What should I do if I have breast hyperplasia?

Written by Wu Shi Ting
Breast Health Department
Updated on September 21, 2024
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In clinical practice, based on different pathological types, breast hyperplasia can generally be divided into simple breast hyperplasia and cystic breast hyperplasia, and the treatment methods are different. For simple breast hyperplasia: If there are no symptoms such as pain, we generally do not use drug treatment. Maintaining a regular lifestyle, relaxing, eating less high-fat food, and drinking fewer caffeinated beverages are all beneficial. If the pain affects normal life and work, it needs to be treated in a timely manner to relieve the pain. Surgery is generally not recommended unless the growth mass cannot rule out malignancy. As for the treatment of cystic breast hyperplasia: If the cyst is small and the symptoms are mild, endocrine treatment can be carried out; If the cyst is large, has compression symptoms, or ultrasound suggests that the cyst wall is locally thickened, has abundant blood supply, or there are tumors attached to the cyst wall, or the patient is greatly stressed about cancer, surgical treatment can be considered.

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Is category II breast hyperplasia serious?

Category II breast hyperplasia is not serious; it is simply a type of breast hyperplasia. Breast hyperplasia is mainly related to the estrogen levels in the body. The main treatments should focus on soothing the liver and regulating qi, promoting blood circulation to remove blood stasis, regulating mood, and adjusting endocrine functions. Some traditional Chinese medicines that soothe the liver, regulate qi, and promote blood circulation to remove blood stasis can also be used to manage these symptoms. There is no psychological burden associated with this, and normal treatment is sufficient.

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Is hyperplasia of the mammary glands serious?

Overall, breast hyperplasia is a benign disease and not severe, so there is no need for excessive anxiety. However, it should definitely not be taken lightly. Studies have found that about 2% to 3% of cases with breast hyperplasia may develop into cancer, and the rate of malignant transformation in cystic breast hyperplasia is 3 to 5 times higher than in other women. If you do not control factors that cause breast hyperplasia, such as endocrine disorders, high-fat diets, smoking, drinking, hypertension, and diabetes, then the breast ducts and epithelia being chronically stimulated by these factors could potentially become cancerous. The progression from breast hyperplasia to breast cancer is a lengthy process, undergoing four stages: hyperplasia → atypical hyperplasia (precancerous) → in situ carcinoma → invasive carcinoma. Therefore, breast hyperplasia should be taken very seriously, with efforts made for early examination, early detection, and early treatment. This is especially important for those with a family history of breast cancer or who belong to families with a high incidence of cancer.

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What is breast hyperplasia?

Breast hyperplasia refers to the proliferation of epithelial and fibrous tissues in the breast, degenerative changes in the ductal and lobular structures of the breast tissue, and the progressive growth of connective tissue. The main cause of its onset is primarily related to hormonal imbalances. It mainly manifests as menstrual cycle-related pain, occasional nipple discharge, sometimes white discharge, or grass-yellow discharge, often presenting as swelling pain or stabbing pain, which can radiate to the ribs or back pain.

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How does Chinese medicine treat mammary gland hyperplasia?

Traditional Chinese medicine believes that hyperplasia of the mammary glands starts with liver depression, which then leads to blood stasis and phlegm coalescing into masses. The treatment should focus on soothing the liver and regulating qi, activating blood circulation and removing blood stasis, and softening the hard masses and dispersing the lumps. We will diagnose the patient based on their symptoms, pulse, and tongue coating, and conduct a detailed differentiation of syndromes. Different types of syndromes require different treatments. Specifically, we recommend visiting a hospital to see a professional TCM practitioner for proper syndrome differentiation and prescription of appropriate herbal formulas. Moreover, Chinese medicine has unique methods in treating mammary gland hyperplasia, and its effectiveness is quite notable in clinical practice.

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Breast hyperplasia is divided into several grades.

Breast hyperplasia is generally divided into six grades: Grade 1 is negative; Grade 2 is simple breast hyperplasia; Grade 3 is a benign lesion with less than 2 percent risk of malignancy; Grade 4 is subdivided into ABC, where Grade A is mild with 95% being benign, Grade B is moderately suspicious of malignancy, and Grade C has a relatively high degree of malignancy, with about 95% being malignant; Grade 5 has 98% chance of being breast cancer; Grade 6 involves pathological biopsy to confirm the diagnosis of breast cancer lesions.