Can mild pain from lobular hyperplasia be ignored?

Written by Lin Yang
Breast Surgery
Updated on September 25, 2024
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For mild pain associated with lobular hyperplasia, it may not require intervention but regular follow-up is needed. For more pronounced symptoms, symptomatic pharmaceutical treatment should be administered. Supporting the breasts with a bra, using traditional Chinese medicine to soothe the liver, regulate qi, and harmonize the Chong and Ren meridians may alleviate the pain. Endocrine treatment is another option, though generally avoided if possible. However, for severe pre-menopausal pain, taking vitamins such as B, C, and E before menstruation can help as they improve liver function, regulate hormone metabolism, and enhance autonomic nerve function. Vitamin E also helps alleviate pain.

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Written by Fan Hong Qiao
Breast Health Department
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What should I do about the pain from lobular hyperplasia of the breast?

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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Written by Lin Yang
Breast Surgery
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What does breast lobule feel like to the touch?

Fibrocystic breast changes may occur in one or both breasts, where palpable, nodular lumps of varying sizes can be felt. These lumps are firm but not hard, and sometimes painful. The boundary between the lumps and surrounding breast tissue is unclear, yet they are not adherent to the skin or chest muscles, sometimes appearing as unclearly bordered thickened areas. Lesions are more commonly located in the upper outer quadrant of the breast but can affect the entire breast. The lumps may enlarge during premenstrual or postmenstrual phases, but they typically reduce in size postmenstrually. Diagnosis can be confirmed through breast ultrasound and mammography. Breast ultrasound typically indicates proliferative breast tissue, showing areas of uneven, low echogenicity and, in cases of cysts, anechoic areas.

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Written by Lin Yang
Breast Surgery
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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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Written by Lin Yang
Breast Surgery
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Early symptoms of mammary gland hyperplasia

The early symptoms of mammary gland hyperplasia are cyclic swelling pain, which worsens before menstruation and diminishes or disappears after menstruation, with these being the typical symptoms. During a physical examination, nodular lumps of varying sizes can be felt within the breast, which are firm but not hard, and sometimes tender to the touch. Ultrasonography may not show any lumps, or mammography may reveal a cotton-wool-like appearance, which can diagnose mammary gland hyperplasia. However, it is crucial to be cautious of the potential coexistence of mammary gland hyperplasia and breast cancer. On one hand, patients with significant hyperplasia should be closely followed up, advised to return to the hospital every two to three months for re-examination. On the other hand, for patients with significant hyperplastic lumps or unclear boundaries in the thickening type of mammary glands, a biopsy is recommended.

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Written by Lin Yang
Breast Surgery
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The difference between breast cancer and lobular hyperplasia

The difference between breast cancer and lobular hyperplasia is as follows: Lobular hyperplasia primarily manifests as nodular lumps that can be felt within one or both breasts. These lumps vary in size, are tough but not hard, and sometimes tender to touch. The boundaries of the lumps with the surrounding breast tissue are not clear, but they are not adherent to the skin or chest muscles, sometimes presenting as areas of thickening with unclear boundaries. Breast cancer, on the other hand, appears as a solitary, painless lump that is hard as stone and can be round, oval-shaped, or irregular. It can grow large, has poor mobility, and can easily adhere to the skin and surrounding tissues. The growth of the cancerous lump is not related to the menstrual cycle or emotional changes, and it can grow rapidly in a short time. On a mammogram, breast cancer lumps may show tiny calcifications, abnormal vascular shadows, and spicules.