Breast lobular hyperplasia


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.


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.


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)


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.


Symptoms of lobular hyperplasia cancerization
The symptoms of lobular hyperplasia transforming into cancer primarily include feeling a painless, solitary small lump in the breast. The lump is hard, with a rough surface, and its boundary with surrounding tissue is not clearly defined. It is not easily movable within the breast. As the lump progresses, it can invade the Cooper's ligaments, causing them to contract, and thus the skin over the lump often appears dimpled, known as the dimpling sign, which is an early sign of breast cancer. As breast cancer continues to develop, it can cause the breast to shrink, become harder, elevate the nipple, and may lead to the ducts being pulled, flattened, retracted, or even invaginated. The affected breast may also significantly enlarge over several months, causing an increase in volume and prominence.