What should I do about hyperplastic nodules in the breast?

Written by Fan Hong Qiao
Breast Health Department
Updated on September 13, 2024
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Breast nodules are a symptom commonly associated with breast hyperplasia and neoplastic breast diseases. In treatment, it is crucial to first make an accurate diagnosis through breast ultrasound and mammography. If some nodules are highly likely to be benign, regular follow-up observation may be considered. If a biopsy is needed for some breast nodules to determine their pathological nature, the treatment plan can be decided based on the pathology results. If diagnosed as malignant tumors, a personalized comprehensive treatment plan should be developed in collaboration with multiple disciplines based on the patient's condition, including surgery, chemotherapy, radiotherapy, endocrine therapy, and molecular targeted therapy, among others.

Other Voices

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Written by Wang Zhi Chao
Breast Surgery
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Can breast hyperplasia turn into cancer?

Traditional breast hyperplasia, specifically lobular hyperplasia, does not become cancerous. However, if the hyperplasia has progressed to atypical hyperplasia, there is a small chance that it could turn into cancer. Normal lobular hyperplasia, in itself, does not become cancerous. Self-examinations and annual hospital check-ups are very important. Therefore, when you cannot distinguish whether the hyperplasia is lobular or atypical, you should go to a formal hospital for an examination.

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Written by Fan Hong Qiao
Breast Health Department
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How to treat nodular hyperplasia of the breast?

According to different pathological types, clinically, there are simple hyperplasia of the breast and cystic hyperplasia of the breast, and the treatment methods are different. For simple breast hyperplasia: If the patient has no symptoms such as pain, medication treatment can be considered unnecessary. Maintaining a regular lifestyle, relaxing, and eating less high-fat food and fewer caffeine-containing beverages are beneficial. If the pain affects normal life and work, timely treatment is needed to alleviate the pain. Surgery is generally not recommended unless the hyperplastic lumps cannot be ruled out for malignant transformation. For the treatment of cystic breast hyperplasia: If the cyst is small and the symptoms are mild, endocrine treatment can be carried out; if the cyst is large, has symptoms of compression, or if ultrasound suggests thickening of the cyst wall, rich blood supply, or intra-cystic tumors, or if the patient worries about cancer transformation causing significant mental stress, surgical treatment can be considered.

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Written by Cui Yu Rong
Breast Surgery
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What fruits to eat for mammary gland hyperplasia?

The development of mammary gland hyperplasia is closely related to the state of endocrine. If the hormone levels in the body are disordered, it can induce the occurrence of mammary gland hyperplasia. Fruits have little impact on mammary gland hyperplasia, and there are no effective fruits that can control and treat this condition. Of course, eating more fruits and vegetables regularly to supplement various vitamins and trace elements can help alleviate mammary gland hyperplasia. Strictly speaking, patients with mammary gland hyperplasia can eat all seasonal fruits, including watermelon, oranges, kiwis, bananas, pineapples, etc., because the main content or components of fruits are cellulose and fructose. Mammary gland hyperplasia is mainly caused by various factors leading to hormonal imbalance in the body, resulting in clinical syndromes. In terms of diet, it is generally necessary to avoid foods that are too greasy, spicy, and stimulating. The content of fruits, mainly cellulose, vitamins, and fructose, does not contain any spicy or stimulating ingredients, nor does it contain fats, so eating fruits will not aggravate mammary gland hyperplasia. All kinds of seasonal fruits are safe to eat and do not cause any aggravation or inducement of mammary gland hyperplasia. Therefore, almost all seasonal fruits, including watermelon, bananas, pineapples, kiwis, apples, and oranges can be eaten. In terms of diet, it is preferable to adhere to a light diet, avoid spicy and stimulating foods, eat less greasy and pickled foods, consume more fruits and vegetables, engage in appropriate exercise, avoid excessive obesity, and abstain from smoking and alcohol to reduce risk factors and control the occurrence of mammary gland hyperplasia.

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Written by Fan Hong Qiao
Breast Health Department
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Is hyperplasia of the mammary glands serious?

Overall, breast hyperplasia is a benign disease and not severe, so there is no need for excessive anxiety. However, it should definitely not be taken lightly. Studies have found that about 2% to 3% of cases with breast hyperplasia may develop into cancer, and the rate of malignant transformation in cystic breast hyperplasia is 3 to 5 times higher than in other women. If you do not control factors that cause breast hyperplasia, such as endocrine disorders, high-fat diets, smoking, drinking, hypertension, and diabetes, then the breast ducts and epithelia being chronically stimulated by these factors could potentially become cancerous. The progression from breast hyperplasia to breast cancer is a lengthy process, undergoing four stages: hyperplasia → atypical hyperplasia (precancerous) → in situ carcinoma → invasive carcinoma. Therefore, breast hyperplasia should be taken very seriously, with efforts made for early examination, early detection, and early treatment. This is especially important for those with a family history of breast cancer or who belong to families with a high incidence of cancer.

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Written by Lin Yang
Breast Surgery
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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.