Breast hyperplasia is a common disease among women, which is generally the proliferation of breast epithelial and fibrous tissue. Women should pay attention to their breast health on a daily basis. Self-examination can also be done to prevent breast diseases in advance. Any discomfort in your breasts should be taken seriously. So, what are the symptoms of breast hyperplasia? Causes 1. Negative mental factors such as excessive mental tension and excessive emotional excitement may cause the breast hyperplasia tissue that should have recovered to fail to recover or to recover incompletely. Over time, breast hyperplasia will form, and these negative mental stimuli will aggravate the existing symptoms of breast hyperplasia. 2. Multiple abortions can easily lead to breast hyperplasia. 3. Breast structure disorder caused by absolute or relative increase in estrogen and absolute or relative decrease in progesterone. 4. Long-term use of health products and contraceptives containing estrogen may also cause breast hyperplasia. Classification There are many types of breast hyperplasia. Some are completely physiological and will resolve on their own without special treatment, such as simple breast hyperplasia. Some are pathological and require active treatment, especially the cystic hyperplasia type, which should not be taken lightly due to the possibility of cancer. 1. Breast pain Also known as simple breast hyperplasia. It is most common among teenage girls and young patients. The reason is that the secretion of gonadal hormones is vigorous and the changes are large. It is characterized by obvious cyclical breast pain, and the pain disappears on its own after menstruation. The pain is mainly localized in the breast, but sometimes it can radiate to the ipsilateral armpit and chest wall. This type of hyperplasia is a normal physiological phenomenon. Patients do not need to be overly anxious or worried. As long as they adjust their emotions and maintain balance, the elevated endocrine hormones can generally be corrected slowly and various symptoms can disappear on their own. 2. Breast adenosis The basis of this type of lesion is the expansion of the mammary lobules and ducts in the breast and the proliferation of the tissue around the glands. 3. Cystic hyperplasia Its main lesion is the proliferation of milk duct epithelial cells. The lumps in the breast are mostly diffuse thickening. Some patients show localized manifestations, and most of them are oval cysts, which can easily be confused with fibers. Such growths may develop into cancer, often causing worry and panic in patients. Clinical manifestations 1. Stage by severity (1) Lobular breast hyperplasia (stage I breast hyperplasia) is the early stage of breast hyperplasia, which often occurs in women between the ages of 25 and 35. The symptoms are relatively mild and belong to stage I breast hyperplasia. (2) Mammary gland disease (duct ectasia, stage II breast hyperplasia) is the further development of early breast hyperplasia, from lobular hyperplasia to duct ectasia, called mammary gland disease. It often occurs in 30 to 45 years old, with severe symptoms, and belongs to stage II breast hyperplasia. It is easy to attract attention, but is often difficult to cure. If it is not cured for a long time, it will cause mental depression and aggravate the symptoms. It can cause serious endocrine disorders, such as irregular menstruation, insomnia, dreaminess, dull skin color and other reactions. (3) Cystic hyperplasia (ductal ectasia combined with epithelial cell hyperplasia, stage III breast hyperplasia) is a further development of stage II breast hyperplasia, which often occurs in women aged 40 to 55 years. The symptoms are very severe. The malignant transformation rate of stage III hyperplasia is over 70%, requiring active treatment and regular check-ups. Stage III breast hyperplasia often causes mental depression and fear in patients. (4) Breast cystic disease (stage IV breast hyperplasia): A large number of breast duct cells and epithelial cells accumulate and die, forming a cystic mass, with a cancer rate of over 90%. (5) Breast cancer (stage V breast hyperplasia) is mostly the result of the further development of cystic hyperplasia and cysts. Surgery is the first choice for early treatment of breast cancer, and whether to preserve the breast should be determined based on the specific situation. The probability of stage I and stage II breast hyperplasia developing into breast cancer is 1% to 3%. If you suffer from breast hyperplasia, you must receive timely treatment and not allow it to develop. 2. Main symptoms (1) Breast pain is often characterized by distension or stabbing pain, which may affect one or both breasts, with one breast being more severe. Patients with severe pain cannot touch the breast, and may even experience difficulty in daily life and work. The pain is mainly in the breast lump, and may also radiate to the affected armpit, chest, flank, shoulder and back; some people experience nipple pain or itching. Breast pain often occurs or worsens a few days before menstruation, and the pain is significantly reduced or disappears after menstruation; the pain may also fluctuate with mood changes. This pain related to the menstrual cycle and emotional changes is the main feature of the clinical manifestations of hyperplasia of the breast. (2) Breast lumps: Breast lumps can occur in one or both breasts, single or multiple, and are more common in the upper outer quadrant of the breast, but can also occur in other quadrants. The shapes of the lumps include flake-shaped, nodular-shaped, cord-shaped, granular-shaped, etc., among which the flake-shaped is the most common. The lump has unclear boundaries, is of medium or slightly hard texture, has good mobility, has no adhesion to surrounding tissues, and is often tender. The lumps vary in size, with small ones being as big as millet grains and large ones exceeding 3 to 4 cm. Breast lumps also change with the menstrual cycle. The lumps become larger and harder before menstruation, and shrink and soften after menstruation. (3) Nipple discharge A small number of patients may experience nipple discharge, which is spontaneous and has a straw-yellow or brown serous appearance. (4) Menstrual disorders: Patients with this disease may experience irregular menstruation, scanty or light-colored menstruation, and may be accompanied by dysmenorrhea. (5) Emotional changes: Patients often feel depressed or irritable, which worsens when they are angry, stressed or tired. treat 1. Regular inspection To facilitate early detection and timely treatment. 2. Take your medication regularly This disease is a serious endocrine disorder. The diseased tissue is poorly sensitive to drugs, the lumps disappear slowly, and the treatment time is long. Sometimes it takes oral medication for six months to a year to take effect. 3. Surgical complete resection It is the best treatment method for local lesions. That is, as long as the large local lesions are removed, a positive therapeutic effect can usually be achieved. If there is an obvious tendency towards cancer, or if a biopsy confirms a precancerous lesion, a simple mastectomy should be performed for safety. In addition, when patients experience galactorrhea, care should be taken to distinguish it from hyperprolactinemia or amenorrhea galactorrhea syndrome to avoid misdiagnosis. |
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