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Breast lobular hyperplasia
Why are there lymph nodes under the armpit in lobular hyperplasia?
Breast lobular hyperplasia generally does not involve enlargement of the lymph nodes. The enlargement of lymph nodes can be physiological or pathological. Physiological enlargement is either congenital or caused by inflammation, whereas pathological enlargement is generally caused by breast cancer. Lymph nodes affected by breast cancer can be located and fixed in the armpit, and may also be palpable above or below the clavicle. Lobular hyperplasia is related to the levels of hormones in the body; it is not inflammatory, but mainly associated with increased estrogen levels. There may also be variations in the quality and quantity of estrogen receptors in the breast tissue components, leading to uneven development in different parts of the breast.
Will hyperplasia recur after excision?
After the excision of lobular hyperplasia, recurrence generally occurs because mammary gland hyperplasia is related to the glandular tissue, which is associated with the disruption of endocrine balance leading to increased levels of estrogen. External environmental conditions for survival, work and living conditions, interpersonal relationships, and various other stress-induced psycho-neurological factors can alter the body’s internal environment. This, in turn, affects the function of the endocrine system, causing the secretion of one or several hormones to become abnormal. During the menstrual cycle, the hormonal levels within the breast receptors change cyclically. When the balance of estrogen in the body is disrupted, with an increase in estrogen levels and a decrease in progesterone secretion, it can result in incomplete regression of mammary gland hyperplasia, leading to an exacerbation of the condition.
Mammary duct ectasia is classified into several stages and can be treated as follows:
The grading of lobular hyperplasia and the staging of color Doppler molybdenum target are the same, First is grade 0, which is unconfirmed and requires further confirmation. Grade 1 is a negative result, which is normal and does not require treatment. Grade 2 indicates benign lesions, such as breast cysts and lobular hyperplasia of the breast, which are 100% benign at the second level. Lobular hyperplasia can be treated with medication, and benign cysts can be regularly reviewed with color Doppler ultrasound or surgically treated if there is a psychological burden. Grade 3 is possibly benign with a 2% risk of malignancy, typically referring to fibroadenomas of the breast, which can be treated surgically. Grade 4 is suspicious of malignancy, and in such cases, biopsy is recommended to determine benignity or malignancy, with surgical treatment advised if malignant. Grade 5 is highly suspicious of malignancy, and in such cases, surgical treatment is recommended, such as modified radical mastectomy or breast-conserving surgery. Grade 6 is confirmed malignant with pathological evidence of breast cancer.
What is the difference between breast hyperplasia nodules and breast hyperplasia?
Breast hyperplasia nodules and breast hyperplasia are not much different; breast hyperplasia nodules are a more severe condition than simple breast hyperplasia. Based on the typical symptoms of cyclic breast swelling and pain, which worsen before menstruation and lessen or disappear after menstruation, and upon physical examination, nodular lumps of various sizes can be felt within the breast, which are tough but not hard, sometimes tender to the touch. Supplementary examinations like ultrasound show uneven low-echo areas in the hyperplastic breast, and if cysts are present, they form anechoic areas. Breast mammography shows ground-glass or cotton-wool shadows, which can be diagnosed as breast hyperplasia. However, it is important to be wary of the potential coexistence of breast hyperplasia and breast cancer. On one hand, patients with significant hyperplasia should be closely monitored; on the other hand, patients with obvious hyperplastic lumps or unclear boundaries of thickened breast tissue should undergo fine-needle aspiration biopsy of suspicious lesions to prevent misdiagnosis.
What is the difference between breast fibroids and breast cysts?
Lobular hyperplasia and breast hyperplasia are the same, collectively referred to as breast hyperplasia. Clinically, it manifests as cyclical swelling and pain in the breasts, often occurring or worsening during the premenstrual period, and diminishing or disappearing after menstruation. Mild cases may go unnoticed 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 unilateral or bilateral breast swelling or needle-like pain, which can extend to the shoulder, upper limbs, or the chest and back. A few patients may have nipple discharge, and the duration of the disease can sometimes be lengthy, but symptoms usually disappear or lessen after menopause. Upon physical examination, nodular masses of varying sizes can be felt in one or both breasts, which are firm yet not hard, sometimes tender to the touch. The masses are not clearly demarcated from the surrounding breast tissue but are not adhered to the skin or chest muscles, sometimes presenting as indistinctly bounded thickened areas.
Does lobular hyperplasia have classifications?
Breast hyperplasia grading and color Doppler mammography grading are the same: Grade 0 indicates incomplete assessment and requires further confirmation; Grade 1 is a negative result, meaning only the normal structure of the breast; Grade 2 are benign findings, indicating benign signs such as breast hyperplasia, breast cysts, and breast lipomas; Grade 3 refers to benign findings but with a 2% malignancy rate, such as fibroadenomas of the breast; Grade 4 is suspiciously malignant and biopsy is recommended; Grade 5 suggests a high likelihood of malignancy; Grade 6 is clearly malignant, needing pathological confirmation of malignancy.
Can hyperplasia eat bamboo shoots?
People with hyperplasia of mammary glands can eat bamboo shoots. Foods rich in cellulose and vitamins can be consumed more often, although their mechanisms are not yet clear. However, it has been confirmed that cellulose can inhibit both breast cancer and colon cancer. Vitamin A also plays a role in protecting the mammary glands. It is advisable to reduce the intake of fats and high-calorie diets. Most epidemiological studies show that weight gain is associated with breast cancer, especially after menopause. Alcohol consumption should be limited as it is reported that it may increase estrogen levels in the body, leading to an increased risk of breast cancer in women. Regular breast ultrasound and mammography are needed for fibrocystic breast disease.
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.
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.
What should I do about lobular hyperplasia of the breast?
For cases with mild symptoms or less severe conditions, treatment is generally not necessary; regular follow-ups with breast ultrasound or mammography are sufficient. For those with pronounced symptoms, medication and symptomatic treatments can be given, as detailed below: Chinese herbal medicine can be used, treating breast hyperplasia through methods that soothe the liver, regulate qi, and harmonize the Chong. Endocrine treatments are also an option, though preferably avoided, but can be administered before menstruation for those who experience significant pain during the premenopausal period. Vitamin therapy, including vitamins B, C, and E, can improve liver function and regulate basal metabolism, as well as enhance the function of the autonomic nervous system, serving as supplementary medicine for this condition. Recently, vitamin E is also considered to have pain-relieving effects. For individuals with a family history of breast cancer, lesions confined to a part of the breast, or those who still have significant lumps after menstruation, it is recommended to conduct a puncture biopsy and consider surgical treatment if necessary.