Is bilateral breast pain breast cancer?

Written by Lin Yang
Breast Surgery
Updated on December 03, 2024
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Bilateral breast pain generally is not considered breast cancer, but rather breast hyperplasia. Diagnosis can be confirmed through breast ultrasound and mammography. The ultrasound of breast hyperplasia typically shows uneven low echo areas; if cysts are present, they appear as anechoic areas. Mammography may display a ground-glass or cotton wool-like shadow. However, it is important to be cautious of the possibility that breast hyperplasia and breast cancer may coexist. On one hand, patients with significant hyperplasia should be closely followed up, advised to return to the hospital every two to three months for follow-up examinations. On the other hand, patients with significant proliferative lumps or unclear boundaries in thickened breast areas are recommended to undergo a biopsy of the suspicious lesions to prevent misdiagnosis.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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What causes breast pain after menopause?

After menstruation stops, if there are symptoms of breast pain and swelling, one should first consider whether it is related to pregnancy, as hormonal changes during pregnancy often lead to such symptoms. Some people experience breast pain and swelling due to ovulation, which is a typical symptom for many before menstruation. Occasionally, ovulation may be delayed, thus delaying the symptoms of breast pain and swelling. Others might experience these symptoms in relation to factors such as excessive staying up late, high stress, or considerable pressure. It is common to undergo hormonal tests and breast ultrasound examinations in such cases.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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What causes breast pain after menopause?

When experiencing delayed menstruation and symptoms of breast tenderness, the first consideration should be related to pregnancy. As long as there has been sexual activity, whether contraception was used or not, a pregnancy test should be conducted. However, not all cases of ceased menstruation and breast tenderness are related to pregnancy; some people may experience these symptoms before their period, which can only be differentiated by medical examination. If menstruation has stopped for two weeks and pregnancy is still ruled out upon re-examination, then intervention should be considered. An ultrasound should be performed. For some, symptoms of breast tenderness may be related to staying up late, excessive stress, the tightness of bras, or breast hyperplasia, among other factors.

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Written by Lin Yang
Breast Surgery
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Can cupping therapy be used for breast distension and pain?

Breast pain can be treated with cupping, but it is ineffective because breast pain is related to fibrocystic breast changes, which are often caused by endocrine disorders leading to elevated levels of estrogen. Generally, we can treat it with traditional Chinese medicine, using methods to soothe the liver and regulate qi, and harmonize the thoroughfare and conception vessels to alleviate the pain. Endocrine treatment can also be used, though it is generally avoided if possible. However, for significant pain during the pre-menopausal period, therapy can be initiated before the menstrual period. Treatment with vitamins B, C, and E can improve liver function, regulate sex hormone metabolism, and enhance autonomic nervous system functions. These serve as supplementary medication for this condition. Vitamin E in particular also helps alleviate pain.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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What to do about breast pain before menstruation?

Under normal circumstances, if there is also breast swelling and pain usually, it is essential to go to the hospital for an ultrasound to check if there is breast hyperplasia or any organic breast diseases. If organic diseases are excluded, premenstrual breast swelling and pain are generally considered clinically, and traditional Chinese medicine believes that the liver meridian accumulates in the breast. For example, patients who are prone to anger or have liver depression and qi stagnation may experience premenstrual breast swelling and pain. At this time, treatment can generally involve taking some liver-soothing and depression-relieving medicine, such as Xiao Yao Wan, Ru Ning tablets, and other medicines for symptomatic treatment. Occasional one or two instances are not a big problem, but if premenstrual breast swelling and pain occur frequently, it is definitely necessary to take medicine for symptomatic treatment, as this condition is generally related to liver meridian and liver depression qi stagnation.

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Written by Lin Yang
Breast Surgery
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What is causing breast swelling, pain, and discharge of pus?

Breast pain and hyperplasia are related, while purulent discharge might be caused by inflammation within the ducts. Usually, this can be diagnosed through ductoscopy. If it is inflammation, the lesions can be identified under ductoscopy, and then can be treated through washing with metronidazole and gentamicin, achieving a cure. However, there is a scenario where the issue is due to previously forcefully suppressing milk expulsion, leading to a large amount of milk residue in the ducts, causing purulent discharge. In this case, local heat application followed by massage and milk expulsion performed by a professional lactation masseuse can cure the condition. Regular follow-up with ultrasound and mammography of the breast is needed in the future. (Medications should be used under the guidance of a physician.)