What is the reason for the blood flow signal in breast fibroids?

In recent years, more and more women have been suffering from breast fibroadenomas. This disease has a great impact on women's daily life and work. However, most breast fibroadenomas are benign tumors, and the more common symptom is the appearance of lumps in the breast. This lump does not change with the menstrual cycle. The presence of blood flow signals in breast fibroadenomas cannot indicate the severity of the disease, but it must be treated in time.

Symptoms of fibroids in the breast

First, the most typical symptom of breast fibroids is breast lumps, and most patients will only experience this symptom. Therefore, if female friends find breast lumps during self-examination, they must pay attention to it and not ignore it.

Second, although breast fibroids are common breast lumps, it does not necessarily mean that a breast lump is a fibroid, because this disease is common in the upper quadrant of the breast.

Third, when breast fibroids appear, the menstrual cycle will not change, and symptoms of dysmenorrhea will not appear.

Fourth, the lumps of breast fibroids usually have clear boundaries and no obvious adhesions to the surrounding skin, so they are easy to move.

1. Color Doppler Ultrasound

It can display the structures of each layer of the breast and the shape, size and echo condition of the mass. Breast fibroadenomas are mostly round or oval, uniformly hypoechoic masses on color Doppler ultrasound. Smooth and clear capsule echoes are often visible. The echo behind the mass is normal or slightly enhanced. Lateral acoustic shadows can be seen, and coarse calcifications accompanied by acoustic shadows can be seen inside the mass. Color Doppler showed no blood flow signal or only a small amount of blood flow signal in the mass, and RI < 0.7.

2. Mammography

Adolescent girls with dense breasts are not suitable for mammography. In breast X-rays of middle-aged women and above, fibroadenomas appear as round or oval masses, or lobed masses, with a diameter of 1 to 3 cm and smooth and clear edges. Compared with normal glands of the same volume, the masses have equal or slightly higher density and may be surrounded by a low-density halo. Calcification can be seen in some lesions. Calcification is mostly located in the center or edge of the tumor and is mostly coarse granular, dendritic or spotted. It can also merge into large masses, occupying most or all of the tumor, which is different from the clustered sand-like calcification foci of breast cancer.

3. Breast lesion biopsy

For breast lumps that are difficult to identify based on medical history, physical examination, or imaging examination, a biopsy or surgical resection can be performed for histopathological examination to confirm the diagnosis.