Breast hyperplasia is divided into several grades.

Written by Lin Yang
Breast Surgery
Updated on September 12, 2024
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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.

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Written by Fan Hong Qiao
Breast Health Department
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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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Written by Fan Hong Qiao
Breast Health Department
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Good methods for mammary gland hyperplasia

According to different pathological types, clinically, there are two types of breast hyperplasia: simple breast hyperplasia and cystic breast hyperplasia, each requiring different treatment methods. Starting with simple breast hyperplasia: for diagnosed patients who do not exhibit symptoms such as pain, medicinal treatment might not be necessary. Maintaining a regular lifestyle, staying relaxed, consuming less fatty food, and drinking fewer caffeine-containing beverages are all beneficial. If the pain affects normal life and work, severe cases might consider using estrogen blockers to alleviate the pain. Surgery is generally not recommended unless the hyperplastic lump cannot be ruled out as malignant. So, how is cystic breast hyperplasia treated? For patients with small cysts and mild symptoms, no surgery is needed, and treatment might involve the use of anti-estrogenic drugs for endocrine therapy. If the cyst is large, causes compressive symptoms, or if an ultrasound suggests thickening of the cyst wall, rich blood supply, or the presence of a tumor attached to the cyst wall, or if the patient is highly stressed about the risk of cancer, surgical treatment might be considered.

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Written by Lin Yang
Breast Surgery
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Is second-degree mammary gland hyperplasia serious?

Breast hyperplasia of the second degree is not serious; it is simply a case of benign breast hyperplasia. The main recommendation is to establish a good lifestyle, regulate life rhythm, maintain emotional well-being, persist in physical exercise, actively participate in social activities, and avoid or reduce mental and psychological stress factors. Additionally, mastering breast self-examination is advised. Developing the habit of performing a breast self-check monthly is beneficial, ideally after the menstrual period or midway between two months, when the breasts are softer. This makes it easier to detect any abnormalities. Then, it is sufficient to undergo a breast examination once a year.

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Written by Lin Yang
Breast Surgery
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What department should I go to for breast hyperplasia?

In general, large hospitals manage breast hyperplasia under the department of breast internal medicine, or it can also be seen in the department of breast surgery. Moreover, smaller hospitals that do not have a dedicated breast department categorize it under oncology or thyroid department, and sometimes under gynecology. Therefore, it is necessary to consult the local hospital to determine which department to visit for this condition. Then, further diagnostic procedures like breast ultrasound and mammography can be conducted to determine if it is breast hyperplasia.

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Written by Fan Hong Qiao
Breast Health Department
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What should I do about hyperplastic nodules in the breast?

Breast nodules are a symptom commonly associated with breast hyperplasia and neoplastic breast diseases. In treatment, it is crucial to first make an accurate diagnosis through breast ultrasound and mammography. If some nodules are highly likely to be benign, regular follow-up observation may be considered. If a biopsy is needed for some breast nodules to determine their pathological nature, the treatment plan can be decided based on the pathology results. If diagnosed as malignant tumors, a personalized comprehensive treatment plan should be developed in collaboration with multiple disciplines based on the patient's condition, including surgery, chemotherapy, radiotherapy, endocrine therapy, and molecular targeted therapy, among others.