What should I do about lobular hyperplasia of the breast?

Written by Lin Yang
Breast Surgery
Updated on November 08, 2024
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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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Written by Lin Yang
Breast Surgery
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What should I do if lobular hyperplasia recurs?

After the recurrence of lobular hyperplasia of the mammary gland, if there are significant symptoms, Chinese herbal medicine can be used to alleviate the pain through the method of soothing the liver and regulating the Qi, and harmonizing the Chong and Ren meridians. Endocrine treatment is also an option, but should be avoided if possible. However, it can be taken before menstruation if the pain is particularly severe in the pre-menopausal period. Vitamin therapy can also be used, including Vitamin B, Vitamin C, Vitamin E, etc., which have effects on improving liver function, regulating sex hormone metabolism, and improving autonomic nerve function. These can be used as adjunctive therapy for the disease. Some also believe that Vitamin E can relieve pain. Regular follow-ups with breast ultrasound and mammography are also necessary.

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Written by Lin Yang
Breast Surgery
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The difference between breast cancer and lobular hyperplasia

The difference between breast cancer and lobular hyperplasia is as follows: Lobular hyperplasia primarily manifests as nodular lumps that can be felt within one or both breasts. These lumps vary in size, are tough but not hard, and sometimes tender to touch. The boundaries of the lumps with the surrounding breast tissue are not clear, but they are not adherent to the skin or chest muscles, sometimes presenting as areas of thickening with unclear boundaries. Breast cancer, on the other hand, appears as a solitary, painless lump that is hard as stone and can be round, oval-shaped, or irregular. It can grow large, has poor mobility, and can easily adhere to the skin and surrounding tissues. The growth of the cancerous lump is not related to the menstrual cycle or emotional changes, and it can grow rapidly in a short time. On a mammogram, breast cancer lumps may show tiny calcifications, abnormal vascular shadows, and spicules.

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Written by Lin Yang
Breast Surgery
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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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Written by Lin Yang
Breast Surgery
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Is lobular hyperplasia nodules serious?

Small hyperplastic nodules are generally not serious. If the nodules are between 0.2-0.4cm, we can treat them with traditional Chinese medicine, using methods to soothe the liver, regulate qi, and harmonize the thoroughfare and conception vessels to treat breast nodules; If the nodules are between 0.6-0.8cm, breast ultrasound determines them as benign. If the psychological burden is light, regular ultrasound examinations can be scheduled. If the psychological burden is heavy, the nodules can be removed by minimally invasive Mammatome rotation to achieve cure. If the nodules are larger than 1.0cm, it is recommended to first perform cytology aspiration and biopsy to prevent misdiagnosis. If determined to be benign, surgical treatment can be used; if malignant, a full-body exam is recommended to check for distant metastasis to formulate a surgical treatment plan.

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Written by Fan Hong Qiao
Breast Health Department
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What medicine should be taken for mammary gland hyperplasia?

Simple lobular hyperplasia of the breast does not require medication or other treatments, just pay attention to maintaining a healthy lifestyle and regularly check the lobular hyperplasia in both breasts at the hospital to monitor any changes in the condition. After menopause, as the body's estrogen levels decrease, the lobular hyperplasia will gradually improve. Just pay attention to a regular lifestyle, and there is no special dietary requirements compared to others. If the pain is unbearable and severely affects daily life, under the guidance of a doctor, you can take some traditional Chinese medicines that soothe the liver and regulate qi, invigorate blood and resolve stasis, or use estrogen receptor antagonists, which prevent the estrogen receptors from exerting their physiological effects, thereby relieving symptoms.