removed, since during pregnancy the risk of growth and inflammation in it is not excluded.

2012-09-12 07:48:12

Valeria asks:

Hello!

I'm 25. I have fibroadenoma and two cysts in both glands. In 2005, an operation was performed for the removal of fibroadenoma in L. mzh .. Half a year ago, treatment was prescribed by Prozhetozhel. The gynecologist prescribed birth control pills for treatment after a frozen pregnancy (1st pregnancy).

Question: is it necessary to take pills and how will they affect the chest?

Curettage was a month ago for a period of 10 weeks. Saw Duphaston 3 tablets a day.
Before I was pregnant, I was tested for hormones, progesterone was slightly lowered. There is erosion of the cervix.

Answers Demisheva Inna Vladimirovna:

You can take the pills, sometimes there is tension in the chest, but this is easily compensated for by herbal remedies.

2010-10-22 13:08:37

Gulnara asks:

Hello! I'm 40 years old. 2 weeks ago I had an ectopic pregnancy removed. After that, the doctors prescribed a treatment, which included taking Novinet. I am confused by the fact that 2 years ago I had a fibroadenoma removed in the left breast. This is the second removal of FA - the first one was 3 years after childbirth (daughter is 17 years old). I don’t know what to do, no matter how it turns out - you heal one thing, cripple the other.
Now there is also a lump in the chest the size of a pea. And please tell me if I should plan a pregnancy after treatment. Thank you.

2012-08-20 09:48:26

Marina asks:

Answers Demisheva Inna Vladimirovna:

Good evening, COCs are not contraindicated for fibroadenomas, but in terms of treating endometrioid cysts, I would rather take buserilin.

2012-01-11 10:43:23

Anna asks:

Good day! my situation: I am 25 years old, did not give birth and there were no abortions. Two weeks ago, I did an ultrasound of the mammary glands (on the 5th day of m.c.), they found fibroadenoma from 0.8-1.0 cm, and sent for a consultation with a mammologist. Two days later, a mammologist (at the Cancer Institute), during palpation, confirmed that it was fibroadenoma and sent me for a second ultrasound, at this institute and said in advance that he would do the operation to remove it. Uzist advised me to observe fibroadenoma (1.1 cm) and consult an endocrinologist. A couple of days later (since it was new year holidays) I turned to the oncologist for advice, after palpation she sent me for an ultrasound of the thyroid and blood tests for hormones. The ultrasound did not show any abnormalities and the blood test was also within the normal range. The oncologist prescribed treatment for me: Mastofit for 4 months, Fibromium for 4 months, Liposil for 2 months, Neovitin for 2 months, bioanelgetic ointment. I started all these examinations with a desire to get pregnant. The doctor advised to postpone the pregnancy, but if it happens then there is no danger from these drugs! Will this treatment help reduce, and subsequently resorb, fibroadenoma?