Subscribe
116
Lin Yang
Breast Surgery
About me
Graduated from Jiamusi Medical University in July 2005 with a Master's degree in Medicine.
Proficient in diseases
Treat various breast diseases such as breast hyperplasia, benign and malignant tumors. Has unique insights into the application of mammary ductoscopy.
Voices
What should I do if I have advanced breast cancer with breast necrosis?
Firstly, radiotherapy can be used, localized radiation therapy, which will achieve certain local control effects. It can also provide surgical opportunities for some breast cancer patients who are otherwise inoperable. Additionally, it can relieve pain, reduce compression symptoms, and stop bleeding in ulcerated cancer lesions, thereby improving the patient's quality of life. If chemotherapy is possible, it should be pursued as it can reduce distant and extensive metastases. Then, if surgery is feasible, the ulcerated or already healed surgical incisions can be excised and sutured to improve the patient's quality of life.
How to feel for breast hyperplasia
Patients with mammary gland hyperplasia can feel foreign objects when touching, but the pain from pressing is not very obvious. Patients generally can feel multiple or single nodules with elasticity, and there is no noticeable pain when pressed. Some patients may also experience symptoms such as breast tenderness, which is usually more pronounced before menstruation and may relieve on its own after menstruation ends. Mammary gland hyperplasia is mostly a benign tumor. If the symptoms are not very noticeable, observation can be the first approach. However, if hyperplastic nodules appear, cytological puncture should be conducted, and surgery may be necessary to achieve a cure when needed.
What should I do if acute mastitis bursts?
An acute breast abscess has ruptured, and it should be treated in a formal hospital setting. Under general anesthesia through intravenous administration, the abscess area should be expanded to the normal tissue via an incision. Then, using color ultrasound for abscess localization, to avoid damaging the milk ducts and prevent fistula formation, the incision should follow the direction of the milk ducts, extending radially towards the areola. If there are multiple abscess cavities, the partitions between the cavities should be opened with a finger. If necessary, multiple incisions should be made, or successive operations for drainage of the abscess cavities might be required. Latex sheets or drainage tubes may be used.
Breast pain and bleeding after intercourse, what could be the reason?
Breast pain and nipple bleeding during intercourse are considered types of nipple discharge, possibly caused by intraductal papilloma or chronic inflammation of the ducts. Diagnosis can be made through mammography or ductoscopy. Generally, we choose ductoscopy, which allows direct observation on a computer screen whether the cause is inflammation or intraductal papilloma. If the issue is solely inflammation, it can be treated by flushing through ductoscopy. If intraductal papilloma is suspected, ductoscopy can be used to collect a tissue sample for pathology to determine whether it is due to intraductal papilloma or cancer within the ducts.
How to deal with breast hyperplasia pain?
Breast hyperplasia pain is generally caused by hormonal imbalances in the body. Mild pain can be managed by adjusting one's psychology or alleviating stress, but severe cases require treatment with traditional Chinese medicine and regular follow-ups. First, psychologically, it is important to relieve the pressures of life and work, eliminate worries, maintain a cheerful mood and a balanced mindset, which can help alleviate symptoms. Second, traditional Chinese medicine can be used, employing herbs that soothe the liver, promote blood circulation, remove blood stasis, soften hardness, and break down masses to relieve pain. Third, Western medicine treatments involve the use of hormones and iodine preparations, which can treat breast hyperplasia but often have significant side effects. (Medications should be used under the guidance of a doctor.)
Can cupping therapy be used for breast distension and pain?
Breast pain can be treated with cupping, but it is ineffective because breast pain is related to fibrocystic breast changes, which are often caused by endocrine disorders leading to elevated levels of estrogen. Generally, we can treat it with traditional Chinese medicine, using methods to soothe the liver and regulate qi, and harmonize the thoroughfare and conception vessels to alleviate the pain. Endocrine treatment can also be used, though it is generally avoided if possible. However, for significant pain during the pre-menopausal period, therapy can be initiated before the menstrual period. Treatment with vitamins B, C, and E can improve liver function, regulate sex hormone metabolism, and enhance autonomic nervous system functions. These serve as supplementary medication for this condition. Vitamin E in particular also helps alleviate pain.
Which department treats mammary gland hyperplasia?
Breast hyperplasia is organized differently in larger cities, with separate departments for breast internal medicine and breast surgery. Generally, simple breast hyperplasia should be treated in breast internal medicine. In medium-sized cities, breast internal medicine and breast surgery are combined into one department, so a normal breast department is sufficient. In smaller cities, due to the lack of a dedicated breast surgery department, it falls under general surgery or oncology. Therefore, one can visit oncology or general surgery. In even smaller towns, general surgery or gynecology can handle breast hyperplasia. Further down, in clinics, we still recommend visiting medium-sized or larger cities for treatment of breast hyperplasia.
What's going on with breast swelling and pain and also arm soreness?
Breast swelling and pain, as well as arm soreness, are considered to be caused by mammary gland hyperplasia and accessory breast syndrome. Mammary gland hyperplasia often manifests as cyclical swelling and pain in the breasts, commonly occurring or worsening before menstruation and alleviating or disappearing after menstruation. While mild cases might not be noticed by patients, severe cases can impact daily life and work. However, some patients do not exhibit obvious cyclical changes, and symptoms can include unilateral or bilateral breast swelling and pain, resembling needle pricks, which can extend to the shoulder, upper limbs, or chest and back areas. A few patients might experience nipple discharge, which can be yellow-green, brown, or bloody. The condition can sometimes persist for a long time, with symptoms automatically disappearing or reducing after menopause. When breast swelling and pain occur, it is necessary to regularly recheck the breast with ultrasound and mammography.
Symptoms of breast hyperplasia
Breast hyperplasia mainly manifests as cyclical breast pain and tenderness, which often appears or worsens before menstruation and lessens or disappears after menstruation. Mild cases may not catch the patient's attention, while severe cases can affect daily life and work. However, some patients do not show obvious cyclical changes. Symptoms can include unilateral or bilateral breast fullness and pain or needle-like pain, which may extend to the shoulders, upper limbs, or chest/back area. A few patients may experience nipple discharge that can be yellow-green, brown, serous, or bloody. The condition can persist for a long time, but symptoms may disappear or lessen after menopause.
How many days does it take for the fever from acute mastitis to go away?
The fever associated with acute mastitis can subside within a few days, but it needs to be evaluated through ultrasound and a complete blood count; these tests can be performed in the breast department of a standard hospital. If the blood count exceeds 10,000, temporary fever reduction is possible, but inflammation can cause fever to recur. In such cases, local warm and moist compresses are recommended, and injections of saline combined with penicillin can be administered to help reduce inflammation. Systemic antibiotics such as penicillin and cephalosporins can be used. Since antibiotics can be secreted into breast milk and affect infants, the use of tetracyclines, aminoglycosides, sulfa drugs, and metronidazole should be avoided. After three days of intravenous treatment, a follow-up complete blood count should be conducted to determine whether anti-inflammatory symptomatic treatment should be discontinued.