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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
Can I apply magnesium sulfate for breast pain?
Breast distension pain generally does not require the administration of magnesium sulfate, as magnesium sulfate is typically used for cellulitis or inflammation and swelling and needs to be applied externally. Breast distension pain is usually related to breast hyperplasia, which is associated with elevated levels of estrogen in the body. Therefore, it is often treated with traditional Chinese medicine. Techniques such as soothing the liver and regulating the Qi, as well as coordinating the thoroughfare and conception vessels, can relieve pain. Endocrine treatments are also available, though ideally not used unless the pain is very significant during the premenopausal period, in which case it can be taken before the onset of menstruation. Vitamin therapy, including vitamins B, C, and E, can also be used; these improve liver function, regulate basal metabolism, and enhance the functioning of the autonomic nervous system, serving as adjunctive treatments for this condition.
What should I do if I have breast hyperplasia pain?
Breast hyperplasia is caused by hormonal imbalances within the body. Mild hyperplasia can be managed by regulating mental efforts and relieving stress. For more severe cases, traditional Chinese medicine and herbs are used for treatment. The primary approach is psychological therapy, mainly aimed at relieving stress, reducing life pressures, eliminating worries, creating a pleasant mood, and fostering a peaceful mindset, which can alleviate symptoms. The second approach involves traditional Chinese medicine and herbs, using those that activate blood circulation, regulate Qi, relieve liver congestion, soften and disperse lumps. Additionally, hormone-based medications can also be used for treatment.
What should I do about lobular hyperplasia of the breast?
For cases with mild symptoms or less severe conditions, treatment is generally not necessary; regular follow-ups with breast ultrasound or mammography are sufficient. For those with pronounced symptoms, medication and symptomatic treatments can be given, as detailed below: Chinese herbal medicine can be used, treating breast hyperplasia through methods that soothe the liver, regulate qi, and harmonize the Chong. Endocrine treatments are also an option, though preferably avoided, but can be administered before menstruation for those who experience significant pain during the premenopausal period. Vitamin therapy, including vitamins B, C, and E, can improve liver function and regulate basal metabolism, as well as enhance the function of the autonomic nervous system, serving as supplementary medicine for this condition. Recently, vitamin E is also considered to have pain-relieving effects. For individuals with a family history of breast cancer, lesions confined to a part of the breast, or those who still have significant lumps after menstruation, it is recommended to conduct a puncture biopsy and consider surgical treatment if necessary.
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.