How to treat highly echogenic breast nodules?

Breast nodules are a disease of the human body, especially for some female friends who have suffered from breast hyperplasia or breast tumors. This disease is very common. And don't underestimate this disease, because if it is not treated in time, it may indeed turn into cancer. This is not a joke, but is based on facts. So, how should breast echogenic nodules be treated?

treat

The treatment of breast nodules should first establish a clear diagnosis. Through breast B-ultrasound and molybdenum target, some nodules are considered to be benign lesions with a high probability and may be considered for regular follow-up observation. Some breast nodules require biopsy to clarify the pathological nature and further treatment plans are decided based on the pathological results. If it is a malignant tumor, multidisciplinary collaboration is required based on the patient's condition to develop an individualized comprehensive treatment plan, including surgery, chemotherapy, radiotherapy, endocrine therapy, and molecular targeted therapy.

prevention

Given that the cause of breast nodules is still unclear, there is currently no clear and effective prevention method, but relevant prevention and control measures can be taken for the high-risk factors of breast cancer, including a reasonable diet and a healthy lifestyle. Encourage breastfeeding, quit smoking and drinking, avoid long-term and large-scale oral contraceptive use, etc. If the patient has hereditary breast cancer, relevant breast cancer susceptibility gene testing can be considered to clarify and develop an individualized breast cancer screening plan, and preventive mastectomy can be performed if necessary.

examine

1. Breast palpation

2. Mammography

Round or irregular nodules can be seen on breast mammography films. Benign nodules generally have clear boundaries and regular shapes, while malignant nodules generally have unclear boundaries and irregular shapes, with visible burrs or lobes. Sometimes an "edema zone" can be seen outside the nodule, which is better for showing clustered calcifications within the lesions.

3. Color Doppler Ultrasound

It can clearly display smaller lesions in breast tissue and more completely characterize and locate the lumps. Deep nodules that doctors cannot palpate can often be detected; the capsule echo can be detected, mostly showing low or medium echoes; the echo of benign tumors is uniform, while the echo of malignant tumors is generally uneven, and the blood flow distribution can be displayed.

4. Histopathological examination

The nodule can be diagnosed histologically by core needle biopsy or excisional biopsy to determine the nature of the nodule. For inaccessible lesions, positioning can be performed under the guidance of molybdenum-palladium or B-ultrasound.