Does lobular hyperplasia have classifications?

Written by Lin Yang
Breast Surgery
Updated on March 24, 2025
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Breast hyperplasia grading and color Doppler mammography grading are the same: Grade 0 indicates incomplete assessment and requires further confirmation; Grade 1 is a negative result, meaning only the normal structure of the breast; Grade 2 are benign findings, indicating benign signs such as breast hyperplasia, breast cysts, and breast lipomas; Grade 3 refers to benign findings but with a 2% malignancy rate, such as fibroadenomas of the breast; Grade 4 is suspiciously malignant and biopsy is recommended; Grade 5 suggests a high likelihood of malignancy; Grade 6 is clearly malignant, needing pathological confirmation of malignancy.

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Written by Lin Yang
Breast Surgery
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What does breast lobule feel like to the touch?

Fibrocystic breast changes may occur in one or both breasts, where palpable, nodular lumps of varying sizes can be felt. These lumps are firm but not hard, and sometimes painful. The boundary between the lumps and surrounding breast tissue is unclear, yet they are not adherent to the skin or chest muscles, sometimes appearing as unclearly bordered thickened areas. Lesions are more commonly located in the upper outer quadrant of the breast but can affect the entire breast. The lumps may enlarge during premenstrual or postmenstrual phases, but they typically reduce in size postmenstrually. Diagnosis can be confirmed through breast ultrasound and mammography. Breast ultrasound typically indicates proliferative breast tissue, showing areas of uneven, low echogenicity and, in cases of cysts, anechoic areas.

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Is lobular hyperplasia grade II severe?

Second-degree mammary lobular hyperplasia refers to simple mammary hyperplasia, which is not severe and has relatively mild symptoms or conditions. Most cases do not require treatment, but regular follow-up is necessary. For cases with more pronounced symptoms, we can use traditional Chinese medicine, which alleviates pain through methods such as soothing the liver and regulating qi, as well as harmonizing the thoroughfare and conception vessels. Vitamins can also be used to support treatment, with Vitamin B, Vitamin C, and Vitamin E improving liver function, regulating metabolic hormones, and enhancing autonomic nerve functions, serving as auxiliary medication for this condition. Vitamin E also helps relieve pain. Regular follow-up examinations with ultrasound and mammography are recommended. (Please use medications under the guidance of a doctor.)

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Breast Surgery
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What should I do about lobular hyperplasia of the breast?

For cases with mild symptoms or less severe conditions, treatment is generally not necessary; regular follow-ups with breast ultrasound or mammography are sufficient. For those with pronounced symptoms, medication and symptomatic treatments can be given, as detailed below: Chinese herbal medicine can be used, treating breast hyperplasia through methods that soothe the liver, regulate qi, and harmonize the Chong. Endocrine treatments are also an option, though preferably avoided, but can be administered before menstruation for those who experience significant pain during the premenopausal period. Vitamin therapy, including vitamins B, C, and E, can improve liver function and regulate basal metabolism, as well as enhance the function of the autonomic nervous system, serving as supplementary medicine for this condition. Recently, vitamin E is also considered to have pain-relieving effects. For individuals with a family history of breast cancer, lesions confined to a part of the breast, or those who still have significant lumps after menstruation, it is recommended to conduct a puncture biopsy and consider surgical treatment if necessary.

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Breast Surgery
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Is hot compress effective for lobular hyperplasia?

Hot compresses for lobular hyperplasia have certain therapeutic effects, but the results may not be very significant. For patients with severe breast hyperplasia, breast supports can be used to lift the breasts, and Chinese medicine can be used for treatment. This involves soothing the liver and regulating qi, as well as balancing the thoroughfare and controlling vessels to alleviate pain and treat breast hyperplasia. Endocrine treatment is also an option, but it should be used as little as possible. For pre-menopausal women with very obvious pain, it can be taken before the onset of menstruation. Vitamin therapy can also be used, including vitamins B, C, E, etc. These have functions such as improving liver function, regulating sex hormone metabolism, and improving autonomic nervous functions, and can be used as adjunctive therapy for this condition. Vitamin E also has an effect in relieving pain.

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Will a bad mood make lobular hyperplasia worse?

Breast lobular hyperplasia can worsen with mood because it is related to elevated estrogen levels caused by endocrine disorders. External living conditions, work and life circumstances, interpersonal relationships, and various other stresses can cause neuropsychiatric factors, all of which can change the internal environment of the body. This, in turn, affects the function of the endocrine system, leading to abnormal secretion of one or several hormones. During the menstrual cycle, breast receptors and internal hormone levels change periodically. When the proportion of hormones in the body becomes unbalanced, an increase in estrogen levels and a decrease in progesterone secretion can lead to incomplete regression of breast hyperplasia after its increase, causing the exacerbation of breast hyperplasia.