What is bilateral mammary lobular hyperplasia?

Written by Jia Rui

Obstetrics and Gynecology

Updated on September 11, 2024

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Bilateral mammary lobular hyperplasia is a type of abnormal proliferative disease of the breast tissue. Patients with mammary hyperplasia primarily experience breast pain and have breast lumps, and it is a benign disease. This condition is caused by an imbalance in ovarian endocrine levels, changes in hormone levels in the body, and an increase in estrogen levels, leading to excessive proliferation and incomplete restoration of breast tissue. It is common in clinical practice to examine breast diseases when breast pain and lumps are present.

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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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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.

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Is lobular hyperplasia nodules serious?

Small hyperplastic nodules are generally not serious. If the nodules are between 0.2-0.4cm, we can treat them with traditional Chinese medicine, using methods to soothe the liver, regulate qi, and harmonize the thoroughfare and conception vessels to treat breast nodules; If the nodules are between 0.6-0.8cm, breast ultrasound determines them as benign. If the psychological burden is light, regular ultrasound examinations can be scheduled. If the psychological burden is heavy, the nodules can be removed by minimally invasive Mammatome rotation to achieve cure. If the nodules are larger than 1.0cm, it is recommended to first perform cytology aspiration and biopsy to prevent misdiagnosis. If determined to be benign, surgical treatment can be used; if malignant, a full-body exam is recommended to check for distant metastasis to formulate a surgical treatment plan.

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What medicine should be taken for mammary gland hyperplasia?

Simple lobular hyperplasia of the breast does not require medication or other treatments, just pay attention to maintaining a healthy lifestyle and regularly check the lobular hyperplasia in both breasts at the hospital to monitor any changes in the condition. After menopause, as the body's estrogen levels decrease, the lobular hyperplasia will gradually improve. Just pay attention to a regular lifestyle, and there is no special dietary requirements compared to others. If the pain is unbearable and severely affects daily life, under the guidance of a doctor, you can take some traditional Chinese medicines that soothe the liver and regulate qi, invigorate blood and resolve stasis, or use estrogen receptor antagonists, which prevent the estrogen receptors from exerting their physiological effects, thereby relieving symptoms.

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Can hyperplasia eat bamboo shoots?

People with hyperplasia of mammary glands can eat bamboo shoots. Foods rich in cellulose and vitamins can be consumed more often, although their mechanisms are not yet clear. However, it has been confirmed that cellulose can inhibit both breast cancer and colon cancer. Vitamin A also plays a role in protecting the mammary glands. It is advisable to reduce the intake of fats and high-calorie diets. Most epidemiological studies show that weight gain is associated with breast cancer, especially after menopause. Alcohol consumption should be limited as it is reported that it may increase estrogen levels in the body, leading to an increased risk of breast cancer in women. Regular breast ultrasound and mammography are needed for fibrocystic breast disease.