Breast lobular hyperplasia

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Written by Lin Yang
Breast Surgery
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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.)

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Written by Lin Yang
Breast Surgery
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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.

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Written by Lin Yang
Breast Surgery
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Does lobular hyperplasia usually cause pain?

The primary manifestation of mammary gland hyperplasia is cyclical swelling and pain in the breast, often occurring or worsening before menstruation and alleviating or disappearing after menstruation. Mild cases are noteworthy for the patient, while severe cases can affect daily life and work. However, some patients do not exhibit obvious cyclical changes; others may experience unilateral or bilateral breast swelling and pain or needle-like pain. The pain may extend to the shoulder, upper limbs, or shoulder-back area. A few patients may have nipple discharge. During physical examinations, nodular lumps of varying sizes, which are tough but not hard, can be felt in one or both breasts. Sometimes, these lumps are tender to touch, and their boundaries with surrounding tissues are unclear, but they do not adhere to the skin or chest muscles.

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Written by Lin Yang
Breast Surgery
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Can ultrasonography detect lobular hyperplasia?

Lobular hyperplasia can be detected by ultrasound, appearing as heterogeneous hypoechoic areas on the ultrasound, and if cysts form, they appear as anechoic areas. The exact cause of lobular hyperplasia in the mammary glands is not very clear. It is currently believed to be related to elevated levels of estrogen caused by endocrine disorders, external environmental factors, work and living conditions, interpersonal relationships, and various other stressors that affect the psychological aspects, all of which can change the body’s internal environment. This in turn affects the function of the endocrine system, causing abnormal secretion of one or several hormones, ultimately disrupting the balance of hormone levels in the body, leading to increased estrogen, and causing mammary tissue hyperplasia.

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Written by Jia Rui
Obstetrics and Gynecology
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What is bilateral mammary lobular hyperplasia?

Bilateral mammary lobular hyperplasia is a type of abnormal proliferative disease of the breast tissue. Patients with mammary hyperplasia primarily experience breast pain and have breast lumps, and it is a benign disease. This condition is caused by an imbalance in ovarian endocrine levels, changes in hormone levels in the body, and an increase in estrogen levels, leading to excessive proliferation and incomplete restoration of breast tissue. It is common in clinical practice to examine breast diseases when breast pain and lumps are present.

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Written by Lin Yang
Breast Surgery
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Can medication completely cure mammary gland hyperplasia?

Breast hyperplasia can be treated with medication, but due to the disorder of hormone levels in the body, incomplete recovery may lead to the possibility of recurrence of breast hyperplasia. Most cases of breast hyperplasia are believed to be related to endocrine disorders, causing elevated estrogen levels, and hormonal levels in the body change periodically. When the proportion of hormones in the body is unbalanced, estrogen increases, and progesterone secretion decreases, breast hyperplasia is incompletely restored, causing breast tissue proliferation. On the other hand, it may also be related to the differences in the quality and quantity of estrogen receptors in the breast parenchyma components, resulting in uneven growth in different parts of the breast.

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Written by Lin Yang
Breast Surgery
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What should I do if lobular hyperplasia recurs?

After the recurrence of lobular hyperplasia of the mammary gland, if there are significant symptoms, Chinese herbal medicine can be used to alleviate the pain through the method of soothing the liver and regulating the Qi, and harmonizing the Chong and Ren meridians. Endocrine treatment is also an option, but should be avoided if possible. However, it can be taken before menstruation if the pain is particularly severe in the pre-menopausal period. Vitamin therapy can also be used, including Vitamin B, Vitamin C, Vitamin E, etc., which have effects on improving liver function, regulating sex hormone metabolism, and improving autonomic nerve function. These can be used as adjunctive therapy for the disease. Some also believe that Vitamin E can relieve pain. Regular follow-ups with breast ultrasound and mammography are also necessary.

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Written by Lin Yang
Breast Surgery
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What does breast lobule feel like to the touch?

Fibrocystic breast changes may occur in one or both breasts, where palpable, nodular lumps of varying sizes can be felt. These lumps are firm but not hard, and sometimes painful. The boundary between the lumps and surrounding breast tissue is unclear, yet they are not adherent to the skin or chest muscles, sometimes appearing as unclearly bordered thickened areas. Lesions are more commonly located in the upper outer quadrant of the breast but can affect the entire breast. The lumps may enlarge during premenstrual or postmenstrual phases, but they typically reduce in size postmenstrually. Diagnosis can be confirmed through breast ultrasound and mammography. Breast ultrasound typically indicates proliferative breast tissue, showing areas of uneven, low echogenicity and, in cases of cysts, anechoic areas.

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Written by Zhang Wei Wei
Integrative Medicine
1min 28sec home-news-image

Is hot compress good for mammary gland hyperplasia?

We first understand that breast hyperplasia is caused by endocrine hormonal imbalances due to various factors including neuroimmune responses and trace elements, leading to imbalances in bodily endocrine factors. This results in a disruption of the balance between estrogen and progesterone, with a decrease in progesterone secretion during the luteal phase and a relative increase in estrogen levels. This causes prolonged stimulation of breast tissue by estrogen, lacking the regulation and protective effects of progesterone, thus leading to the development of breast hyperplasia. Generally, hot compresses are not effective; instead, under the guidance of Traditional Chinese Medicine (TCM) differentiation, Chinese herbal medicine can be used for adjustment. It's important to relax emotionally, engage in appropriate exercise, and pay attention to a balanced diet with a proper mix of meat and vegetables, ensuring nutritional balance. Eat more fresh vegetables and fruits, consume less honey, soybeans and soy products to reduce intake of natural estrogens, enhance physical exercise to boost immunity, and subsequently make regular hospital visits for check-ups. (The use of medication should be under the direction of a doctor)

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Written by Fan Hong Qiao
Breast Health Department
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What should I do about the pain from lobular hyperplasia of the breast?

Breast lobular hyperplasia accounts for more than two-thirds of female breast disease patients and can occur from youth to middle age. In the early stage of the disease, there is breast pain, followed by lumps, or pale yellow nipple discharge. Therefore, women should pay attention to preventing the occurrence of breast lobular hyperplasia. Traditional Chinese medicine believes that breast lobular hyperplasia is caused by liver Qi stagnation and phlegm and Qi stagnation, related to unhappy emotions and depressive moods. If there is a satisfying sexual relationship between spouses, including a coordinated and harmonious sex life, it can maintain a happy mood and smooth liver Qi. The Qi and blood in the collaterals will be harmonized and smooth, and the breast lobule will not easily proliferate. Therefore, we should adjust from life and diet, and of course, necessary medical treatment is essential.