Mammary duct ectasia is classified into several stages and can be treated as follows:

Written by Lin Yang
Breast Surgery
Updated on May 31, 2025
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The grading of lobular hyperplasia and the staging of color Doppler molybdenum target are the same,

First is grade 0, which is unconfirmed and requires further confirmation.

Grade 1 is a negative result, which is normal and does not require treatment.

Grade 2 indicates benign lesions, such as breast cysts and lobular hyperplasia of the breast, which are 100% benign at the second level. Lobular hyperplasia can be treated with medication, and benign cysts can be regularly reviewed with color Doppler ultrasound or surgically treated if there is a psychological burden.

Grade 3 is possibly benign with a 2% risk of malignancy, typically referring to fibroadenomas of the breast, which can be treated surgically.

Grade 4 is suspicious of malignancy, and in such cases, biopsy is recommended to determine benignity or malignancy, with surgical treatment advised if malignant.

Grade 5 is highly suspicious of malignancy, and in such cases, surgical treatment is recommended, such as modified radical mastectomy or breast-conserving surgery. Grade 6 is confirmed malignant with pathological evidence of breast cancer.

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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.

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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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Is lobular hyperplasia grade II severe?

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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Is it normal to have ovulatory pain due to lobular hyperplasia?

Lobular hyperplasia causing pain during ovulation is normal. The main symptoms of breast hyperplasia are cyclical swelling and pain of the breasts, often appearing or worsening before menstruation and lessening or disappearing after menstruation. Generally, mild cases do not receive much attention from patients, but severe cases can affect daily life and work. Some patients do not show obvious cyclical changes, and symptoms can include unilateral or bilateral breast pain or cyclical changes, sharp pain, which can extend to the shoulder, upper limbs, or thoracic back area. A minority of patients may experience nipple discharge, which can be yellow-green, brown, or serous in color. The condition can persist for a long time, but symptoms usually disappear or decrease after menopause.

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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.