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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
What is acute mastitis?
Acute mastitis is an acute purulent infection of the mammary gland, commonly occurring in women during the postpartum breastfeeding period, especially more frequently seen in primiparous women. It usually occurs within three months after delivery, particularly in the third and fourth weeks postpartum. Therefore, it can also be referred to as postpartum mastitis or lactational mastitis. The main causes are due to bacterial invasion, stagnation of milk, and a decrease in the body's immune function. The primary pathogens are generally Staphylococcus aureus, with occasional cases involving Streptococcus. In such instances, it is recommended to conduct a routine blood test for the mammary gland and an ultrasound to determine the severity of the mastitis.
What are the symptoms of acute mastitis?
During the onset of acute mastitis, symptoms often include high fever and chills, and the affected breast may enlarge and become firm, with throbbing pain that becomes more apparent during breastfeeding. This is usually accompanied by an increase in local skin temperature, redness and swelling, and tenderness. If the area softens over a short period, an abscess may have formed. If the infection is not controlled, it can lead to systemic infection or sepsis. Patients often have swollen lymph nodes, and blood tests show elevated neutrophil counts in white blood cells.
Does acute mastitis have lumps?
Mastitis involves inflammation, and severe cases can lead to inflammatory lumps. Generally, we use breast ultrasonography for diagnosis and differentiation. If the ultrasonography report indicates a cystic formation, it is typically considered to be caused by the accumulation of milk. At this point, ceasing breastfeeding and seeking massage from a professional or a loved one to clear the accumulated milk can be curative. If the ultrasonography report shows an inflammatory hard lump or a solid mass, we recommend stopping breastfeeding and starting anti-inflammatory symptomatic treatment. If the lump shows signs of shrinking, continue the anti-inflammatory symptomatic treatment. However, if there is no change in the inflammatory lump, surgical treatment is recommended to remove the inflamed mass.
Treatment methods for acute mastitis
The treatment methods for acute mastitis start with stopping breastfeeding. For those with mild symptoms or less severe conditions, breastfeeding can continue, but it is not advisable to breastfeed from the affected breast. Instead, a breast pump can be used to express the milk. Secondly, the breast can be supported with a bra. Thirdly, for local redness and swelling, hot compresses can be applied, or ichthyol ointment can be used topically, as well as Levonorgestrel topical application. If blood tests show elevated levels, systemic antibiotics should be used, with the choice of penicillins and cephalosporins for symptomatic treatment. If an ultrasound shows an abscess formation, it is recommended to perform an abscess incision and drainage procedure, or, if it's deeper, a thick needle can be used for aspiration to draw out the abscess.
Do breast hyperplasia hurt?
Breast hyperplasia can be painful, primarily manifesting as cyclical breast pain according to the menstrual cycle. For example, there may be swelling and pain before menstruation, and lumps can be felt in the breasts. Anger and "internal heat" can also worsen breast hyperplasia. The main treatments include soothing the liver and regulating qi, maintaining a positive attitude, and avoiding spicy and fried foods. Traditional Chinese medicine primarily uses approaches to soothe the liver, improve qi circulation, invigorate the blood, dissolve stasis, soften lumps, disperse nodules, and massage. In Western medicine, hormonal treatments can alleviate this pain.
Types of breast cancer surgery
Breast cancer surgery types are generally still dominated by modified radical mastectomy. Modified radical mastectomy can be divided into two types; one preserves both the pectoralis major and pectoralis minor muscles, and the other removes the pectoralis minor muscle but preserves the pectoralis major muscle. Another option is breast-conserving surgery, which is feasible for tumors smaller than three centimeters and at least two centimeters away from the nipple. Nowadays, sentinel lymph node biopsy has become popular. If it proves that the sentinel lymph node has no metastasis, a single mastectomy can be performed.
Is it normal for adolescent boys to have nipple pain?
Nipple pain during puberty is generally likely due to unstable hormone levels in the body, causing a condition called gynecomastia in males. Gynecomastia is caused by hormonal stimulation, and any factors that disrupt the balance of sex hormones, growth hormones, prolactin, etc., can lead to the development of male breasts. However, in clinical practice, most patients do not have a found cause, so the etiology is divided into two categories: primary, which means there are no abnormalities in reproductive organ development or other organic changes, and hormone levels are normal with no obvious causes found clinically; and secondary, which refers to cases where a clear cause is evident in clinical practice.
Is lobular hyperplasia grade II severe?
Second-degree mammary lobular hyperplasia refers to simple mammary hyperplasia, which is not severe and has relatively mild symptoms or conditions. Most cases do not require treatment, but regular follow-up is necessary. For cases with more pronounced symptoms, we can use traditional Chinese medicine, which alleviates pain through methods such as soothing the liver and regulating qi, as well as harmonizing the thoroughfare and conception vessels. Vitamins can also be used to support treatment, with Vitamin B, Vitamin C, and Vitamin E improving liver function, regulating metabolic hormones, and enhancing autonomic nerve functions, serving as auxiliary medication for this condition. Vitamin E also helps relieve pain. Regular follow-up examinations with ultrasound and mammography are recommended. (Please use medications under the guidance of a doctor.)
Is hot compress effective for lobular hyperplasia?
Hot compresses for lobular hyperplasia have certain therapeutic effects, but the results may not be very significant. For patients with severe breast hyperplasia, breast supports can be used to lift the breasts, and Chinese medicine can be used for treatment. This involves soothing the liver and regulating qi, as well as balancing the thoroughfare and controlling vessels to alleviate pain and treat breast hyperplasia. Endocrine treatment is also an option, but it should be used as little as possible. For pre-menopausal women with very obvious pain, it can be taken before the onset of menstruation. Vitamin therapy can also be used, including vitamins B, C, E, etc. These have functions such as improving liver function, regulating sex hormone metabolism, and improving autonomic nervous functions, and can be used as adjunctive therapy for this condition. Vitamin E also has an effect in relieving pain.
What is good to eat for breast hyperplasia?
Breast hyperplasia patients can eat pretty much anything. However, dietary considerations should be kept in mind. It is best to avoid high-fat, greasy, spicy, stimulative, and high-calorie foods as much as possible. You should consume more high-fiber and whole grain foods. The diet should be high in protein and fiber, and nutritionally rich, including plenty of vegetables and fruits. Meals should be well-balanced, and it's advisable to avoid spicy, stimulative, and greasy foods. Foods that nourish the blood, moisten the lungs, and relieve cough can also be beneficial.