breast lump
Introduction
Introduction to breast lumps A breast lumps usually refer to a disease in which a mass grows inside due to differences in the composition of breast tissue. Breast lumps are the most common breast disorders, and many benign diseases are also manifested in the form of breast lumps, so the most important aspect of breast lumps is the distinction between benign and malignant. In addition to breast cancer is malignant, breast fibroadenomas, breast hyperplasia, breast cysts, breast fat necrosis and other lumps are benign, can be treated by acupoints and reflex zones massage. Breast lumps are abnormal changes in the breast and are common diseases in women. In general, inflammatory breast lumps are often accompanied by more severe breast pain. The lumps are also accompanied by obvious inflammatory reactions such as redness, swelling, heat, and pain. The mass can be repulsed and ulcerated. After anti-inflammatory treatment plus local After drainage, the inflammation subsides and the mass disappears. Proliferative breast lumps, often accompanied by premature breast pain, after menstruation, pain can be reduced, the mass can also be reduced, the mass is often multiple, soft or tough, local can be light Moderate tenderness, after treatment with drugs, can be improved to varying degrees. basic knowledge The proportion of sickness: 0.01-0.03% Susceptible people: women Mode of infection: non-infectious Complications: mastitis
Cause
Causes of breast lumps
Unreasonable diet structure (10%):
For example, high-fat, high-energy diets lead to excessive intake of fat, and bad habits such as drinking and smoking can induce breast disease. In addition, people's diet is now good, there are many people with high blood pressure, high blood sugar, these are also easy to cause endocrine disorders in women, leading to breast hyperplasia.
Long-term use of estrogen (15%):
Long-term excessive intake of estrogen in the human body will lead to imbalance of endocrine balance. Now some fast-growing foods, artificially reared aquatic products and feeds used by poultry also contain hormones. Long-term consumption can also cause breast diseases.
Endocrine disorders (24%):
The secretion of lutein is reduced, and the relative increase of estrogen is an important cause of breast hyperplasia. Such as ovarian development is not complete, irregular menstruation, thyroid disease and liver dysfunction.
Mental factors such as mood (25%):
Mental stress, emotional agitation and other unhealthy mental factors are prone to mammary gland hyperplasia, often staying up late, lack of sleep, etc. will also cause breast hyperplasia, and these adverse factors will aggravate the existing symptoms of breast hyperplasia.
Human factors (10%):
Female age, infertility, sexual life disorders, induced abortion, husband and wife, and no breastfeeding, etc., cause the breasts to have normal, periodic physiological activities. Wear a tight bra or a tight underwear.
Prevention
Breast mass prevention
1, keep a good mood: the most fear of breast lumps is a bad mood, because the mood is good, the normal ovulation of the ovary will not be blocked by bad mood, progesterone secretion will not decrease, the breast will not be affected by estrogen Unilateral stimuli and lesions, the diseased mammary gland may even gradually recover under the care of progesterone.
2, to maintain regular sleep: sleep is not only beneficial to balance endocrine, but also provides a good environment for the balance of various hormones to play a healthy role in the body, a good internal environment will reduce the incidence of various breast lesions.
3, harmonious life: harmonious sexual life can first regulate endocrine, stimulate progesterone secretion, increase the protection and repair strength of the breast. Of course, sex can also stimulate estrogen secretion, but under the supervision of progesterone, estrogen can only breast and not produce bad lesions. In addition, orgasm stimulation can also accelerate blood circulation, avoiding breast hyperplasia due to poor blood flow.
4, pregnancy, breastfeeding: pregnancy, breastfeeding is a good way to combat various breast diseases, progesterone secretion is sufficient, can effectively protect and repair the breast; and breastfeeding can make the breast fully developed, and well degraded after weaning, not easy to appear lesions.
5, conditioning menstruation: clinically found that menstrual cycle disorders in women more likely than other people to develop breast lesions, the formation of breast lumps. By regulating endocrine and regulating menstruation, it can also prevent various breast lesions.
6, low-fat high-fiber diet: follow the "low-fat high-fiber" diet principle, eat more whole-grain foods, beans and vegetables, increase the body's metabolic pathways, reduce the bad stimulation of the breast, can prevent breast lumps very well. At the same time, animal protein intake should also be controlled to avoid excessive estrogen and cause breast lesions.
7, vitamins, minerals: if the human body lacks B vitamins, vitamin C or calcium, magnesium and other minerals, the synthesis of prostaglandin E will be affected, the breast will appear under the excessive stimulation of other hormones, so To prevent breast lumps, it is necessary to supplement vitamins and minerals in time.
Complication
Breast lumps complications Complications mastitis
May be complicated by high heat chills, mastitis.
Symptom
Breast lumps symptoms common symptoms breast redness and heat pain before menstruation breast pain breast pain breast hardening
In general, inflammatory breast lumps are often accompanied by more severe breast pain. The lumps are also accompanied by obvious inflammatory reactions such as redness, swelling, heat, and pain. The mass can be repulsed and ulcerated. After anti-inflammatory treatment plus local After drainage, the inflammation subsides and the mass disappears. Proliferative breast lumps, often accompanied by premature breast pain, after menstruation, pain can be reduced, the mass can also be reduced, the mass is often multiple, soft or tough, local can be light Moderate tenderness, after treatment with drugs, can be improved to varying degrees.
Examine
Breast lumps
1, x-ray photography: young women's breast tissue is more dense, so mammogram is usually not suitable for women who are too young (under 30 years old). Mammography is a relatively convenient method of screening. However, it should be noted that the normal X-ray results are not sufficient to rule out breast cancer.
2, ultrasound: can help to distinguish the mass is a solid or saclike structure, if it is a saclike structure, the doctor may consider using a fine needle to extract the water of the water for the test, and then decide whether further inspection is needed.
3, biopsy: It can be said that the most accurate diagnosis method at present, the doctor uses a specific method to obtain the tumor tissue of the patient's breast, and then carry out pathological examination (including microscopic examination) on the relevant tissue or cells. There are basically three methods for removing the living tissue.
4, needle aspiration biopsy: a small needle to absorb part of the tissue of the mass, mainly to provide information on the morphology of the cell, the internal structure of the mass of the examination is examined by the following two methods.
5, resection biopsy: surgery (usually under local anesthesia) as much as possible to remove all the mass of the tumor for pathological examination.
6. Incisional biopsy: In some cases (for example, when the mass is too large).
Diagnosis
Diagnosis of breast lumps
Clinically, the more painless breast lumps, the more attention should be paid. Because painless breast lumps happen to be one of the characteristics of breast cancer. In general, inflammatory breast lumps are often accompanied by more severe breast pain. The lumps are also accompanied by obvious inflammatory reactions such as redness, swelling, heat, and pain. The mass can be repulsed and ulcerated. After anti-inflammatory treatment plus local After drainage, the inflammation subsides and the mass disappears. Proliferative breast lumps, often accompanied by premature breast pain, after menstruation, pain can be reduced, the mass can also be reduced, the mass is often multiple, soft or tough, local can be light Moderate tenderness, after treatment with drugs, can be improved to varying degrees.
Whether a breast lumps are benign or malignant:
1. Clinically, the symptoms of benign and malignant transformation, shape, size, density, and boundary are not easy to distinguish. However, the diagnosis can be made by means of infrared, x-ray molybdenum target, so as to make a correct diagnosis.
2, first of all, from the morphological point of view: good change and multiple rules, round, elliptical, patchy, nodular, strip-like, etc., the boundaries are clearer, mostly bilateral, multiple masses; malignant, more It is irregularly blocky, the boundary is blurred, and the surface of the mass is uneven. Most of the lumps are more common on one side.
3, from the qualitative point of view: good metamorphosis and toughness, most of the hardening before the tide; malignant, hard as stone, and has nothing to do.
4, from the perspective of activity: good change activity is greater, and no adhesion to other tissues, such as fibroadenomas, proliferative diseases, etc., malignant often with adhesions, activity is poor.
5, from the skin surface, nipple analysis: good change most skin without change, nipples without retraction (except congenital nipple retraction), a small number of patients have secretions on the nipple, secretions are mostly watery, milk-like, such as capsules Sexual proliferative disease, plasma cell-like inflammation; malignant mass, orange peel-like, dimple-like changes around the skin, nipple retraction (except congenital nipple retraction), nipple secretions are mostly bloody, pale yellow, serum-like overflow Liquid, etc.
6. From the perspective of growth rate: good growth is slow, and the course of disease changes from one year to several years. The malignant growth is rapid, and it may grow like a fist in a few months.
