Does lobular hyperplasia have classifications?

Written by Lin Yang

Breast Surgery

Updated on March 24, 2025

00:00

00:00

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.

Other Voices

home-news-image

Written by Lin Yang

Breast Surgery

59sec

home-news-image

What should I do if lobular hyperplasia recurs?

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.

home-news-image

Written by Lin Yang

Breast Surgery

47sec

home-news-image

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.

home-news-image

Written by Lin Yang

Breast Surgery

53sec

home-news-image

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.

home-news-image

Written by Lin Yang

Breast Surgery

58sec

home-news-image

Will hyperplasia recur after excision?

After the excision of lobular hyperplasia, recurrence generally occurs because mammary gland hyperplasia is related to the glandular tissue, which is associated with the disruption of endocrine balance leading to increased levels of estrogen. External environmental conditions for survival, work and living conditions, interpersonal relationships, and various other stress-induced psycho-neurological factors can alter the body’s internal environment. This, in turn, affects the function of the endocrine system, causing the secretion of one or several hormones to become abnormal. During the menstrual cycle, the hormonal levels within the breast receptors change cyclically. When the balance of estrogen in the body is disrupted, with an increase in estrogen levels and a decrease in progesterone secretion, it can result in incomplete regression of mammary gland hyperplasia, leading to an exacerbation of the condition.

home-news-image

Written by Lin Yang

Breast Surgery

1min 11sec

home-news-image

What is the difference between breast fibroids and breast cysts?

Lobular hyperplasia and breast hyperplasia are the same, collectively referred to as breast hyperplasia. Clinically, it manifests as cyclical swelling and pain in the breasts, often occurring or worsening during the premenstrual period, and diminishing or disappearing after menstruation. Mild cases may go unnoticed by the patient, while severe cases can affect daily life and work. However, some patients do not exhibit obvious cyclical changes, and some may experience unilateral or bilateral breast swelling or needle-like pain, which can extend to the shoulder, upper limbs, or the chest and back. A few patients may have nipple discharge, and the duration of the disease can sometimes be lengthy, but symptoms usually disappear or lessen after menopause. Upon physical examination, nodular masses of varying sizes can be felt in one or both breasts, which are firm yet not hard, sometimes tender to the touch. The masses are not clearly demarcated from the surrounding breast tissue but are not adhered to the skin or chest muscles, sometimes presenting as indistinctly bounded thickened areas.