Symptoms of breast hyperplasia

Written by Lin Yang
Breast Surgery
Updated on September 22, 2024
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Breast hyperplasia usually manifests as cyclical symptoms such as swelling, pain, and tenderness that often occur or worsen before menstruation and may decrease or disappear after menstruation. Minor cases might not be a concern for patients, but severe cases can affect daily life and work. Symptoms might include pain in one or both breasts, which can extend to the shoulders, upper limbs, or shoulder blades. Additionally, a small number of people might experience nipple discharge, which could be milky, clear, yellow-green, or brown in color.

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Methods for Mammary Gland Hyperplasia

The main clinical manifestation of breast hyperplasia is usually premenstrual breast pain, and palpation of the breasts may reveal hyperplasia. Generally speaking, breast hyperplasia is not a serious issue, but there is a possibility of cancerous changes in a small number of patients. Typically, the clinical treatment of breast hyperplasia should not primarily focus on pain relief. The main treatment method is to promote blood circulation and remove blood stasis, thereby alleviating pain and symptoms. Patients with breast hyperplasia should maintain a positive mood and emotions, and avoid getting upset or angry in daily life.

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What are the symptoms of mammary gland hyperplasia?

Breast hyperplasia primarily manifests as cyclic swelling and pain in the breasts, often appearing or worsening before menstruation and diminishing or disappearing after menstruation. Mild cases may go unnoticed by patients, while severe cases can affect daily life and work. However, some patients do not exhibit obvious cyclic changes. Symptoms may include unilateral or bilateral breast tenderness or needle-like pain, which can extend to the shoulders, upper limbs, or chest and back areas. A few patients may experience nipple discharge, and the condition can sometimes persist for a long duration, but symptoms typically disappear or lessen after menopause. During physical examination, nodular lumps of varying sizes can be felt within one or both breasts. These lumps are firm but not hard, sometimes tender to touch, and the boundaries between the lump and surrounding breast tissue are not distinct. There is no adhesion to the skin or chest muscles, and sometimes the area may appear as an indistinctly bordered thickened zone.

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How to treat nodular hyperplasia of the breast?

According to different pathological types, clinically, there are simple hyperplasia of the breast and cystic hyperplasia of the breast, and the treatment methods are different. For simple breast hyperplasia: If the patient has no symptoms such as pain, medication treatment can be considered unnecessary. Maintaining a regular lifestyle, relaxing, and eating less high-fat food and fewer caffeine-containing beverages are beneficial. If the pain affects normal life and work, timely treatment is needed to alleviate the pain. Surgery is generally not recommended unless the hyperplastic lumps cannot be ruled out for malignant transformation. 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 symptoms of compression, or if ultrasound suggests thickening of the cyst wall, rich blood supply, or intra-cystic tumors, or if the patient worries about cancer transformation causing significant mental stress, surgical treatment can be considered.

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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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What should I do if I have breast hyperplasia?

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.