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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
The difference between lobular hyperplasia of the breast and breast hyperplasia.
Breast lobular hyperplasia and breast hyperplasia are the same; they are both referred to as cystic hyperplasia of the breast, a common breast disease seen in women aged 25-50. Clinically, 50% of women exhibit changes associated with cystic breast hyperplasia. Its main characteristics are the proliferation of breast tissue components, manifesting as abnormalities in structure, quantity, and histology. In addition to the benign proliferation of breast fibrous tissue and epithelium accompanied by cyst formation, it may also coexist with the formation of fibroadenomas. However, the absolute risk of developing into breast cancer is extremely low, hence it is also termed cystic breast hyperplasia or breast dysplasia.
How long does breast cancer surgery take?
Generally speaking, for breast cancer surgery, local anesthesia is first used to biopsy the pathology. After removing the pathology, it is quickly determined whether it is malignant or benign. Then, the procedure is switched to general anesthesia to perform either modified radical mastectomy or radical mastectomy, or a sentinel lymph node biopsy. The approximate time is about two hours, plus postoperative care, it usually ends in about two and a half hours, and then the patient is sent back to the ward to rest, generally not exceeding three hours.
Symptoms of breast hyperplasia
Breast hyperplasia usually manifests as cyclical symptoms such as swelling, pain, and tenderness that often occur or worsen before menstruation and may decrease or disappear after menstruation. Minor cases might not be a concern for patients, but severe cases can affect daily life and work. Symptoms might include pain in one or both breasts, which can extend to the shoulders, upper limbs, or shoulder blades. Additionally, a small number of people might experience nipple discharge, which could be milky, clear, yellow-green, or brown in color.
Will a bad mood make lobular hyperplasia worse?
Breast lobular hyperplasia can worsen with mood because it is related to elevated estrogen levels caused by endocrine disorders. External living conditions, work and life circumstances, interpersonal relationships, and various other stresses can cause neuropsychiatric factors, all of which can change the internal environment of the body. This, in turn, affects the function of the endocrine system, leading to abnormal secretion of one or several hormones. During the menstrual cycle, breast receptors and internal hormone levels change periodically. When the proportion of hormones in the body becomes unbalanced, an increase in estrogen levels and a decrease in progesterone secretion can lead to incomplete regression of breast hyperplasia after its increase, causing the exacerbation of breast hyperplasia.
early symptoms of breast cancer
Breast cancer commonly occurs in the upper outer quadrant of the breast, with a hard, stone-like texture, mostly presenting as solitary masses that can be round, oval, or irregular in shape. These tumors have limited mobility and tend to adhere to the skin and surrounding tissues. However, the size of the mass does not change with menstrual cycles or emotional fluctuations, and it can grow rapidly in a short period. It predominantly affects middle-aged and elderly women. Additionally, mammography can reveal tiny calcifications, abnormal vascular patterns, and spiculated changes.
What is acute mastitis?
Acute mastitis is an acute purulent infection of the mammary gland, commonly occurring in women during the postpartum breastfeeding period, especially more frequently seen in primiparous women. It usually occurs within three months after delivery, particularly in the third and fourth weeks postpartum. Therefore, it can also be referred to as postpartum mastitis or lactational mastitis. The main causes are due to bacterial invasion, stagnation of milk, and a decrease in the body's immune function. The primary pathogens are generally Staphylococcus aureus, with occasional cases involving Streptococcus. In such instances, it is recommended to conduct a routine blood test for the mammary gland and an ultrasound to determine the severity of the mastitis.
What are the symptoms of acute mastitis?
During the onset of acute mastitis, symptoms often include high fever and chills, and the affected breast may enlarge and become firm, with throbbing pain that becomes more apparent during breastfeeding. This is usually accompanied by an increase in local skin temperature, redness and swelling, and tenderness. If the area softens over a short period, an abscess may have formed. If the infection is not controlled, it can lead to systemic infection or sepsis. Patients often have swollen lymph nodes, and blood tests show elevated neutrophil counts in white blood cells.
Does acute mastitis have lumps?
Mastitis involves inflammation, and severe cases can lead to inflammatory lumps. Generally, we use breast ultrasonography for diagnosis and differentiation. If the ultrasonography report indicates a cystic formation, it is typically considered to be caused by the accumulation of milk. At this point, ceasing breastfeeding and seeking massage from a professional or a loved one to clear the accumulated milk can be curative. If the ultrasonography report shows an inflammatory hard lump or a solid mass, we recommend stopping breastfeeding and starting anti-inflammatory symptomatic treatment. If the lump shows signs of shrinking, continue the anti-inflammatory symptomatic treatment. However, if there is no change in the inflammatory lump, surgical treatment is recommended to remove the inflamed mass.
Treatment methods for acute mastitis
The treatment methods for acute mastitis start with stopping breastfeeding. For those with mild symptoms or less severe conditions, breastfeeding can continue, but it is not advisable to breastfeed from the affected breast. Instead, a breast pump can be used to express the milk. Secondly, the breast can be supported with a bra. Thirdly, for local redness and swelling, hot compresses can be applied, or ichthyol ointment can be used topically, as well as Levonorgestrel topical application. If blood tests show elevated levels, systemic antibiotics should be used, with the choice of penicillins and cephalosporins for symptomatic treatment. If an ultrasound shows an abscess formation, it is recommended to perform an abscess incision and drainage procedure, or, if it's deeper, a thick needle can be used for aspiration to draw out the abscess.
Do breast hyperplasia hurt?
Breast hyperplasia can be painful, primarily manifesting as cyclical breast pain according to the menstrual cycle. For example, there may be swelling and pain before menstruation, and lumps can be felt in the breasts. Anger and "internal heat" can also worsen breast hyperplasia. The main treatments include soothing the liver and regulating qi, maintaining a positive attitude, and avoiding spicy and fried foods. Traditional Chinese medicine primarily uses approaches to soothe the liver, improve qi circulation, invigorate the blood, dissolve stasis, soften lumps, disperse nodules, and massage. In Western medicine, hormonal treatments can alleviate this pain.