Any abnormalities in the structure of dairy tissues cause women quite justified anxiety. Changes can affect the shape of the breast, the structure of the tissues, seals, secretions from the nipples, etc.
Panic is not necessary to give, because not always dense formation in the chest indicates oncology. Quite often, nodular densities in the female breast are manifestations of mastopathy. A similar pathology can have several structural forms, including fibrous-ferruginous.
What is fibro-glandular mastopathy of mammary glands?
This mastopathy form refers to benign formations and consists in the appearance of cystic dens in the dairy tissue.
Causes of adenosis development
For any mastopathy form, a hormonal imbalance is a prerequisite for development, which occurs against the background of the following factors:
- Endocrine pathologies and other typical female diseases;
- Decreased immune status;
- Abortions, neglect of breast feeding and other similar conditions, marked by sharp changes in the hormonal background;
- Strong stress disorders, psycho-emotional overload, frustration and nervous strain, conditions in which a woman had to endure a lot of negative emotions;
- Often, the causes are hidden in malotazovye and endocrine pathological processes such as hyperplastic changes in the endometrial layer of the uterus, functional disorders of the ovarian activity leading to cyst formation, thyroid pathologies, hepatic dystrophy, etc.
So, the main cause of fibrocystic glandular and other types of mastopathy is absencehormonal balance , and with adenosis, this imbalance should last for a relatively long time so that in the tissues of the breast begin to formXia cystic seal.
Symptoms of
Specialists distinguish several types of adenosis:
- Focal;
- Adenomyoepithelial;
- Micro-glandular;
- Protocol;
- Apocrine;
- Sclerosing.
Each form has some differences. The clinical picture of fibrous-ferruginous mastopathy depends on the nature of localization of the seals( diffuse or local location).
For all mastopatic varieties, the presence of abnormal growth of the mammary myoepithelium is typical. A woman is occasionally disturbed by a pulling or bursting tenderness in her chest.
With the advent of monthly pains become more pronounced, intensified and more frequent. Breasts seem to be nagging, however, there is no visual change in this process. The nipples remain the same, do not disturb the discharge. The breast systematically increases over the entire area if the pathology is diffuse, or is condensed only in a certain part, if the adenosis has a local form.
If fibrous-ferruginous mastopathy develops as a tumor, a mobile nodule is formed in the tissues of the mammary gland, which can consist of several lobular structures. But on a woman's condition this is not reflected in any way, therefore ladies usually do not notice such education.
With mammological examination by palpation, the doctor can easily detect the presence of seals located in separate parts of the chest or across its entire area. Lymph node structures usually do not increase, unless mastopathic processes are local and do not develop in the immediate vicinity of the lymph node.
But there is a fibrous-ferruginous mastopathy and its specific symptoms that distinguish them from other mastopathy forms:
- Micro-glandular adenosis is accompanied by the formation of a large number of rounded mini-ears, which literally permeate fibrous-glandular tissues, they are often located and there are a lot of them;
- Tubular adenosis is typical for the formation of drawn tubules of the same size in dairy fermented tissues. There are a lot of such tubes in the chest, so they are easily probed by palpation;
- The apocrine fibrous-ferruginous form of mastopathy affects the outlines typical of the thoracic lobules;
- Adenomyoepithelial variety is rare and has many common features with microglandular adenosis.
Moreover, abnormal growths affect only the dairy tissue and do not provoke invasive oncology. Although the development of the pathological process and lesions of the lactozleous lobules, which still applies to the negative conditions of women's health.
Sclerosing fibrous-ferruginous mastopathy usually develops against a background of thyroid pathologies and progesterone-estrogen imbalance. For such a mastopathic form, the presence of localized proliferation is typical. Fibrous changes are formed quite quickly, they constrict the glandular lobules, but do not change their forms. Characterized by the presence of small, mobile and dense nodular formations.
Diffuse adenosis is characterized by seals that do not have clear limitations, which grow unevenly on the surface of the entire breast. Lesions can affect the glandular ducts, which is fraught with active papilloma formation.
In focal fibrous-ferruginous mastopathy, asymmetry of the breasts is clearly manifested, while single or multiple dense formations are noted during palpation. In the chest, there are clear forms of densification, which is characterized by mobility.
Methods of diagnosis
Fibrous-ferruginous mastopathy is diagnosed using the following techniques:
- ultrasound;
- Mammography;
- Biochemical laboratory tests;
- Clinical trial;
- Blood tests for the level of various hormones;
- Biopsy of breast and fat tissues;
- MRI;
- Puncture study.
Tactics of treatment
If the formation is of a single nodular character and does not tend to grow, then the need for its surgical removal does not arise. However, you need to undergo an ultrasound scan of the breast every six months and be constantly observed by a mammologist.
When sclerosing adenosis is shown, its resection. For this, a cut is made along the edge of the areola and all the seals are removed through it. The remote biomaterial is poisoned by histology.
In the diffuse nature of fibrous-ferruginous mastopathy conservative therapy with the use of gestagens and oral contraceptives is shown.
An easy pathological form involves taking oral contraceptives like LINDINET 30 for a six-month course of therapy. With more serious diffuse lesions, the reception of progestogenes like Progesterone, Dufaston, Pregnin or Norkolut, etc. is shown.
Sometimes they resort to oral contraception in the form of preparations of Genestal, Silhouette, Janine, etc. Sometimes homeopathic remedies like Mastodinone are prescribed.
If there is focal adenosis, then surgical removal of the seals is indicated. As additional supportive-restorative therapy, vitamin complexes are prescribed. Also shown is strict adherence to dietary ration rich in vegetable fiber.
Forecast
In general, the results of prediction depend on the severity of hormonal changes and the form of mastopathy. If you find such fibrous-glandular seals in a pregnant woman, you should not worry, because such a mastopathy will pass on its own after the second trimester of pregnancy.
If endocrine pathologies continue to progress in the female body, then the likelihood of remission of the mastopathic fibrous-ferruginous process is high. Therefore, accurate detection of the etiology of adenosis strongly affects the prognosis of the disease in the future.
Prevention
Preventive measures against adenosis are based on the annual visit of a mammologist and monthly self-examination.
A woman needs to seek help promptly if she finds endocrine, gynecological, thyroid disorders and treat such abnormalities in a timely manner.
Pregnancy, ending with a natural delivery, is the key to preventing mastopathy of any form. In addition, it prevents mastopathy of breastfeeding and abortion.
Also, a woman needs to maintain a normal immune and psycho-emotional status, adhere to the principles of proper nutrition, include more physical activity in everyday activities.
Fibrous-ferruginous mastopathic processes are related to mild pathological forms, however, even with such a disease, the correct therapeutic approach is extremely important, then in the shortest possible time the woman will have a final recovery.