Is lobular hyperplasia grade II severe?

Written by Lin Yang
Breast Surgery
Updated on September 15, 2024
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Second-degree mammary lobular hyperplasia refers to simple mammary hyperplasia, which is not severe and has relatively mild symptoms or conditions. Most cases do not require treatment, but regular follow-up is necessary. For cases with more pronounced symptoms, we can use traditional Chinese medicine, which alleviates pain through methods such as soothing the liver and regulating qi, as well as harmonizing the thoroughfare and conception vessels. Vitamins can also be used to support treatment, with Vitamin B, Vitamin C, and Vitamin E improving liver function, regulating metabolic hormones, and enhancing autonomic nerve functions, serving as auxiliary medication for this condition. Vitamin E also helps relieve pain. Regular follow-up examinations with ultrasound and mammography are recommended. (Please use medications under the guidance of a doctor.)

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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 Fan Hong Qiao
Breast Health Department
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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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Written by Lin Yang
Breast Surgery
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Symptoms of lobular hyperplasia cancerization

The symptoms of lobular hyperplasia transforming into cancer primarily include feeling a painless, solitary small lump in the breast. The lump is hard, with a rough surface, and its boundary with surrounding tissue is not clearly defined. It is not easily movable within the breast. As the lump progresses, it can invade the Cooper's ligaments, causing them to contract, and thus the skin over the lump often appears dimpled, known as the dimpling sign, which is an early sign of breast cancer. As breast cancer continues to develop, it can cause the breast to shrink, become harder, elevate the nipple, and may lead to the ducts being pulled, flattened, retracted, or even invaginated. The affected breast may also significantly enlarge over several months, causing an increase in volume and prominence.

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Written by Lin Yang
Breast Surgery
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Can medication completely cure mammary gland hyperplasia?

Breast hyperplasia can be treated with medication, but due to the disorder of hormone levels in the body, incomplete recovery may lead to the possibility of recurrence of breast hyperplasia. Most cases of breast hyperplasia are believed to be related to endocrine disorders, causing elevated estrogen levels, and hormonal levels in the body change periodically. When the proportion of hormones in the body is unbalanced, estrogen increases, and progesterone secretion decreases, breast hyperplasia is incompletely restored, causing breast tissue proliferation. On the other hand, it may also be related to the differences in the quality and quantity of estrogen receptors in the breast parenchyma components, resulting in uneven growth in different parts of the breast.

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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.