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108
Lin Yang
Breast Surgery
About me
Graduated from Jiamusi Medical University in July 2005 with a Master's degree in Medicine.
Proficient in diseases
Treat various breast diseases such as breast hyperplasia, benign and malignant tumors. Has unique insights into the application of mammary ductoscopy.
Voices
Breast swelling and occasional stabbing pain, what's wrong?
Breast swelling and occasional stabbing pain are considered to be caused by fibrocystic breast changes. The symptoms of fibrocystic breast changes include cyclic swelling and pain in the breasts, often appearing or worsening before menstruation and reducing or disappearing after menstruation. It may manifest as swelling and pain in one or both breasts, or prickling and painful sensations, and can extend to the shoulders, upper arms, or thoracic regions. Few patients may experience nipple discharge. During physical examination, nodular lumps of varying sizes, which are firm but not hard, can be felt in one or both breasts. Sometimes these lumps are tender, and their boundaries with the surrounding breast tissue are indistinct, but they are not adherent to the skin or pectoral muscles. Regular follow-up with breast ultrasound is advisable.
The difference between breast prickling pain and swelling pain.
Breast tingling and soreness are no different; they are both manifestations of breast hyperplasia. The main symptoms of breast hyperplasia include cyclic swelling and pain in the breast, which often appear or worsen before menstruation and diminish or disappear after menstruation. Mild cases may not be noticed by the patient, while severe cases can affect daily life and work. However, some patients do not exhibit obvious cyclical changes, and some may experience soreness in one or both breasts, or needle-like pain, which can extend to the shoulders, upper limbs, or chest and back area. A few patients may have nipple discharge, with the color of the discharge ranging from yellow, brown, or bloody. The duration of the condition can sometimes be lengthy, but symptoms typically alleviate or disappear automatically after menopause.
Can acute mastitis be treated with hot compresses?
Acute mastitis can be treated with hot compresses, which can reduce local pain, dilate the milk ducts, and facilitate the expulsion of milk. To completely cure mastitis, it is essential to visit a hospital for examination. Under a doctor's guidance, taking antibacterial drugs for anti-infection treatment is recommended. For women who are breastfeeding, the priority in treating mastitis is to empty the breast milk first; thereafter, taking antibacterial drugs for anti-infection treatment is advisable. For severe cases of mastitis, it may be necessary to perform puncture aspiration or incision and drainage to achieve optimal treatment results. Patients with mastitis should pay attention to their diet and eat lightly in daily life, avoiding particularly greasy foods. It is advisable to eat light meals, vegetables, and fruits.
What's going on with breast swelling, pain, and frequent urination?
Breast engorgement and frequent urination may be caused by mammary gland hyperplasia, and we can diagnose it through breast ultrasonography or mammography. Mammary gland hyperplasia is currently believed to be related to endocrine disorders causing increased levels of estrogen. It primarily manifests as cyclical breast pain, often occurring or worsening before menstruation, and diminishing or disappearing after menstruation. Mild cases may not be significant to the patient, but severe cases can affect daily life and work. However, some patients do not show obvious cyclical changes, and symptoms may include one or both sides of the breasts feeling engorged or a tingling itch, possibly extending to the shoulder, upper limbs, or thoracic and back areas. A minority of patients may experience nipple discharge, which can be yellow or brown. The condition can last for a long time, but symptoms will automatically disappear or lessen after menopause.
Can grade II hyperplasia of small leaves become cancerous?
Fibrocystic change grade II generally does not become malignant. Fibrocystic change grade II refers to breast hyperplasia or benign tumors of the breast. It can be identified based on the typical symptoms of cyclic breast swelling and pain that worsens before menstruation and diminishes or disappears after menstruation. During physical examination, there are nodular masses of varying sizes accumulated inside the breast, which are firm but not hard, sometimes with tenderness. Ultrasound examinations show no masses, or mammography shows a cotton-wool appearance, which are main symptoms of breast hyperplasia, but the possibility of concurrent breast hyperplasia and breast cancer needs to be considered. On one hand, patients with significant breast hyperplasia should be closely followed up, advising them to return to the hospital for re-examination every two or three months; on the other hand, for those with obvious hyperplastic lumps or unclear boundaries in the thickened areas, it is recommended to perform a biopsy on suspicious lesions to prevent misdiagnosis.
Should I use cold or hot compress for breast pain?
For breast tenderness, we generally choose hot compresses to reduce pain. For the occurrence of mammary gland hyperplasia, it is recommended to use medication for symptomatic treatment, which may include traditional Chinese medicine. This treatment involves soothing the liver and regulating qi, and balancing the thoroughfare and conception vessels to alleviate pain. Endocrine treatments are also an option, but they are ideally avoided if possible. However, for significant pain during the pre-menopausal period, medication can be taken before the onset of menstruation. Vitamin treatments with vitamins B, C, and E, which help improve liver function, regulate hormone metabolism, and enhance autonomic nerve functions, can be used as adjunctive medications for this condition. Vitamin E also has pain-relieving properties. For individuals with a family history of breast cancer, localized lesions in part of the breast, noticeable lumps after menstruation or dense shadows or microcalcifications on a mammographic film, a biopsy or a Mammotome rotational excision procedure should be performed, and surgical treatment may be necessary if required.
Is lobular hyperplasia nodules serious?
Small hyperplastic nodules are generally not serious. If the nodules are between 0.2-0.4cm, we can treat them with traditional Chinese medicine, using methods to soothe the liver, regulate qi, and harmonize the thoroughfare and conception vessels to treat breast nodules; If the nodules are between 0.6-0.8cm, breast ultrasound determines them as benign. If the psychological burden is light, regular ultrasound examinations can be scheduled. If the psychological burden is heavy, the nodules can be removed by minimally invasive Mammatome rotation to achieve cure. If the nodules are larger than 1.0cm, it is recommended to first perform cytology aspiration and biopsy to prevent misdiagnosis. If determined to be benign, surgical treatment can be used; if malignant, a full-body exam is recommended to check for distant metastasis to formulate a surgical treatment plan.
Where does the mammary gland hyperplasia nodule grow?
During a physical examination for breast hyperplasia nodules, nodular lumps of varying sizes can be felt in one or both breasts. These lumps are tough but not hard, and sometimes tender to touch. The boundary between the lump and surrounding breast tissue is unclear, yet there is no adhesion to the skin or chest muscle. Sometimes it appears as an ill-defined thickening area, most often located in the upper outer quadrant of the breast, but it can also affect the whole breast. The lumps often swell before and during menstruation and shrink after. In ultrasound imaging, breast hyperplasia nodules appear as uneven low-echo areas, and if cysts form, they appear as anechoic areas.
How to Prevent Breast Cancer
Since the exact causes of breast cancer are not fully understood, prevention of breast cancer involves early examination. It is recommended that women under the age of 35 undergo a clinical examination every six months and a breast ultrasound once a year. For women over the age of 35, it is advised to have a breast ultrasound every six months and a mammogram once a year. Early detection and early treatment are the most important aspects of breast cancer prevention. Learn self-examination, and if you feel a noticeable lump, it is recommended to regularly visit a breast clinic or surgical clinic for diagnostic tests and treatment.
Can I eat eggs with acute mastitis?
Patients with acute mastitis can eat eggs, but should not consume them in excess, as too many can lead to increased accumulation of body fat and elevated cholesterol levels. Prevention is more important than treatment for mastitis, and specific methods include maintaining nipple cleanliness during lactation. Frequently wash with warm, soapy water, and nipples can also be washed with 3% boric acid water before and after breastfeeding. For those with inverted nipples, gently squeeze out the nipple before washing. It is important to develop good breastfeeding habits, breastfeed on a schedule, and ensure that all the milk is drawn out each time. If the milk cannot be fully expressed, use hand massage or a breast pump. Additionally, do not let the baby suckle while sleeping. If there is nipple damage or cracking, stop breastfeeding, use a breast pump to extract milk, and resume breastfeeding once the wound has healed.