Which is more serious, breast hyperplasia or breast nodules?

Written by Cui Yu Rong
Breast Surgery
Updated on June 09, 2025
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Breast hyperplasia is a specific disease caused by hormonal imbalances in the body, which stimulate the breast and lead to structural disorders. Breast nodules are not a specific disease; they could be breast hyperplasia or other diseases. Almost all breast diseases can be described as breast nodules, such as breast hyperplasia, breast inflammation, or breast tumors, which can be either benign or malignant. Therefore, breast nodules could be breast hyperplasia or other diseases, and the specific condition needs to be analyzed accordingly.

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Written by Jia Rui
Obstetrics and Gynecology
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Methods for Mammary Gland Hyperplasia

The main clinical manifestation of breast hyperplasia is usually premenstrual breast pain, and palpation of the breasts may reveal hyperplasia. Generally speaking, breast hyperplasia is not a serious issue, but there is a possibility of cancerous changes in a small number of patients. Typically, the clinical treatment of breast hyperplasia should not primarily focus on pain relief. The main treatment method is to promote blood circulation and remove blood stasis, thereby alleviating pain and symptoms. Patients with breast hyperplasia should maintain a positive mood and emotions, and avoid getting upset or angry in daily life.

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Written by Wu Shi Ting
Breast Health Department
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What should I do if I have breast hyperplasia?

In clinical practice, based on different pathological types, breast hyperplasia can generally be divided into simple breast hyperplasia and cystic breast hyperplasia, and the treatment methods are different. For simple breast hyperplasia: If there are no symptoms such as pain, we generally do not use drug treatment. Maintaining a regular lifestyle, relaxing, eating less high-fat food, and drinking fewer caffeinated beverages are all beneficial. If the pain affects normal life and work, it needs to be treated in a timely manner to relieve the pain. Surgery is generally not recommended unless the growth mass cannot rule out malignancy. As 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 compression symptoms, or ultrasound suggests that the cyst wall is locally thickened, has abundant blood supply, or there are tumors attached to the cyst wall, or the patient is greatly stressed about cancer, surgical treatment can be considered.

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Written by Lin Yang
Breast Surgery
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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.

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Written by Lin Yang
Breast Surgery
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Breast hyperplasia is divided into several grades.

Breast hyperplasia is generally divided into six grades: Grade 1 is negative; Grade 2 is simple breast hyperplasia; Grade 3 is a benign lesion with less than 2 percent risk of malignancy; Grade 4 is subdivided into ABC, where Grade A is mild with 95% being benign, Grade B is moderately suspicious of malignancy, and Grade C has a relatively high degree of malignancy, with about 95% being malignant; Grade 5 has 98% chance of being breast cancer; Grade 6 involves pathological biopsy to confirm the diagnosis of breast cancer lesions.

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Written by Lin Yang
Breast Surgery
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Does breast hyperplasia hurt?

The main symptom of mammary gland hyperplasia is breast pain, which usually occurs in accordance with the menstrual cycle. There is significant breast pain before the period, and symptoms tend to lessen after the period. Generally, the pain is intermittent, diffuse, dull, or like needle pricks. There can also be shooting pain or hidden pain, and even some report pain as if being cut by a knife. Some of the pain is subjective, but it can also manifest as pain upon touch, or pain from friction caused by clothing during walking. There can be tenderness in the breasts, or increased pain in the upper limbs after physical exertion. The pain may occur in one breast or both.