What should I do if lobular hyperplasia recurs?

Written by Lin Yang
Breast Surgery
Updated on September 07, 2024
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After the recurrence of lobular hyperplasia of the mammary gland, if there are significant symptoms, Chinese herbal medicine can be used to alleviate the pain through the method of soothing the liver and regulating the Qi, and harmonizing the Chong and Ren meridians. Endocrine treatment is also an option, but should be avoided if possible. However, it can be taken before menstruation if the pain is particularly severe in the pre-menopausal period. Vitamin therapy can also be used, including Vitamin B, Vitamin C, Vitamin E, etc., which have effects on improving liver function, regulating sex hormone metabolism, and improving autonomic nerve function. These can be used as adjunctive therapy for the disease. Some also believe that Vitamin E can relieve pain. Regular follow-ups with breast ultrasound and mammography are also necessary.

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Written by Lin Yang
Breast Surgery
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Why are there lymph nodes under the armpit in lobular hyperplasia?

Breast lobular hyperplasia generally does not involve enlargement of the lymph nodes. The enlargement of lymph nodes can be physiological or pathological. Physiological enlargement is either congenital or caused by inflammation, whereas pathological enlargement is generally caused by breast cancer. Lymph nodes affected by breast cancer can be located and fixed in the armpit, and may also be palpable above or below the clavicle. Lobular hyperplasia is related to the levels of hormones in the body; it is not inflammatory, but mainly associated with increased estrogen levels. There may also be variations in the quality and quantity of estrogen receptors in the breast tissue components, leading to uneven development 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.

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Breast Surgery
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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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Breast Surgery
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Can mild pain from lobular hyperplasia be ignored?

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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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.