What should I do if I have breast hyperplasia?

Written by Lin Yang
Breast Surgery
Updated on January 31, 2025
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For symptoms that are mild and diseases that are not severe, most cases may not require treatment, but regular follow-ups are needed. For those with more significant symptoms, drug therapy and symptomatic treatment can be administered. Firstly, a bra can be used to support the breasts. Traditional Chinese medicine treatment can alleviate breast hyperplasia through methods such as soothing the liver and regulating qi, harmonizing Chong and Ren meridians. Endocrine treatment can also be used, ideally avoided, but may be taken before menstruation if pre-menopausal pain is very severe. Vitamin treatment with Vitamin B, Vitamin C, and Vitamin E can be used, as these vitamins improve liver function, regulate hormone metabolism, and enhance autonomic nerve function, serving as adjunctive therapy for this condition. In recent years, Vitamin E is also considered to have pain-relieving effects. For individuals with a family history of breast cancer, when the lesion is limited to a part of the breast, and when there are still noticeable lumps after menstruation, it is advisable to undergo a biopsy or surgical treatment.

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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.

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How to treat mammary gland hyperplasia?

Treatment of breast hyperplasia: The first aspect is psychological treatment. Breast hyperplasia is often related to fatigue, irregular life, mental tension, and excessive stress. To treat hyperplasia, it is foremost necessary to alleviate the pressures of life and work, eliminate worries, and maintain a relaxed mood and peaceful mindset, which can alleviate the symptoms. The second is the treatment with traditional Chinese medicine, which involves using some herbs that soothe the liver, improve qi circulation, invigorate the blood, remove blood stasis, and soften and dissipate masses. The third aspect is the treatment with Western medicine, generally involving hormones, which can alleviate pain, but have significant side effects. The fourth is surgical treatment.

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What are the symptoms of mammary gland hyperplasia?

The primary symptoms of mammary gland hyperplasia are breast swelling and pain, which typically affect both sides but are often more pronounced on one side. Breast swelling and pain are noticeably worse before menstruation and ease after the period ends, then gradually cease until the pain reappears with the next menstrual cycle. The entire breast may feel diffusely nodular and tender to touch, with occasional lumps or increased breast pain, all related to the menstrual cycle. Additionally, mammary gland hyperplasia may also involve a small amount of nipple discharge, primarily white or brown in color.

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What is the difference between breast hyperplasia nodules and breast hyperplasia?

Breast hyperplasia nodules and breast hyperplasia are not much different; breast hyperplasia nodules are a more severe condition than simple breast hyperplasia. Based on the typical symptoms of cyclic breast swelling and pain, which worsen before menstruation and lessen or disappear after menstruation, and upon physical examination, nodular lumps of various sizes can be felt within the breast, which are tough but not hard, sometimes tender to the touch. Supplementary examinations like ultrasound show uneven low-echo areas in the hyperplastic breast, and if cysts are present, they form anechoic areas. Breast mammography shows ground-glass or cotton-wool shadows, which can be diagnosed as breast hyperplasia. However, it is important to be wary of the potential coexistence of breast hyperplasia and breast cancer. On one hand, patients with significant hyperplasia should be closely monitored; on the other hand, patients with obvious hyperplastic lumps or unclear boundaries of thickened breast tissue should undergo fine-needle aspiration biopsy of suspicious lesions to prevent misdiagnosis.

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How to feel for breast hyperplasia

Patients with mammary gland hyperplasia can feel foreign objects when touching, but the pain from pressing is not very obvious. Patients generally can feel multiple or single nodules with elasticity, and there is no noticeable pain when pressed. Some patients may also experience symptoms such as breast tenderness, which is usually more pronounced before menstruation and may relieve on its own after menstruation ends. Mammary gland hyperplasia is mostly a benign tumor. If the symptoms are not very noticeable, observation can be the first approach. However, if hyperplastic nodules appear, cytological puncture should be conducted, and surgery may be necessary to achieve a cure when needed.