Is bilateral breast pain breast cancer?

Written by Lin Yang
Breast Surgery
Updated on December 03, 2024
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Bilateral breast pain generally is not considered breast cancer, but rather breast hyperplasia. Diagnosis can be confirmed through breast ultrasound and mammography. The ultrasound of breast hyperplasia typically shows uneven low echo areas; if cysts are present, they appear as anechoic areas. Mammography may display a ground-glass or cotton wool-like shadow. However, it is important to be cautious of the possibility that breast hyperplasia and breast cancer may coexist. On one hand, patients with significant hyperplasia should be closely followed up, advised to return to the hospital every two to three months for follow-up examinations. On the other hand, patients with significant proliferative lumps or unclear boundaries in thickened breast areas are recommended to undergo a biopsy of the suspicious lesions to prevent misdiagnosis.

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Written by Lin Yang
Breast Surgery
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Is breast swelling and stabbing pain cancer?

Breast swelling and stabbing pain are generally not manifestations of cancer, but typical symptoms of breast hyperplasia. During a physical examination, nodular lumps of varying sizes can be felt in the breast, which are tough but not hard, and sometimes tender to touch. Ultrasound examination shows no lumps and no flocculent patterns on the molybdenum target, which can be diagnosed as breast hyperplasia. However, it is important to be cautious as breast hyperplasia and breast cancer can coexist. On one hand, patients with significant hyperplasia should have strengthened follow-up examinations. On the other hand, for patients with significant hyperplastic lumps or unclear boundaries in the thickened areas of the breast, it is recommended to perform a biopsy on the suspicious lesions to prevent misdiagnosis.

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Written by Wang Xiu Mei
Obstetrics
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What causes breast pain after pregnancy?

In early pregnancy, hormonal changes occur in women's bodies, with increased levels of estrogen and progesterone leading to breast tenderness. This usually eases over time and is a normal physiological condition. Regular prenatal check-ups should be within normal ranges. If the discomfort is severe, it could indicate an abnormal condition, and it is advisable to seek medical attention promptly. It is recommended to rest well, relax, maintain a cheerful mood, and ensure adequate sleep. Dietarily, avoid raw, cold, spicy, and stimulating food. Refrain from smoking, excessive drinking, and other unhealthy habits. Opt for a light yet nutritionally balanced diet, consume fresh fruits and vegetables, and eat smaller, more frequent meals. During the first three months of pregnancy, it is still necessary to supplement with folic acid to prevent neural tube defects in the fetus.

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Written by Wu Shi Ting
Breast Health Department
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What causes postmenopausal breast pain?

Breast pain after menopause is generally temporary and a normal physiological response. It is mainly due to a decrease in the speed of endogenous estrogen secretion, and the breast tissue has not adapted to this change, resulting in localized pain. These symptoms will gradually disappear after menopause is completely stopped, so there is no need to be overly nervous, just make sure to get regular check-ups. However, if breast pain occurs years after menopause, it is necessary to be vigilant as it may indicate a disease. Since postmenopausal elderly women are at a higher risk of developing breast cancer, it is advised that patients with postmenopausal breast pain seek timely medical examinations at a hospital.

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Written by Lin Yang
Breast Surgery
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What's going on with breast swelling, pain, nausea, and vomiting?

Generally considered related to breast hyperplasia. We can confirm the diagnosis through breast ultrasound or mammography, paying attention to exclude the possibility of pregnancy. Breast hyperplasia is characterized by cyclic swelling and pain of the breasts, often occurring or worsening before menstruation and reducing 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 show obvious cyclic changes, and symptoms might present as unilateral or bilateral breast pain or pinprick-like sensation, possibly extending to the shoulder, upper limbs, or the chest-back area. A few patients may experience nipple discharge. The condition can persist for a long time, but symptoms generally disappear or lessen after menopause. During physical examination, nodular lumps of varying sizes, firm but not hard, may be felt in one or both breasts, sometimes tender when touched.

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Written by Zhang Chun Yun
Obstetrics and Gynecology
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Is breast pain before menstruation related to breast cysts?

Women experiencing breast pain before menstruation are advised to undergo a systematic examination at a hospital. If you suspect that you have a breast cyst, it is still advisable to undergo relevant tests to eliminate the possibility of this condition. If breast cysts are ruled out, the pre-menstrual breast pain might be due to premenstrual syndrome (PMS). Premenstrual syndrome in women often manifests as headaches, breast pain, abdominal bloating, limb edema, irritability, anxiety, depression, and emotional instability, among other symptoms. If diagnosed with PMS, psychological reassurance and counseling can be provided to help the woman relax. Additionally, a suitable diet, nutrition, and appropriate physical exercise should be considered. If necessary, medication might be taken under a doctor's prescription. For further queries, please consult a doctor at a hospital.