Fibrocystic Breast Hyperplasia

When women undergo a physical examination, they will definitely check two items, namely breast and gynecological examinations. Because both of these items have serious effects on the female body, especially the breasts. The most important things in your life right now include pregnancy and childbirth. Therefore, after a woman gives birth, her breasts may also undergo some pathological changes. What should I do if I have fibrocystic breast hyperplasia?

Cystic breast hyperplasia is characterized by cysts formed by highly dilated mammary lobule ductules and terminal ducts. The disease accompanied by abnormal mammary structure is also known as chronic cystic breast disease, cystic desquamative breast hyperplasia, fibrocystic breast disease, etc. Compared with simple breast hyperplasia, this disease is different in that breast hyperplasia coexists with atypical hyperplasia and there is a risk of malignant transformation. It should be considered as a precancerous lesion.

Clinical manifestations

1. Lump

A breast lump is often the main symptom. It can occur in one or both breasts, but is more obvious in the left breast. The lumps may be solitary or multiple, and their shapes vary. They may be a single nodule or multiple nodules. A single nodule is often spherical, with unclear boundaries, can be moved freely, and has a cystic feeling. Multiple nodules often involve both breasts or the entire breast. The nodules vary in size, and the cyst activity is often restricted. They are of medium hardness and are tough. Larger cysts located near the surface can often be felt as cystic. According to the distribution range of the lumps, they can be divided into diffuse type, that is, the lumps are distributed throughout the breast; or mixed type, that is, there are lumps of several different shapes, such as flakes, nodules, cords, and granules scattered throughout the breast.

2. Breast pain

The breast pain of this disease is often not obvious and is not closely related to the menstrual cycle. Occasionally, there are various manifestations of pain such as dull pain, stabbing pain, chest and back pain, and upper limb pain. For some patients, the lump becomes larger, harder, and the pain worsens when they are depressed, sad, tired, or in bad weather. The lump becomes softer and smaller after menstruation or when their mood improves. Clinical experience suggests that such changes are mostly benign. If the lump grows rapidly and becomes hard, it may indicate malignancy.

3. Nipple discharge

5% to 15% of patients may have nipple discharge, which is mostly spontaneous nipple discharge. It is often straw-yellow slurry, brown slurry, slurry-bloody or bloody discharge. If the discharge is serous or bloody, it often indicates an intraductal papilloma.