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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Breast Surgery
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Symptoms of lobular hyperplasia cancerization

The symptoms of lobular hyperplasia transforming into cancer primarily include feeling a painless, solitary small lump in the breast. The lump is hard, with a rough surface, and its boundary with surrounding tissue is not clearly defined. It is not easily movable within the breast. As the lump progresses, it can invade the Cooper's ligaments, causing them to contract, and thus the skin over the lump often appears dimpled, known as the dimpling sign, which is an early sign of breast cancer. As breast cancer continues to develop, it can cause the breast to shrink, become harder, elevate the nipple, and may lead to the ducts being pulled, flattened, retracted, or even invaginated. The affected breast may also significantly enlarge over several months, causing an increase in volume and prominence.

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Written by Fan Hong Qiao
Breast Health Department
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What should I do about the pain from lobular hyperplasia of the breast?

Breast lobular hyperplasia accounts for more than two-thirds of female breast disease patients and can occur from youth to middle age. In the early stage of the disease, there is breast pain, followed by lumps, or pale yellow nipple discharge. Therefore, women should pay attention to preventing the occurrence of breast lobular hyperplasia. Traditional Chinese medicine believes that breast lobular hyperplasia is caused by liver Qi stagnation and phlegm and Qi stagnation, related to unhappy emotions and depressive moods. If there is a satisfying sexual relationship between spouses, including a coordinated and harmonious sex life, it can maintain a happy mood and smooth liver Qi. The Qi and blood in the collaterals will be harmonized and smooth, and the breast lobule will not easily proliferate. Therefore, we should adjust from life and diet, and of course, necessary medical treatment is essential.

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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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Is it normal to have ovulatory pain due to lobular hyperplasia?

Lobular hyperplasia causing pain during ovulation is normal. The main symptoms of breast hyperplasia are cyclical swelling and pain of the breasts, often appearing or worsening before menstruation and lessening or disappearing after menstruation. Generally, mild cases do not receive much attention from patients, but severe cases can affect daily life and work. Some patients do not show obvious cyclical changes, and symptoms can include unilateral or bilateral breast pain or cyclical changes, sharp pain, which can extend to the shoulder, upper limbs, or thoracic back area. A minority of patients may experience nipple discharge, which can be yellow-green, brown, or serous in color. The condition can persist for a long time, but symptoms usually disappear or decrease after menopause.

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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.