Is breast hyperplasia scary?

Written by Lin Yang
Breast Surgery
Updated on September 07, 2024
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Breast hyperplasia is a common breast disease, mostly seen in women aged 25 to 50. Clinical examinations show that 50% of women have cystic hyperplastic changes in the breast. In addition to the benign proliferation of breast fibrous tissue and epithelium accompanied by cysts, there is also the formation of fibroadenomas. The development into breast cancer is absolutely low risk, or generally does not undergo malignant transformation. Therefore, it is referred to as cystic breast hyperplasia or poor breast structure. Generally, the treatment is mainly focused on emotional aspects, and if the pain intensifies, treatment with traditional Chinese medicine can be utilized.

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Written by Lin Yang
Breast Surgery
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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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Breast Surgery
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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.

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Breast Surgery
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Breast hyperplasia is related to what?

Breast hyperplasia is currently believed to be related to endocrine disorder, leading to increased levels of estrogen, as well as external living and working conditions, interpersonal relationships, and various other stresses. These factors can cause breast hyperplasia. During the menstrual cycle, the breast is affected by changes in endocrine levels, experiencing cyclical changes. Hormonal imbalances, characterized by high levels of estrogen and reduced secretion of progesterone, can lead to incomplete recovery after breast hyperplasia, thereby causing the condition. Mainly, controlling emotions is essential. The primary symptoms are cyclical swelling and pain in the breasts.

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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.

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Written by Fan Hong Qiao
Breast Health Department
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Medications for the treatment of breast hyperplasia

Medications for treating mammary gland hyperplasia: (1) Simple mammary gland hyperplasia 1) For diagnosed patients without symptoms such as pain, it is possible to consider not using medication for treatment. Maintaining a regular lifestyle, relaxing, eating less high-fat food, and drinking fewer caffeinated beverages are all beneficial. 2) If pain affects normal life and work, severe cases may even consider using estrogen blockers to relieve pain. 3) Surgery is generally not recommended, unless the hyperplastic lumps cannot exclude malignancy. (2) Cystic mammary gland hyperplasia 1) For small cysts with mild symptoms, no surgery is needed, and endocrine treatment can be used, including anti-estrogen drugs such as tamoxifen and toremifene, as well as traditional Chinese medicine. 2) If the cyst is large, causes compression symptoms, or if ultrasonography suggests that the cyst wall is locally thickened, has abundant blood supply, contains a tumor attached to the wall, or if the patient is greatly stressed about the potential for cancer, surgical treatment can be considered.