What should I do about the pain from lobular hyperplasia of the breast?

Written by Fan Hong Qiao

Breast Health Department

Updated on September 03, 2024

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Breast lobular hyperplasia accounts for more than two-thirds of female breast disease patients and can occur from youth to middle age. In the early stage of the disease, there is breast pain, followed by lumps, or pale yellow nipple discharge. Therefore, women should pay attention to preventing the occurrence of breast lobular hyperplasia. Traditional Chinese medicine believes that breast lobular hyperplasia is caused by liver Qi stagnation and phlegm and Qi stagnation, related to unhappy emotions and depressive moods. If there is a satisfying sexual relationship between spouses, including a coordinated and harmonious sex life, it can maintain a happy mood and smooth liver Qi. The Qi and blood in the collaterals will be harmonized and smooth, and the breast lobule will not easily proliferate. Therefore, we should adjust from life and diet, and of course, necessary medical treatment is essential.

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Does lobular hyperplasia have classifications?

Breast hyperplasia grading and color Doppler mammography grading are the same: Grade 0 indicates incomplete assessment and requires further confirmation; Grade 1 is a negative result, meaning only the normal structure of the breast; Grade 2 are benign findings, indicating benign signs such as breast hyperplasia, breast cysts, and breast lipomas; Grade 3 refers to benign findings but with a 2% malignancy rate, such as fibroadenomas of the breast; Grade 4 is suspiciously malignant and biopsy is recommended; Grade 5 suggests a high likelihood of malignancy; Grade 6 is clearly malignant, needing pathological confirmation of malignancy.

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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.

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Will a bad mood make lobular hyperplasia worse?

Breast lobular hyperplasia can worsen with mood because it is related to elevated estrogen levels caused by endocrine disorders. External living conditions, work and life circumstances, interpersonal relationships, and various other stresses can cause neuropsychiatric factors, all of which can change the internal environment of the body. This, in turn, affects the function of the endocrine system, leading to abnormal secretion of one or several hormones. During the menstrual cycle, breast receptors and internal hormone levels change periodically. When the proportion of hormones in the body becomes unbalanced, an increase in estrogen levels and a decrease in progesterone secretion can lead to incomplete regression of breast hyperplasia after its increase, causing the exacerbation of breast hyperplasia.

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Is hot compress effective for lobular hyperplasia?

Hot compresses for lobular hyperplasia have certain therapeutic effects, but the results may not be very significant. For patients with severe breast hyperplasia, breast supports can be used to lift the breasts, and Chinese medicine can be used for treatment. This involves soothing the liver and regulating qi, as well as balancing the thoroughfare and controlling vessels to alleviate pain and treat breast hyperplasia. Endocrine treatment is also an option, but it should be used as little as possible. For pre-menopausal women with very obvious pain, it can be taken before the onset of menstruation. Vitamin therapy can also be used, including vitamins B, C, E, etc. These have functions such as improving liver function, regulating sex hormone metabolism, and improving autonomic nervous functions, and can be used as adjunctive therapy for this condition. Vitamin E also has an effect in relieving pain.

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Can grade II hyperplasia of small leaves become cancerous?

Fibrocystic change grade II generally does not become malignant. Fibrocystic change grade II refers to breast hyperplasia or benign tumors of the breast. It can be identified based on the typical symptoms of cyclic breast swelling and pain that worsens before menstruation and diminishes or disappears after menstruation. During physical examination, there are nodular masses of varying sizes accumulated inside the breast, which are firm but not hard, sometimes with tenderness. Ultrasound examinations show no masses, or mammography shows a cotton-wool appearance, which are main symptoms of breast hyperplasia, but the possibility of concurrent breast hyperplasia and breast cancer needs to be considered. On one hand, patients with significant breast hyperplasia should be closely followed up, advising them to return to the hospital for re-examination every two or three months; on the other hand, for those with obvious hyperplastic lumps or unclear boundaries in the thickened areas, it is recommended to perform a biopsy on suspicious lesions to prevent misdiagnosis.