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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
Why are there lymph nodes under the armpit in lobular hyperplasia?
Breast lobular hyperplasia generally does not involve enlargement of the lymph nodes. The enlargement of lymph nodes can be physiological or pathological. Physiological enlargement is either congenital or caused by inflammation, whereas pathological enlargement is generally caused by breast cancer. Lymph nodes affected by breast cancer can be located and fixed in the armpit, and may also be palpable above or below the clavicle. Lobular hyperplasia is related to the levels of hormones in the body; it is not inflammatory, but mainly associated with increased estrogen levels. There may also be variations in the quality and quantity of estrogen receptors in the breast tissue components, leading to uneven development in different parts of the breast.
Will hyperplasia recur after excision?
After the excision of lobular hyperplasia, recurrence generally occurs because mammary gland hyperplasia is related to the glandular tissue, which is associated with the disruption of endocrine balance leading to increased levels of estrogen. External environmental conditions for survival, work and living conditions, interpersonal relationships, and various other stress-induced psycho-neurological factors can alter the body’s internal environment. This, in turn, affects the function of the endocrine system, causing the secretion of one or several hormones to become abnormal. During the menstrual cycle, the hormonal levels within the breast receptors change cyclically. When the balance of estrogen in the body is disrupted, with an increase in estrogen levels and a decrease in progesterone secretion, it can result in incomplete regression of mammary gland hyperplasia, leading to an exacerbation of the condition.
What is the cause of breast swelling, pain, and prominent nipples?
Breast swelling and pain, along with prominent nipples, are generally considered to be related to fibrocystic breast changes. Currently, fibrocystic breast changes are mostly believed to be related to elevated levels of estrogen caused by hormonal imbalances. The external environment in which people live, work and living conditions, interpersonal relationships, and other various stresses causing psychological factors, can all alter the internal environment of the human body. This, in turn, affects the function of the endocrine system, leading to abnormal secretion of one or several hormones, and changes in the hormone levels within the breast receptors during the menstrual cycle. When the balance of hormone levels in the body is disrupted, with an increase in estrogen levels and a decrease in progesterone secretion, it can lead to incomplete regression after breast proliferation, causing the growth of breast tissue. Additionally, the differential quality and quantity of female hormone receptors in the breast tissue components may lead to uneven growth of various parts of the breast.
Does breast pain have a connection with gynecological diseases?
Breast swelling and pain generally do not have a clear relationship with gynecological diseases. However, ovarian function is related to breast swelling and pain, as the state of ovarian function and whether there is disorder play an important role in the onset of mammary gland hyperplasia. On the other hand, differences in the quality and quantity of female hormone receptors are clearly related to the uneven growth of various components of the mammary gland. Breast swelling and pain can be alleviated through Traditional Chinese Medicine treatments by soothing the liver and regulating qi, and harmonizing and moisturizing the body. Vitamin treatment can also be used, as vitamins can help treat mammary gland hyperplasia.
What should I do if I have breast pain and feel cold?
Breast swelling, pain, and coldness are considered to be related to breast hyperplasia, which is often thought to be associated with endocrine disorder causing increased estrogen levels. Local hot compresses, traditional Chinese medicine treatments, and methods to soothe the liver and regulate the Qi to harmonize the Chong and Ren meridians can alleviate pain. Endocrine treatments are also an option, but they could increase the risk of endometrial cancer, thus they are best avoided if possible. However, for prominent pain during the premenopausal phase, it is advisable to take medication before the onset of menstruation. Micronutrient treatments, including vitamins B, C, and E, can be used. These vitamins help improve liver function, regulate hormone metabolism, and enhance autonomic nervous system function, serving as adjunctive medications for this condition. Vitamin E also helps in alleviating pain.
Can acute mastitis be treated by stopping lactation?
It is not recommended to stop lactation during acute mastitis. Because breast milk is the best culture medium, bacteria have already caused local inflammatory invasion. If lactation is stopped at this time, the milk will accumulate in the milk ducts, leading to a large invasion of bacteria, which can eventually cause cellulitis. If untreated, it may lead to an abscess and then septicemia. Generally, for acute mastitis, breastfeeding is stopped, local heat application is necessary, and then a lactation masseuse or family member should be found to completely empty the residual milk, which needs to be done daily. Then, the use of antibiotics can achieve the purpose of treatment.
Is breast pain related to taking folic acid?
Breast pain and swelling are generally not related to folic acid intake, as such pain and swelling are usually associated with breast hyperplasia, which is often related to endocrine disorders leading to increased levels of estrogen. The breast is a target organ for many endocrine glands, and its physiological activities are influenced by hormones secreted by the pituitary gland, ovaries, and adrenal cortex. The pituitary gland can directly affect the breast through prolactin. At the same time, estrogen and progesterone produced by the ovaries and adrenal cortex indirectly affect the breast. During pregnancy, breast cancer is influenced by estrogen and progesterone produced by the placenta. During pregnancy and lactation, the breast noticeably proliferates, with ductal elongation and alveolar secretion of milk. After breastfeeding, breast tissue returns to a relatively quiescent state.
Breast pain during running, what could be the reason?
Breast hyperplasia is generally considered related to endocrine disorders, which lead to increased levels of estrogen. The external environment in which one lives, including work and living conditions, interpersonal relationships, and various other stress factors, can cause changes in the body's internal environment. This, in turn, affects the function of the endocrine system, leading to abnormal secretion of one or several types of hormones. During the menstrual cycle, changes in hormone levels within the breast receptors can cause neutral changes. When the balance of hormone levels in the body is lost, and estrogen levels increase, a decrease in progesterone secretion can lead to incomplete regression of breast hyperplasia, causing an increase in breast tissue. Additionally, differences in the quality and quantity of female hormone receptors in the breast tissue may lead to uneven growth in different parts of the breast.
Can breast pain be treated with a hot compress?
Breast swelling and pain can be treated with hot compresses, but the results may not be very satisfactory. Breast pain caused by mammary gland hyperplasia is generally treated with traditional Chinese medicine, which relieves pain by soothing the liver and regulating qi, and harmonizing the Chong and Ren meridians. Endocrine treatment can also be used, preferably avoided, but can be taken before menstruation when the pain is very significant in the pre-menopausal period. When undergoing endocrine treatment, it is necessary to regularly re-examine the pelvic ultrasound, as endocrine treatment may increase the risk of endometrial cancer. Vitamin therapy can also be used; vitamins B, C, and E can improve liver function, regulate basic metabolism, and enhance autonomic nerve function, and can be used as an adjunctive treatment for this condition. Recently, vitamin E has also been considered to have pain-relieving properties, and regular ultrasound examinations of the mammary glands or mammography are necessary when breast swelling and pain occur.
Mammary duct ectasia is classified into several stages and can be treated as follows:
The grading of lobular hyperplasia and the staging of color Doppler molybdenum target are the same, First is grade 0, which is unconfirmed and requires further confirmation. Grade 1 is a negative result, which is normal and does not require treatment. Grade 2 indicates benign lesions, such as breast cysts and lobular hyperplasia of the breast, which are 100% benign at the second level. Lobular hyperplasia can be treated with medication, and benign cysts can be regularly reviewed with color Doppler ultrasound or surgically treated if there is a psychological burden. Grade 3 is possibly benign with a 2% risk of malignancy, typically referring to fibroadenomas of the breast, which can be treated surgically. Grade 4 is suspicious of malignancy, and in such cases, biopsy is recommended to determine benignity or malignancy, with surgical treatment advised if malignant. Grade 5 is highly suspicious of malignancy, and in such cases, surgical treatment is recommended, such as modified radical mastectomy or breast-conserving surgery. Grade 6 is confirmed malignant with pathological evidence of breast cancer.