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101
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
Does lobular hyperplasia have classifications?
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.
Are nipple pain and breast tenderness the same thing?
Nipple pain and breast swelling are the same issues, both caused by mammary gland hyperplasia. Mammary gland hyperplasia mainly manifests as cyclic swelling and pain of the mammary glands, typically occurring or worsening before menstruation and diminishing or disappearing after menstruation. The mild cases get unnoticed by patients, while severe ones can impact daily life and work. However, some patients do not show obvious cyclical changes. It may present as swelling and pain in one or both breasts, similar to needle pricks, possibly extending to the shoulders, upper limbs, or thoracic-back area. A minority of patients may experience nipple discharge, and the condition can last for a long time, but symptoms usually disappear or diminish after menopause. During physical examinations, nodular lumps of varying sizes, which are tough but not hard, can sometimes be felt in one or both breasts. These lumps sometimes move when touched, and their boundaries with the surrounding breast tissue are not clear. However, they are not adherent to the skin or pectoral muscles. Sometimes it appears as a thickened area with unclear boundaries. The lumps often swell before menstruation and shrink afterward.
How will breast hyperplasia worsen?
Breast hyperplasia worsening can turn into breast cancer. The texture of breast cancer lumps is generally quite hard, and some are as hard as stone. They mostly occur as a single lump on one side, and can be round, oval, or irregular in shape. They can grow quite large, have limited mobility, and easily adhere to the skin and surrounding tissues. The lump is unrelated to menstrual cycles and emotional changes, and can rapidly increase in size over a short period of time, commonly occurring in middle-aged and older women. Additionally, on a mammogram, breast cancer often appears as a lump shadow, with small calcification spots, abnormal vascular shadows, and spurs also aiding in diagnosis. However, the final diagnosis must be confirmed by histopathological examination results.
Can breast engorgement and blocked milk ducts be treated with scraping therapy?
Breast pain and blocked milk ducts are not recommended for scraping therapy, as scraping can easily cause inflammation of the mammary glands and result in breast damage. Breast heaviness and blocked milk ducts are likely caused by the accumulation of milk in the ducts. It is advised to visit a regular hospital for a breast ultrasound to determine if the issue is caused by inflammation or lipid accumulation. If the condition is merely an accumulation, using a warm towel for heat compresses and massage can achieve the effect of unblocking the milk ducts. However, if the condition is caused by inflammation, and the symptoms are mild and the lesions are not severe, breastfeeding can still be continued. Nevertheless, the affected breast should not be used for breastfeeding. A breast pump can be used to extract the milk.
How to treat mastitis and breast pain
For breast pain caused by mastitis during milk engorgement, we can use hot compresses and massage to fully expel the milk. Locally, a 25% magnesium sulfate poultice can be applied for 20 minutes, three times a day. After breastfeeding, cold compresses can be used to reduce the pain caused by milk engorgement. In cases of mastitis, it is important to keep the nipple clean, frequently washing with soap and warm water. Before and after breastfeeding, the nipples can also be washed with 3% boric acid solution. For inverted nipples, gently squeeze out the nipple before cleaning. However, it is not advisable to wipe with ethanol, as ethanol can make the skin of the nipple and areola brittle, leading to fissures. Develop good breastfeeding habits, feed at regular intervals, ensure the milk is fully drawn each time, and if not, manually express or use a breast pump to remove the milk.
What should you not eat if you have breast pain?
Breast swelling and pain are mostly considered to be related to breast hyperplasia, and can be diagnosed through breast ultrasound or mammography. Therefore, patients with breast hyperplasia need to eat less food containing estrogen, as supplementing exogenous estrogen has been confirmed to increase the incidence of breast cancer, and it is also advised to reduce the intake of fatty and high-calorie diets. Most epidemiological studies confirm that weight gain is associated with breast cancer, especially weight gain after menopause should be paired with reduced alcohol consumption. Reports indicate that drinking may increase hormone levels in the body, leading to an increased risk of breast cancer in women. It is suggested to consume more foods rich in fiber and vitamins. Although the mechanism is not yet clear, fiber has been confirmed to have an inhibitory effect on both breast cancer and colorectal cancer, and research suggests that vitamin A also has a protective role in breast cells.
Can being angry cause breast cancer?
Frequent anger in women is associated with a higher risk of breast cancer. The causes of breast cancer are not yet fully elucidated, but recent research suggests that its development may be related to various factors. These include familial factors, reproductive factors, levels of sex hormones, and relevant genes. Frequent anger in patients can cause instability in the body's hormones, leading to exacerbated breast hyperplasia. Increased breast hyperplasia can then lead to the formation of small nodules in the breast. Due to the stimulation of estrogen in the body, these breast nodules are more likely to become cancerous. Therefore, it is important to maintain a cheerful mood, minimize anger, and eat more foods containing vitamins, as Vitamin A plays a role in protecting breast cells.
Breast engorgement but not much milk, what's the problem?
Breast pain with scanty milk supply may be due to milk stagnation in the ducts. It is recommended to visit a formal hospital's breast department for an ultrasound or routine blood test to determine if inflammation is present. If the blood count exceeds 10,000, it indicates that the milk was not fully drained during breastfeeding, causing it to accumulate in the lobules of the breast tissue, leading to bacterial mastitis. In this case, it is advised to stop breastfeeding and treat the inflammation symptomatically. Local warm moist compresses, as well as peri-inflammatory injections of isotonic saline, can be used to help reduce the inflammation. Antibiotics such as penicillin, cephalosporins or erythromycin may be chosen.
Methods for reducing swelling in acute mastitis
Methods for reducing swelling in acute mastitis: First, determine whether the acute mastitis is caused by milk stasis or by bacterial invasion and decreased immune resistance. If it is simply due to milk stasis, nursing can still be continued if the symptoms are mild and the lesion is not severe. However, the affected breast should not be used for nursing, and a breast pump can be used to extract the milk. If the condition is caused by bacteria, it is recommended to apply local moist heat. Penicillin and other saline can be injected around the inflammation. Systemic antibiotics, such as penicillin or cephalosporins, can be used. However, since antibiotics can be secreted into the milk and affect the infant, the use of tetracyclines, aminoglycosides, and sulfa drugs should be avoided.
How to regulate mammary gland hyperplasia
For symptoms that are not severe or are mild, most do not require treatment, but regular re-examination of breast ultrasonography or mammography is necessary. For more pronounced symptoms, medication and symptomatic treatment can be used as follows: Bras can be used to support the breasts, and traditional Chinese medicine can be used to treat breast hyperplasia by smoothing the liver, regulating Qi, and harmonizing the Conception and Governing Vessels. Endocrine treatment can also be used, though it should be avoided as much as possible. However, for premenopausal women with severe pain, it can be taken before the onset of menstruation. When undergoing endocrine treatment, regular pelvic ultrasound examinations are required, as endocrine treatment may increase the risk of endometrial cancer. Vitamin treatment, such as with Vitamins B, C, and E, can improve liver function, regulate sex hormone metabolism, and enhance autonomic nervous function, and can be used as an adjunctive therapy for this condition.