Fibroadenoma, the most prevalent benign tumour of the female breast, is most prevalent in young women under the age of 30. In asymptomatic women, it makes up about 25% of all tumours. It is a fresh growth made of both glandular and fibrous structures. This tumour is thought to grow as a consequence of an elevated oestrogen sensitivity in a specific area of the breast. Most frequently, this tumour manifested as a single, painless, slowly developing lump in the breast.
In modern medicine, surgeries like lumpectomy and mastectomy become the best option after a comprehensive review of available conservative management, such as hormonal therapy, keeping in mind the side effects of hormonal treatment. These procedures also have their own physical and psychological effects on women’s lives. A balanced and rational approach to the management of breast fibroadenoma must address the critical questions about its association with breast cancer, which is best accomplished through imaging techniques such as mammography, where fibroadenoma appears as a distinct area from other breast tissue, with smooth round edges, and breast ultrasound, where it is typically seen as a well-circumscribed, round to ovoid or macro lobulated mass, or if necessary, a minimally invasive biopsies.
Ayurvedic Concept of Fibroadenoma
According to Ayurveda, this is linked to Granthi, which is a condition caused by abnormal vitiation of Dosha and Dushya and is described by many Acharyas. According to Acharya Charaka, Granthi is equivalent to all kinds of small glandular or nodular swelling caused by benign tumours or cysts in any region of the body. There is no clear comparison for Stana Granthi, but Mamsaja Granthi, which occurs in Stana, is strikingly similar to a breast fibroadenoma.
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The Doshas (Vata, Pitta, and Kapha) contaminated the muscles, blood, fat, and siraa (vein, blood artery), which results in a raised swelling that is rounded and knotted (clotted). Such an enlargement is referred to as Granthi. The tumour (granthi) is known as a sira granthi when it only develops in sira.
What Are the Symptoms of Fibroadenomas?
Breast tumours that are not painful
Lumps are rubbery or solid.
Touches readily and moves
Flowing, clearly defined form
Types
There are four groups for fibroadenoma
1. Simple Fibroadenoma
2. Complex Fibroadenoma
3. Giant Fibroadenoma
4. Juvenile Fibroadenoma.
Simple fibroadenoma are typically 1-3 centimetres in size, and when examined under a microscope, they all appear to be the same. Simple fibroadenoma is not linked with a risk of breast cancer. On the other hand, complex fibroadenoma appears to have a variety of cell features under microscopic observation, and these features can increase the chance of breast cancer. Considering the size of the fibroadenoma, the tumour can be described as a giant if it grows to be larger than 5 centimetres. Teenage females are more likely than boys to develop juvenile fibroadenoma.
Pathology
The pathophysiology of fibroadenoma is connected to ageing. It occurs more frequently in people who are of childbearing age. It develops from connective tissue cells, which are cells that typically assist in providing the nearby breast tissues with both functional and mechanical support. It might exhibit progesterone and oestrogen intolerance, and it might develop during pregnancy.
Diagnosis
Fibroadenoma is thought to develop as a consequence of increased oestrogen sensitivity, which is the cause of the condition. Imaging tests like mammograms and ultrasounds can be used to diagnose the condition. Additionally, a biopsy provides accurate findings and aids in figuring out whether a fibroadenoma or other problem with the breast is present. When it comes to the therapy, it is advised in allopathic medicine to remove fibroadenoma through surgical procedures. It can, however, occasionally diminish by itself.
Risks
Surgery for fibroadenoma comes with a lot of complications. It may remove some of the surrounding normal breast tissue, which could leave scars on the breasts and lead to changes in the texture and form of the breasts. Furthermore, there is a possibility that mammograms will become difficult to read in the future. After excision, women occasionally experience fibroadenoma recurrence. This occurrence suggests that a new one is forming. The natural fibroadenoma therapy in Ayurveda is used to stop all of these consequences from happening. Every lady with fibroadenoma must have a breast exam in order to be monitored frequently.
Fibroadenoma: Ayurveda at the rescue
There is a great deal of public consciousness today about breast health.
Cancer may develop from the complicated fibroadenoma. As a result, we need to monitor the condition of the breast. Ayurveda can be a huge help for us if we struggle with this effort. The best possible health for the breast is achieved with ayurvedic fibroadenoma treatment, which aids in restoring the equilibrium of dosha.
According to Ayurveda, the breast is made up of glandular tissue, fatty tissue, and lymphatic outflow. The Granthi found inside the breast is known as Mamaja Granthi, and it is believed that vitiation in the dosha causes abnormal development of these cells. Mamsaja Granthi’s characteristics are strikingly comparable to those of fibroadenoma, which is treatable with Ayurveda.
TREATMENTS FOR FIBROADENOMA
Lumpectomy
Cryoablation
Treatment by Herbs
medicines that reduce the effects of kapha and vata dosha
Sodhahara drugs тАУ medications for reducing edema
Kanchanara guggulu
Thrayanthyadi kashayam
Punarnavadi kashaya
Mahayoga raja guggulu
Rasagandhi mezhuk
Varanadi kashayam
AYURVEDIC MEDICINE USED OFTEN FOR FIBROADENOMA
Internal management
Thrayanthyadi kashayam
Kanchanara guggulu
Punarnavadi kashaya
Mahayoga raja guggulu
Pathya тАУ apathya
Healthy Practises, Diet, And Herbs
Guggul, Asphaltum, Old Ghee, Red Rice, Barley, Green Gramme, Pointed Gourd, Red Type Of Drumstick, Bitter Gourd, and other Dry, Pungent, And Carminative foods.
Unwholesome Herbs, Diet And Habits
Milk and milk products, sugarcane juice and its byproducts, meat from marshy land animals, food made from flour, sour and sweet foods, foods that are difficult to digest, foods that impede the flow of blood, etc.
DIET AND BEHAVIOUR FOR FIBROADENOMA
Avoid foods like sour, acrid, and dry foods that are difficult to process because they can cause a dosha imbalance. since a dosha imbalance makes the conditions worse.
Exercise regularly
Consume a balanced diet
YOGA FOR FIBROADENOMA
Nadi Shuddi Pranayam тАУ is soothed by irritations brought on by hormonal instability
The patient must be sitting in a relaxed, meditative position with the head and spine upright. The patient must use his forefinger to cover one nostril (the left nostril if using the right hand, and the other nostril if using the left hand) and fully exhale through the other nostril. He will once more need to take several deep breaths while closing the opposing nostril with his thumb.
Reference
Charak samhita
Astang hridya
Bhaishajjya ratanavali
Bhavprakash nighantu
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