Will hyperplasia recur after excision?

Written by Lin Yang
Breast Surgery
Updated on June 12, 2025
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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.

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Written by Lin Yang
Breast Surgery
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Can hyperplasia eat bamboo shoots?

People with hyperplasia of mammary glands can eat bamboo shoots. Foods rich in cellulose and vitamins can be consumed more often, although their mechanisms are not yet clear. However, it has been confirmed that cellulose can inhibit both breast cancer and colon cancer. Vitamin A also plays a role in protecting the mammary glands. It is advisable to reduce the intake of fats and high-calorie diets. Most epidemiological studies show that weight gain is associated with breast cancer, especially after menopause. Alcohol consumption should be limited as it is reported that it may increase estrogen levels in the body, leading to an increased risk of breast cancer in women. Regular breast ultrasound and mammography are needed for fibrocystic breast disease.

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Written by Lin Yang
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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Written by Lin Yang
Breast Surgery
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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.

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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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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.