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Surplus sclerosing adenosis. What is adenosis of mammary glands? Basic principles of treatment

- A form of fibro-cystic mastopathy, which is accompanied by growth of salivary tissue of the breasts. There are pains and engorgement of the breasts, moldings in their slits, the appearance of a sight from the nipple. Diagnosis of adenosis is based on a selected history of scarring, data on examination and palpation of the breasts, additional methods of follow-up (ultrasound and radiography of mammary glands, determination of the level of hormones, cytological follow-up of nipple fluid and biopsy). Likuvannya fall ill in yogo form that includes conservative therapy (appointment of hormones) or operative intervention.

Adenosis occurs to benign lactiferous diseases of a hormonal-deposit character, which is confirmed by symptoms in another phase of the cycle. Synonyms of adenosis are "fibrous adenosis", "myopital hyperplasia" or "lobular sclerosis". Women of reproductive age suffer from adenosis - the prevalence of illness in the age group of 30-40 years is 30-70%. In women with gynecological diseases, the frequency of adenosis increases to 100%. Denmark can develop in girls during the period of menstruation and in women in the first trimester of pregnancy, which is important physiologically, all signs of adenosis develop spontaneously after one hour, after stabilization of the hormonal background.

Cause adenosis of the mammary gland

The main cause of the pathology is hormonal imbalance - not enough progesterone and too much estrogen. Before etiological factors that indicate hormonal imbalance, one can see:

  • Fatty. Adipose tissue for the synthesis of estrogen. With supra-world vase, the production of estrogen increases, which leads to visible hyperestrogenia (progesterone rive is normal).
  • Mimovilni and piece abortions. Vagination reversal, especially on longer terms (15-22 days), provokes a sharp hormonal change and the vision of compensatory mechanisms. The rіven of the state hormones does not immediately return to normal, which leads to the development of endocrine problems, the development of adenosis.
  • Pіznya vagіtnіst. In women older than 35 years, the functions of the ovaries stop. It is time for the vagity to activate the work of the ovaries, which leads to a psychological disturbance in the synthesis of estrogen and progesterone and the hormonal outlook.
  • Pislyarodova agalactia. Agalactia to report about the lack of progesterone, which proves for the development of that differentiation of clitin parenchyma of milk diseases, that is too much estrogen. In case of hyperestrogenia, the stroma grows, without progesterone leading to an uncontrolled growth of the salivary epithelium.
  • Vidmova in the year of the breast. An increase in the concentration of prolactin against the background of breastfeeding causes milk stasis in the ducts. There is a blockage that expands, which leads to structural changes - clear the cysts.
  • Uncontrolled reception of KPC. reception hormonal needles without urahuvannya іndіvіdualnyh osobennosti and dotrimannya scheme leads to hormonal imbalance and the development of dysplastic processes in the breasts.

Adenosis of the thoracic folds is often caused in patients with gynecological pathology (endometrial hyperplasia, ovarian swelling, uterine myoma, endometriosis), and they also develop on aphids hyperestrogenia. Triggers that trigger hormonal disorders can be somatic diseases (arterial hypertension, ailments of the liver and intestines), chronic stress, sexual discord, damaged ecology, chickens.

Pathogenesis

In the breasts, there are cyclical changes that are regulated by hormones: hypothalamus-releasing factors, FSH and LH, estrogens, prolactin, chorionic gonadotropin, androgens, glucocorticoids, progesterone, thyroid hormones and thyroid hormones. Adenosis is accompanied by absolute and perceptible hyperestrogenia, as it is associated with progesterone deficiency. Estrogens protect the growth of the milk ducts for the growth of the supramundane proliferation of cells and hyperplasia of the stroma by way of activation of fibroblasts. Before the functions of progesterone, there is a decrease in the number of estrogen receptors on cellular membranes and a change in the infusion of estrogen on target organs (breast, uterus).

In case of lack of progesterone, the differentiation of epithelial cells and collagen decreases, which have settled in a significant amount, blocking of proliferative processes is galvanized. As a result, rozpodil clitin becomes uncontrollable, the process of galvanization of proliferation in tissues is disrupted. It is necessary to lead to structural and morphological changes: expansion and swelling of the intralobular tissue, activation of the proliferation of the salivary epithelium in the milk ducts, which causes blockage, expansion of the cysts.

Classification

In mammology, there is a single classification of adenosis of the breasts. The systematization of the nest is carried out beyond the area of ​​tissue damage and histological adenosis. For the breadth of pathological illumination, 2 forms are seen:

  • Vognishchev (local). At the entrance, there is a large fluffy cloak, or a disk-like form. The vuzol has a fibrous capsule and is folded into chastices.
  • Difuznu. At the milk vine, the sprat of the nursery is narrowed, the shape of that between them is widened. Light grows unfurnished and grows unevenly.

According to the type of clitin clitin epithelium that have grown, the parenchyma ridges are distinguished:

  • Sclerosing adenosis. Accompanying the proliferation of acini (larches of clumps of worms) from saving the integrity of both epithelial and myoepithelial balls. Regardless of the pressure of the acinus in fibrous tissue, the configuration is taken care of.
  • Apocrine adenosis. It is characterized by apocrine metaplasia of the epithelium (transition of cuboidal epithelial cells to cylindrical ones with the appearance of apocrine secretion). For histological budovaya apocrine adenosis similar to cancer, which is infiltrating, but the nature of yoga is good.
  • ductal adenosis. It is enlarged by dilated milk ducts, surrounded by cells of the epithelium with cylindrical metaplasia. Similar to sclerosing adenosis.
  • Microlandular adenosis. It accompanies diffuse and painless growths of small ducts. Sclerosis and tissue pressure are daily.
  • Adenomioepithelial adenosis. This form is narrowed even more seldom, but it is similar to the molding of adenoepithelial breasts. Є middle adenosis.

Symptoms of adenosis of the mammary gland

The symptomatology of adenosis is similar to the clinical picture of mastopathy. Fallow in the form of ailments, the manifestation of quiet and other signs is seen. Mastodynia (painfulness, engorgement, increased sensitivity), pain that worsens in advance of menstruation, the appearance of water-creaming nipples, soreness of the breasts on palpation are noted to the extreme symptoms of adenosis.

In case of a local form of pathology in the ridge, there is a gap, a ruff is narrowed with a lobed structure, not soldered to the extra tissues and there may be clear borders. During the first hours of palpation, mucus/milk cessation from the nipple, deformity of the skin and increase in inguinal lymph nodes are not suspected. For the diffuse form of the disease, the soreness of the pimple is characteristic (because it suffocates the entire pimple), the breasts swell before menstruation, the nipple is zhovte or bezbarvne vіddіlennya. Diffusive adenosis is characterized by appositions in the colony with a number of veins of various sizes, as there are no clear inter-temporal forms. The task of roztashovanі vuzlikovі make angry, scho create the illusion of plump significant rozmіrіv. Palpation of the breasts is painful, regional lymph nodes are not improved.

complication

Piznі diagnostics and therapy of adenosis zbіlshyut risik appearance flamboyant illnesses breasts, deformities of the colon, cysts in the tissues of the breasts and papillomas in the milk ducts). Zgіdno with the rest of the scientific tributes, the link between infection with breast cancer has been reported, and there is a 5-fold increase in the rate of growth in adenosis. The frequency of aggravation of the newly formed deposited depends on the degree of proliferation of epithelial cells. Non-proliferative forms are malignant in 0.86%, in some cases of proliferation breast cancer develops in 2.5%, adenosis with a severe stage of cell proliferation is transformed in malignant puffer in 32% of cases.

Diagnostics

For the diagnosis of adenosis, a consultation with a mammologist is necessary. The doctor should take anamnesis and scarg, clarify the presence of concomitant somatic and gynecological diseases, improve physical examination and palpation of the breasts. If necessary, the woman will be consulted by a gynecologist, an oncologist and an endocrinologist. In case of suspected adenosis, instrumental and laboratory diagnostic methods are prescribed:

  • Mammography. Allows you to designate the localization of the process, its breadth and breadth. On the radiographs, you can see many, with wide margins and irregular forms of shade, which give the chalets to the trees, which have grown.
  • Ultrasound of milk follicles. It helps to restore the rotting of the damaged vineyard, її between, the consistency of that rozmіri. For additional ultrasound, there is a thickening of the disease in young women, brushes of small size (up to 3 mm), which have settled down when the duct is blocked, the station of the regional lymph nodes is assessed.
  • Hormonal follow-up. Indicated instead of state hormones, prolactin, FSH, LH. The indications are followed by the concentration of hormones in the thyroid gland and supra-thoracic glands.
  • Histological, cytological follow-up. A cytogram is seen from the burrow, puncture biopsy of the adult breasts. The smear shows the presence/day of atypical clitin, the biopsy material evaluates the degree of proliferation of the clitin.

Clinical analysis of blood and section, biochemistry of blood (tsukor, liver enzymes and others) with the method of revealing somatic pathology are also prescribed. Differential diagnosis of adenosis is carried out with other dysplastic processes of the mammary gland (adenoma, fibroadenoma, cyst) and breast cancer.

Treatment of adenosis of the mammary gland

Tactics of treating adenosis (conservative therapy for surgical intervention) depends on both the form and the nature of the disease. In diffuse forms of pathology, it is prescribed conservative exuberance, turn on reception sedative drugs, vitamins (A, E, ascorbic acid, P, group B), minerals and hormonal preparations. With a mild form of illness, monophasic combinations of oral contraceptives are prescribed for a course of 6 months. In case of severe symptoms of adenosis, the indications are to take a gestagen for at least 3 months.

We recommend that you take a look at the diet of eating: add fats, carbohydrates, increase the consumption of fresh vegetables and fruits. At small-eyed image life is necessary to increase physical activity and normalize the body, as far as possible to uniquely stress situations. In the case of the middle form of adenosis, sectoral resection of the lesion is observed - the examination of healthy tissues in the margins from the terms of the histological findings of the node. With a cosmetic method, the opening of the breasts is wound around the areola of the nipple, after wounding the wound, a little scar is left.

Forecast and prevention

With an early diagnosis and early success, the prognosis for life and illness is favorable. Prevention of adenosis includes early abortion, literate use of hormonal contraceptives, treatment of gynecological and endocrine diseases, preservation of first pregnancy and lactation for at least 6 months, prevention of early pregnancy and lactation for at least 6 months, and prevention of gynecological contraceptives and a healthy life. Also, regularly carry out self-exfoliation of the breasts, skin cleansing by a gynecologist, dotrimuvatsya proper eating plan pershu vagіtnіst up to 30 years

- A form of fibro-cystic mastopathy, which is accompanied by growth of salivary tissue of the breasts. There are pains and engorgement of the breasts, moldings in their slits, the appearance of a sight from the nipple. Diagnosis of adenosis is based on a selected history of scarring, data on examination and palpation of the breasts, additional methods of follow-up (ultrasound and radiography of mammary glands, determination of the level of hormones, cytological follow-up of nipple fluid and biopsy). Likuvannya fall ill in yogo form that includes conservative therapy (appointment of hormones) or operative intervention.

MKL-10

N60.2 Fibroadenosis of the mammary gland

Zagalni vіdomostі

Adenosis occurs to benign lactiferous diseases of a hormonal-deposit character, which is confirmed by symptoms in another phase of the cycle. Synonyms of adenosis are "fibrous adenosis", "myopital hyperplasia" or "lobular sclerosis".

Women of reproductive age suffer from adenosis - the prevalence of illness in the age group of 30-40 years is 30-70%. In women with gynecological diseases, the frequency of adenosis increases to 100%. Denmark can develop in girls during the period of menstruation and in women in the first trimester of pregnancy, which is important physiologically, all signs of adenosis develop spontaneously after one hour, after stabilization of the hormonal background.

Cause adenosis of the mammary gland

The main cause of the pathology is hormonal imbalance - not enough progesterone and too much estrogen. Before etiological factors that indicate hormonal imbalance, one can see:

  • Fatty. Adipose tissue for the synthesis of estrogen. With supra-world vase, the production of estrogen increases, which leads to visible hyperestrogenia (progesterone rive is normal).
  • Mimovilni and piece abortions. Vagination reversal, especially on longer terms (15-22 days), provokes a sharp hormonal change and the vision of compensatory mechanisms. The rіven of the state hormones does not immediately return to normal, which leads to the development of endocrine problems, the development of adenosis.
  • Pіznya vagіtnіst. In women older than 35 years, the functions of the ovaries stop. It is time for the vagity to activate the work of the ovaries, which leads to a psychological disturbance in the synthesis of estrogen and progesterone and the hormonal outlook.
  • Pislyarodova agalactia. Agalactia to report about the lack of progesterone, which proves for the development of that differentiation of clitin parenchyma of milk diseases, that is too much estrogen. In case of hyperestrogenia, the stroma grows, without progesterone leading to an uncontrolled growth of the salivary epithelium.
  • Vidmova in the year of the breast. An increase in the concentration of prolactin against the background of breastfeeding causes milk stasis in the ducts. There is a blockage that expands, which leads to structural changes - clear the cysts.
  • Uncontrolled reception of KPC. Taking hormonal pills without correcting individual peculiarities and pretreatment schemes leads to hormonal imbalance and the development of dysplastic processes in the breasts.

Adenosis of the thoracic folds is often caused in patients with gynecological pathology (endometrial hyperplasia, ovarian swelling, uterine myoma, endometriosis), and they also develop on aphids hyperestrogenia. Triggers that trigger hormonal disorders can be somatic diseases (arterial hypertension, ailments of the liver and intestines), chronic stress, sexual discord, damaged ecology, chickens.

Pathogenesis

In the breasts, there are cyclical changes that are regulated by hormones: hypothalamus-releasing factors, FSH and LH, estrogens, prolactin, chorionic gonadotropin, androgens, glucocorticoids, progesterone, thyroid hormones and thyroid hormones. Adenosis is accompanied by absolute and perceptible hyperestrogenia, as it is associated with progesterone deficiency. Estrogens protect the growth of the milk ducts for the growth of the supramundane proliferation of cells and hyperplasia of the stroma by way of activation of fibroblasts. Before the functions of progesterone, there is a decrease in the number of estrogen receptors on cellular membranes and a change in the infusion of estrogen on target organs (breast, uterus).

In case of lack of progesterone, the differentiation of epithelial cells and collagen decreases, which have settled in a significant amount, blocking of proliferative processes is galvanized. As a result, rozpodil clitin becomes uncontrollable, the process of galvanization of proliferation in tissues is disrupted. It is necessary to lead to structural and morphological changes: expansion and swelling of the intralobular tissue, activation of the proliferation of the salivary epithelium in the milk ducts, which causes blockage, expansion of the cysts.

Classification

In mammology, there is a single classification of adenosis of the breasts. The systematization of the nest is carried out beyond the area of ​​tissue damage and histological adenosis. For the breadth of pathological illumination, 2 forms are seen:

  • Vognishchev (local). At the entrance, there is a large fluffy cloak, or a disk-like form. The vuzol has a fibrous capsule and is folded into chastices.
  • Difuznu. At the milk vine, the sprat of the nursery is narrowed, the shape of that between them is widened. Light grows unfurnished and grows unevenly.

According to the type of clitin clitin epithelium that have grown, the parenchyma ridges are distinguished:

  • Sclerosing adenosis. Accompanying the proliferation of acini (larches of clumps of worms) from saving the integrity of both epithelial and myoepithelial balls. Regardless of the pressure of the acinus in fibrous tissue, the configuration is taken care of.
  • Apocrine adenosis. It is characterized by apocrine metaplasia of the epithelium (transition of cuboidal epithelial cells to cylindrical ones with the appearance of apocrine secretion). For histological budovaya apocrine adenosis similar to cancer, which is infiltrating, but the nature of yoga is good.
  • ductal adenosis. It is enlarged by dilated milk ducts, surrounded by cells of the epithelium with cylindrical metaplasia. Similar to sclerosing adenosis.
  • Microlandular adenosis. It accompanies diffuse and painless growths of small ducts. Sclerosis and tissue pressure are daily.
  • Adenomioepithelial adenosis. This form is narrowed even more seldom, but it is similar to the molding of adenoepithelial breasts. Є middle adenosis.

Symptoms of adenosis of the mammary gland

The symptomatology of adenosis is similar to the clinical picture of mastopathy. Fallow in the form of ailments, the manifestation of quiet and other signs is seen. Mastodynia (painfulness, engorgement, increased sensitivity) is noted to the extreme symptoms of adenosis;

Local form

In case of a local form of pathology in the ridge, there is a gap, a ruff is narrowed with a lobed structure, not soldered to the extra tissues and there may be clear borders. During the first hours of palpation, mucus/milk cessation from the nipple, deformity of the skin and increase in inguinal lymph nodes are not suspected.

diffuse form

For the diffuse form of the disease, the soreness of the pimple is characteristic (because it suffocates the entire pimple), the breasts swell before menstruation, the nipple is zhovte or bezbarvne vіddіlennya. Diffusive adenosis is characterized by appositions in the colony with a number of veins of various sizes, as there are no clear inter-temporal forms. The task of roztashovanі vuzlikovі make angry, scho create the illusion of plump significant rozmіrіv. Palpation of the breasts is painful, regional lymph nodes are not improved.

complication

Piznі diagnostics and therapy of adenosis zbіlshuyut risik appear sládnen (burning disease of the breasts, deformities of the colon, cysts in the tissues of the breasts and papillomas in the milk ducts). Zgіdno with the rest of the scientific tributes, the link between the infection with breast cancer has been reported, and the growth rate of such growth with adenosis has been 5 times. The frequency of aggravation of the newly formed deposited depends on the degree of proliferation of epithelial cells. Non-proliferative forms are malignant in 0.86%, in some cases of proliferation breast cancer develops in 2.5%, adenosis with a severe stage of cell proliferation is transformed in malignant puffer in 32% of cases.

Diagnostics

For the diagnosis of adenosis, a consultation with a mammologist is necessary. The doctor should take anamnesis and scarg, clarify the presence of concomitant somatic and gynecological diseases, improve physical examination and palpation of the breasts. If necessary, the woman will be consulted by a gynecologist, an oncologist and an endocrinologist. In case of suspected adenosis, instrumental and laboratory diagnostic methods are prescribed:

  • Mammography. Allows you to designate the localization of the process, its breadth and breadth. On the radiographs, you can see many, with wide margins and irregular forms of shade, which give the chalets to the trees, which have grown.
  • Ultrasound of milk follicles. It helps to restore the rotting of the damaged vineyard, її between, the consistency of that rozmіri. For additional ultrasound, there is a thickening of the disease in young women, brushes of small size (up to 3 mm), which have settled down when the duct is blocked, the station of the regional lymph nodes is assessed.
  • Hormonal follow-up. Indicated instead of state hormones, prolactin, FSH, LH. The indications are followed by the concentration of hormones in the thyroid gland and supra-thoracic glands.
  • Histological, cytological follow-up. A cytogram is seen from the burrow, puncture biopsy of the adult breasts. The smear shows the presence/day of atypical clitin, the biopsy material evaluates the degree of proliferation of the clitin.

Clinical analysis of blood and section, biochemistry of blood (tsukor, liver enzymes and others) with the method of revealing somatic pathology are also prescribed. Differential diagnosis of adenosis is carried out with other dysplastic processes of the mammary gland (adenoma, fibroadenoma, cyst) and breast cancer.

Treatment of adenosis of the mammary gland

Tactics of treating adenosis (conservative therapy for surgical intervention) depends on both the form and the nature of the disease.

In the diffuse form of pathology, conservative treatment is prescribed, including the use of sedative drugs, vitamins (A, E, ascorbic acid, P, group B), minerals and hormonal preparations. With a mild form of illness, monophasic combinations of oral contraceptives are prescribed for a course of 6 months. In case of severe symptoms of adenosis, the indications are to take a gestagen for at least 3 months.

We recommend that you take a look at the diet of eating: add fats, carbohydrates, increase the consumption of fresh vegetables and fruits. With a low-volume way of life, it is necessary to increase physical activity and normalize the body, as far as possible to uniquely stress situations.

In the case of the middle form of adenosis, sectoral resection of the lesion is observed - the examination of healthy tissues in the margins from the terms of the histological findings of the node. With a cosmetic method, the opening of the breasts is wound around the areola of the nipple, after wounding the wound, a little scar is left.

Forecast and prevention

With an early diagnosis and early success, the prognosis for life and illness is favorable. Prevention of adenosis includes early abortion, literate use of hormonal contraceptives, treatment of gynecological and endocrine diseases, preservation of first pregnancy and lactation for at least 6 months, prevention of early pregnancy and lactation for at least 6 months, and prevention of gynecological contraceptives and a healthy life. Also, regularly carry out self-exfoliation of the breasts, skin cleansing by a gynecologist, dotrimuvatsya proper eating, plan pershu vagіtnіst up to 30 years.

On this day, according to statistics, problems with milk diseases are blamed on wealthy women. The most basic and serious of various kinds of evil and good newborn. Stop using such a wild medical term, like "mastopathy". Vaughn can see a lot. One of them is adenosis of mammary glands. What is it, rozpovіdaєmo far from the stati

The essence of adenosis

On the back of the head, it is necessary to explain the meaning of the main disease, the same - mastopathy, let's call it a symptom of adenosis.

The term "mastopathy" means good growth, disruption of the functioning of glands and good clitin in women's breasts, their imbalance.

The term "adenosis" has a general meaning, as a change in the normal number of clitins, whether it be a bug on the big side.

From the presentations, it became clear that adenosis of the mammary gland is the process of growth and expansion (hyperplasia) of the stubborn cells of the breasts, with which one can recognize the singing changes in the whole camp and the warehouse of a healthy tissue of the mammary gland. Adenosis is a type of salivary mastopathy.

Golovnі causes ta riziki the appearance of ailments

Adenosis of the mammary gland is more important in women for about forty years. The main reason for this development is change, disruption of hormonal balance. AT to this particular type Mova about state hormones.

In this case, the main group of risk is consumed by women, who are experiencing menopause and menopause, and some young girls in the period of state maturation.

The development of an illness can be provoked by such manifestations:

  • forward and piece canopies, abortions in other terms;
  • the first week of pregnancy (about 40 years);
  • vіdsutnіst protyazh zhіtya zhіnki vagіtnosti;
  • vіdmova vіd breastfeeding and the viability of breast milk production.

You can also automatically drink risika to the group, like this:


Main signs and symptoms

Adenosis of the mammary gland is characterized by severe symptoms of mastopathy, to which lie:

  • bіl at the breasts, scho posilyuyutsya before the cob of menstruation;
  • swelling and aggravation of milk follicles under the hour of menstruation;
  • various visions of nipples;
  • when there is an improvement that they sign up for a dotik;
  • bіl when wrapping breasts.

The first forms of the development of adenosis are manifested in a different way, in a different way, with these and other symptoms, which manifest themselves in a larger or smaller world.

Form adenosis of the mammary gland

Two main forms were seen - local and diffuse.

It is locally accompanied by the appearance of chastochkovy lesion and the new creation, as it appears in case of extreme matting. The stench can be absolutely different.

With a diffuse form, there are no clearly pronounced cases, the growth occurs uncircumscribed and unevenly.

With medical diagnosis, a specific form of adenosis of the breasts is revealed.
Seen a sprig of vision:

  • Sclerosing adenosis of the mammary gland. More my simple tse overgrowth of the milk ducts with epithelial cells. The process is characterized by different stages. Sometimes there are internal denials of significant papillomas. There are no narrowed chasms in this case, the breasts will be sore with deep movement of the cheeks.
  • Apocrine adenosis. Appointments to the adopted schіlnih vuzlіv on kshtalt chastochki. Epithelial cells, which have grown, make the kernels of various rosemaries, which will take away the granules in their own. The knots are available for lining. They increase and increase before menstruation.
  • duct form. It was given to the expansion of the milk ducts, as if they were surrounded by cells of the epithelium.
  • Adenomioepithelial adenosis. Zustrichaєtsya more for other forms. Appears in the fretless newly formed epithelial cells different forms in different areas of the milk follicle.
  • Microlandular. So dosit rіdkіsna form. It was assigned to tissue growth in the largest ducts.

Diagnostics

Behind the first symptoms, the woman, as if she could cover her breasts, would herself develop mastopathy in herself. An exact diagnosis can only be made by a fakhivets - a mammologist. After looking around that palpation of the breasts of the veins, it is necessary to recognize the necessary further analysis.

Mammography is carried out to diagnose a single type of adenosis. Vaughn є x-ray of milk worms. The concrete form of the disease is restored to help itself, in order to recognize the need for exaltation. The following is the most informative.

Vikoristovuetsya also ultrasound of milk worms - echography. Vaughn is a less accurate method of diagnosing and zastosovuetsya in a different row.

Therapy for adenosis of the mammary gland

It’s up to you to blame yourself for a correct diagnosis if you are ill. Chi is not blameless єі adenosis of the lactiferous.

Fallow in the form of a singing form, that stage of the disease zastosovuetsya conservatively or promptly likuvannya, and inodі - їhnya sukupnіst.

The conservative method is characterized by the use of various hormonal preparations. Їх is assigned by the term at the kіlka mіsyatsіv іz constant sight of the serpent's breasts. Effectively exuberant accompanying usunennnyam, soreness, roughness and vision. Modern pharmaceutical preparations and health care to treat the disease before the root.

Operative treatment zastosovuetsya in different ineffectiveness of conservative therapy and in more advanced forms of adenosis, especially in sclerosing and apocrine forms. To be carried out surgical examination of the nodes that have settled, and the tissues that have grown.

Prevention of adenosis

It’s easier to kill the sickness, it’s easier to get rid of it. To that dorimuyuchis singing preventive visits, you can save the adenosis of the milk follicles, or at the same time, you can get better at it.

Before such visits one can see:


Adenosis of the milk follicles is characterized by benign neoplasms, proteo, as a result of which it is delayed, which can provoke the transition of the disease into an evil form. Therefore, the control of which disease is simply necessary.

Never engage in self-deception! Only a doctor with the improvement of all the air conditioning of the building competently recognizes the necessary course of therapy. Take care of all the recommendations and appointment of the doctor, follow the prophylactic visit and be healthy.

Adenosis of the mammary gland lie down to the group of good-natured dentures and є different types of mastopathy. Illness is referred to in medicine by other terms - adenosis fibrosis, hyperplasia of the myopithelium, lobular sclerosis. The risk of development of pathology in the age-old intercourse - the disease is most often seen in women from 30 to 40 years of age.

Cause

The development of adenosis of the mammary gland is associated with hormonal disorders in the woman's body. It often occurs with endocrine ailments, with stress, which is long-term. The hormonal imbalance is provoked by dysfunction of the ovaries and the weakening of the immune forces of the body through the filthy environmental situation. Pevnі porushennya, scho to provoke the development of good-natured utensils, are indicated in women, scho to smoke and ill with alcohol, in patients, yakі may spadkovu schilnist.

Natural hormonal surge in girls podlitkovy vіku that in future mothers at the early stage of vinification of the fetus. Adenosis, which develops in the qi period, is physiological, and it will pass without ovarian involvement, since the body regulates the production of hormones.

Symptoms

The term adenosis means superficially increased, that is, hyperplasia, salivary tissue. There is a pathological growth of the chalk of the milk follicle, fibrous nodules are often formed.
The indentations can be solitary, but often there are multiple knots, rotting in different parts of the milk ridge.

Illness can be overcome in a different way, the symptoms of the disease lie in the form of adenosis. To severe manifestations of pathology, one can feel soreness at the sight of uncomfortable sensations, which are bursting, as if to be relieved a few days before menstruation (mastodynia). With palpation of the milk follicle, one can smear one or the other, the stench can be clear, so unimportant, separated between.

In the fallow type, the newfound pathology is subdivided into:

  1. Local form (middle). Diagnosed with one illuminator, it’s too thin, it can be flattened or the form is shaped. An enlargement of the ruhoma, characterized by a lobed bud and found in a fibrous capsule.
  2. diffuse form. This species is manifested by the adoptions of a number of knots, relieved by the singing form. Qi nodes in the milk cavity grow unevenly, with palpation of their edge it is impossible to smear with high accuracy, there is no clear between the swelling. The order of roztashovanі oshchіlnennya often get angry among themselves, and tse lead to damage to the great square of the breasts.

Serious forms of adenosis in pain and palpable luminosity most often do not show up in any way. With a diffuse form of illumination, soreness can be diffuse, which is often seen from the nipple with a yellowish color.

Diagnostics

The forward diagnosis of the leukar is established on the basis of the scarg of the patient and after the palpation of the milk ulcers. Ultrasound diagnostics reveals whether the form of mastopathy, showing swelling and its place of rotting. Ultrasound is necessary to work in the first phase menstrual cycle. For the purpose of the formation of a benign tumescent, її roztashuvannya that stage of development mammography is assigned. This method of follow-up reveals pathological changes in women's breasts,
but you can’t accurately install it - the evil or benevolent process has been revealed. To rule out breast cancer, patients should request a histological examination of tissue specimens taken from the newly created month for additional puncture biopsy of mammary lesions.

On the basis of the results of adenosis of the mammary glands, it is subdivided into a few species according to the revealed structure of epithelial cells:

  • The apocrine view of the newborn is characterized by a growth of swelling, as it repeats the contours and chasms of the burrow.
  • Tubular adenosis is manifested by the formation of a large number of tubules, which form a twisted shape.
  • The microlandular type of disease is manifested by small rounded ridges, which are found in fibrous tissue.
  • The sclerosing form of the pathology appears, like in the swelling - ducts from the inner surface of the cylindrical epithelium.
  • The adenomioepithelial form can be seen up to the middle adenosis and manifests itself in the formation of ridges similar to the common microglandular type.

Celebration

Celebration of adenosis of the milk ulcers to lie down in the form of enlightenment, for the sake of the patient, form of enlightenment. Since adenosis is diffuse, patients should only be treated conservatively. With an average look of illness, lust can be used as a help of medicines, and the way to carry out the operation.

Great significance in the choice of therapy may reveal other ailments of the female state sphere, impaired secretion of endocrine diseases and the general state of health. Therefore, the jubilation is always chosen individually.

more conservative

From the medicinal therapy for the treatment, the forms of mastopathy are described:

  • Polyvitamin complexes for the polypshenia of the whole body.
  • Sedative preparations (calm) for unstable psychoemotional state.
  • Diuretics
  • Hormonal control, including contraceptives for the normalization of the hormonal background.

Oral contraceptives are prescribed by the term less than three months, positive results are expected from taking such a drug as Lindinet. Homeopathic treatment Mammoleptin is indicated for concomitant administration of hormones.

Dodatkovo with the help of good-natured diseases, you can win recipes from traditional medicine. Ale, it’s necessary to remember that such a thing allows you to change the bіl and often increase the growth of the swelling, but you can’t completely absorb the new creation.

It is necessary to change your eating habits. The exchange of a large amount of oily wool, the increase in dewy products and їzhi with a minimum thermal processing will take a change in the size of a large number of good-quality fluffs. Particular respect for eating should be given to women with advanced vagoa, to which obesity often becomes the cause of hormonal imbalances. In the video fragments of the popular TV show, they will tell you what products are best for mastopathy:

Surgery

In zanedbanih vpadkah patsienttsy proponuetsya shirurgichna operation. Until the end of the university they go, if there is an increase in the number of positive consequences for taking medications. The rhinoplasty is carried out near the areola of the nipple, which allows the aesthetic defect of the breasts to disappear. The bulge hangs and is seen more and more, as if there is a small expansion, then on the breasts there is no more than a small scar. This is how the operation is carried out with sectoral resection of the mammary gland. If necessary, tissues are destroyed for an emergency biopsy.

Forecast

Adenosis is not a benign disease, it rarely turns into cancer. Imovirnist malignancy (evilness) rises, as the ducts of milk worms begin to choke. The recurrence of illness sets in for that person, as the woman does not attach respect to the exaltation of endocrine ailments.

Conducted jubilation on early stages the molding is reinforced on a regular basis, including atypical growth of the clitin.

Out of clothes to lay down and in the emotional mood of the woman and in the face of the current influx of psychological stress. With the development of adenosis, there is no sense in the early terms of the woman's vacancy. Tsya osvіta samolykvіduёtsya sound on the cob of another trimester of the child's winemaking.

Prevention

Hormonal imbalance in most depressions can be overcome. For which women it is recommended to have an hourly exaltation of a gynecological disease.
Adenosis of the mammary glands is rarely seen in women who have not had abortions, have nursed their child with their breasts for many months. Before the prevention of illness, it is necessary to take a post, but to calm down the physical adventure, the whole walks, swimming, health-improving complexes are right. Great is the significance of the presence of riches, illness may have a positive outlook on life.

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Good newborn, which is a different type of fibrocystic mastopathy, which is due to the growth of salivary tissue, is called adenosis of the mammary gland. A characteristic manifestation of the pathological process is the appearance of large nodules in the majority of depressions, which are accompanied by pain symptoms. The main reason for the development of adenocarcinoma of the mammary glands is hormonal disorders and disorders in the development of the female organism. Physicians see age-groups of risk, before them girls of twelve or fourteen years old and a representative of a beautiful state older than thirty-five years old.

Hormonal imbalance, which is the cause of the development of adenosis of the mammary gland, is characterized by a deficiency of progesterone and an excess of estrogen in the body of a woman. Крім вікових періодів перебудови жіночого організму, до гормонального збою можуть призвести такі фактори: , переривання вагітності на пізніх термінах, пізня вагітність, відмова від годівлі , що веде до застою молока, безконтрольний прийом гормональних препаратів, захворювання , хвороби , часті стресові ситуації, агресивний вплив dovkilla, immune ailments, ovarian swelling, fibroids, morbidity (alcoholism, drug addiction, smoking). Fallow in the localization of swelling, adenosis of the mammary gland is subdivided into medium and diffuse. Inflammatory adenosis arises in the milk ducts, and diffuse growth grows in an uneven manner and may represent a number of ruptures of bulging lesions and cysts. The pathological process was also carried out according to the type of cells of the epithelium that grow. The main types of pathology are apocrine adenosis, ductal adenosis, sclerosing adenosis, microglandular adenosis, adenomioepithelial, fibrosinging adenosis.

Symptoms of adenosis

Up to severe symptoms of all types of adenosis of the mammary glands cause pain, apparently unnatural severity, an increase in mammary lesions in rosemary, increased sensitivity, characteristic vidіlennnya, virazheny unuslikovsky nurse, faded lime -lumpy university, Narostanny Bolovikh Vidchuttiv at the instrumentation of the Nybіlsha of the pathologic fluid in the possible renewal of the evil system, the non -waste is characterized by the non -vaststyas.

Diagnosis and treatment of mammary adenosis in women

With the appearance of the above-described symptoms, it is necessary for a woman to go through a medical emergency. Practicing specialist in diagnosis and treatment of adenosis of the mammary gland. During the process, conduct the first examination of the patient and get to know the history of the sickness, beastly special respect gynecological illness. To obtain the most informative clinical picture, conduct low special diagnostics and laboratory investigations. Among the instrumental methods of diagnosis, it is necessary to see mammography and ultrasound follow-up. Among the laboratory investigations of obov'yaskovymi є cytological and histological observation from the nipples and tissue biopsy. Obov'yazkovo is carried out by a laboratory way of hormonal balance in the body of a woman. Krim vishchevkazanih doslіdzhen, to carry out a wild and biochemical.

Depending on the results of diagnostics, a method of examining pathology is selected. Medical treatment It is directed to the improvement of the hormonal background, the use of pain syndrome, the use of antiseptic and antibacterial drugs, immunostimulating agents. With insufficient medical effectiveness, they go to the methods of treatment.

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