

Lin Yang

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

How to cure breast hyperplasia?
Breast hyperplasia currently does not have specific treatment methods. For those with mild symptoms and minor lesions, treatment is often not needed, but regular follow-up is necessary. For those with significant symptoms, medication and symptomatic treatment can be given. First, a bra can be used to support the breasts. Second, Chinese herbal medicine can be used, employing methods to soothe the liver and regulate qi to alleviate pain. Third, endocrine treatment can be used, but it has significant side effects. Fourth, vitamins can be used for supportive treatment in managing breast hyperplasia.

Can hyperplasia of mammary glands be completely cured?
Generally speaking, it is difficult to completely cure breast hyperplasia because it is related to elevated levels of estrogen. Factors such as the external environment, work, living conditions, interpersonal relationships, various stress-related psychological factors, and changes in the indoor environment cause the state of the ovaries to continuously change, leading to the condition. Therefore, over a period of time, the use of medication or changes due to stress and mental factors can improve breast hyperplasia and eliminate the feeling of pain. However, with changes in the environment occurring again, the hyperplasia can recur, similar to catching a cold. After recovery, exposure to the virus after some time can lead to a recurrence.

Does acute mastitis require daily milk expression?
If acute mastitis is severe, breastfeeding is not advisable, and it is necessary to express milk daily. Prevention of acute mastitis is more important than treatment, especially during breastfeeding periods where it is crucial to keep the nipples clean. Frequently wash them with warm soapy water and clean the nipples before and after breastfeeding with 3% boric acid solution. For those with inverted nipples, gently extract the nipple before cleaning; however, do not use ethanol wipes as ethanol can make the nipple and areola skin brittle, which can lead to cracking. Develop good breastfeeding habits, nurse regularly, and ensure that the milk is thoroughly drawn out each time. If unable to completely draw out the milk, use hand massage to express it or a breast pump. Additionally, do not let the baby sleep with the nipple in their mouth. If there is nipple damage or cracking, stop breastfeeding and use a breast pump to express the milk until the wound heals, and then resume breastfeeding.

Unilateral breast hyperplasia symptoms
The symptoms of unilateral breast hyperplasia manifest as cyclical swelling and pain in the breast, often occurring or worsening before menstruation and subsiding or disappearing after menstruation. Mild cases may not receive much attention from the patient, but severe cases can affect work and daily life. However, patients generally do not exhibit obvious cyclical changes. Some may experience swelling and pain in one or both breasts, similar to being pricked by needles, and this pain can extend to the shoulder, upper limbs, and chest-back area. A few patients may have nipple discharge, with the discharge being yellow-green, brown, or bloody. During physical examination, nodular lumps of varying sizes, which are firm but not hard, can sometimes be felt in one or both breasts. These lumps, which move slightly upon touch, have indistinct boundaries with the surrounding breast tissue but are not adherent to the skin or chest muscles. Sometimes the condition presents as an area of indistinct thickening.

What is the cause of breast swelling and pain?
Breast pain is generally related to breast hyperplasia, and it can be diagnosed through the use of breast ultrasound or mammography. Currently, breast hyperplasia is believed to be associated with disruptions in the endocrine system leading to elevated levels of estrogen. Factors such as the external environment, work and living conditions, interpersonal relations, and various other stresses that cause neuropsychiatric impacts can alter the internal environment of the body. This, in turn, affects the function of the endocrine system, leading to abnormal secretion of one or more hormones. During the menstrual cycle, the receptors in the breast tissue undergo cyclical changes due to the fluctuation of hormone levels. An imbalance where estrogen levels are high and progesterone secretion is reduced can result in incomplete regression of breast hyperplasia after the growth phase, causing breast tissue hyperplasia. Additionally, differences in the quality and quantity of estrogen receptors in the breast tissue may contribute to uneven growth levels across different parts of the breast.

Is category II breast hyperplasia serious?
Category II breast hyperplasia is not serious; it is simply a type of breast hyperplasia. Breast hyperplasia is mainly related to the estrogen levels in the body. The main treatments should focus on soothing the liver and regulating qi, promoting blood circulation to remove blood stasis, regulating mood, and adjusting endocrine functions. Some traditional Chinese medicines that soothe the liver, regulate qi, and promote blood circulation to remove blood stasis can also be used to manage these symptoms. There is no psychological burden associated with this, and normal treatment is sufficient.

Symptoms of breast cancer metastasis
Symptoms of breast cancer metastasis first involve the lymph nodes, with multiple enlarged lymph nodes that can be felt beneath and above the collarbone. These can be diagnosed as metastases from breast cancer using color Doppler ultrasound and cytopathology puncture. The second symptom is bone metastasis. If there is pain in the pelvic or rib area, and an increase in alkaline phosphatase in the blood biochemistry, high suspicion of bone metastasis should be considered. It is necessary to conduct a PADCT or bone scan for further confirmation. If symptoms like coughing, expectorating phlegm, and blood-tinged sputum appear, lung metastasis should be considered, requiring further diagnosis with a CT scan.

What department should I go to for breast hyperplasia?
In general, large hospitals manage breast hyperplasia under the department of breast internal medicine, or it can also be seen in the department of breast surgery. Moreover, smaller hospitals that do not have a dedicated breast department categorize it under oncology or thyroid department, and sometimes under gynecology. Therefore, it is necessary to consult the local hospital to determine which department to visit for this condition. Then, further diagnostic procedures like breast ultrasound and mammography can be conducted to determine if it is breast hyperplasia.

What does breast hyperplasia feel like to the touch?
Breast hyperplasia, found during physical examinations, can present as nodular lumps in one or both breasts. These lumps vary in size, are firm but not hard, and may sometimes be tender to touch. The boundaries between the lumps and surrounding breast tissue are unclear, yet there is no adhesion to the skin or chest muscles. Occasionally, the condition presents as an area of indistinct thickening, with lesions typically located in the upper outer quadrant of the breast, but it can affect the entire breast. The size of the lumps often changes with the menstrual cycle, enlarging during menstruation or shrinking afterward. Sometimes, there might be nipple discharge, which can be yellow-brown, serous, or bloody. The course of the disease can be prolonged, but symptoms usually disappear or lessen after menopause.

Breast hyperplasia is related to what?
Breast hyperplasia is currently believed to be related to endocrine disorder, leading to increased levels of estrogen, as well as external living and working conditions, interpersonal relationships, and various other stresses. These factors can cause breast hyperplasia. During the menstrual cycle, the breast is affected by changes in endocrine levels, experiencing cyclical changes. Hormonal imbalances, characterized by high levels of estrogen and reduced secretion of progesterone, can lead to incomplete recovery after breast hyperplasia, thereby causing the condition. Mainly, controlling emotions is essential. The primary symptoms are cyclical swelling and pain in the breasts.