lobular hyperplasia
Introduction
Introduction Breast lobular hyperplasia (stage I breast hyperplasia): It is the most common non-tumor, non-inflammatory proliferative lesion in breast proliferative diseases. It is the initial hyperplasia of the breast, which occurs mostly in the 25-35 years old and has mild symptoms. It belongs to stage I of breast hyperplasia. Women of any age who can occur after puberty account for more than 70% of the prevalence of breast hyperplasia, often not being taken seriously, and active treatment is not allowed to develop.
Cause
Cause
There are many causes of lobular hyperplasia of the breast, but it is mainly related to endocrine disorders or mental emotions. The mammary glands of women of childbearing age are controlled by ovarian endocrine, once the ovarian function is affected by certain factors, such as emotional instability, uncomfortable mood, overwork, sexual disharmony, changes in living environment, or overeating hormone-containing tonics. And the long-term use of cosmetics containing hormones, etc., can affect the proportion of estrogen and progesterone secretion in the human body or the secretion of rhythm disorders and cause breast tissue hyperplasia.
Examine
an examination
Related inspection
Breast ultrasound examination of breast examination
Self-examination:
Self-examination plays a decisive role in the discovery of breast disease, and it is especially important for female friends to understand some of the breast self-examination. Self-examination time should be performed one week to two weeks after menstruation. The self-examination method for breast hyperplasia is as follows:
Vision: Stand in front of the mirror with your hands hanging down or hands on your hips. Carefully observe whether the bilateral breasts are symmetrical, whether the skin and nipples are sunken or eczema, whether there is redness or swelling, or abnormal protrusions.
Touch: Lift the left hand or akimbo, check the left breast with your right hand, press the breast gently with your fingertips, touch the hard block, start the circular clockwise direction from the nipple, touch the palm when you are flat, the four fingers close together, use the index finger The middle finger of the middle finger and the ring finger gently tap the outer upper, lower outer, inner lower, inner upper area of the breast in order, and finally the nipple and areola area in the middle of the breast. Do not grasp the breast tissue with your fingers during the examination, otherwise the grasped breast tissue will be mistaken for a lump. If you find a breast mass or a nipple discharge, seek medical advice and avoid delays.
Auxiliary inspection
1. B-ultrasound examination: It has become a commonly used examination method in clinical practice because of its advantages of convenience, economy, non-invasiveness and painlessness. With the development of ultrasound imaging, the application of high-frequency ultrasound greatly improves the resolution of ultrasound and can be found. The small lesions in the breast, especially the identification of cystic and solid tumors, are difficult to replace with other imaging studies.
2, mammography: mammography is an important means of finding early cancer and micro-cancer, but it is not necessary to check repeatedly in a short period of time, especially in the puberty, pregnancy and lactation mammary gland is sensitive to X-ray, excessive exposure will increase The incidence of breast cancer. Generally, a molybdenum target test should be performed at least once before the age of 30, once every 2-3 years at 30-40 years old, and once every 1-2 years after 40 years old. The examination for microcalcification is unmatched by other imaging examinations.
3, breast nuclear magnetic examination: breast nuclear magnetic examination with high sensitivity and medium specificity. Because of its relatively high price, long inspection time and relatively small space, it is not popular at present. It has great advantages for breast cancer with negative mammography and ultrasound, postoperative reexamination, prosthesis implantation or injection of breast enlargement, nipple discharge, screening for high-risk groups.
Diagnosis
Differential diagnosis
1, breast cyst disease (stage IV breast hyperplasia): breast ductal cells and epithelial cells accumulate a large number of death, the formation of cystic mass, cancer rate of more than 90%.
2, breast cancer (V stage breast hyperplasia): more developed from cystic hyperplasia and cysts, early treatment of breast cancer only surgery, breast-feeding or not is the choice of surgery. The probability of developing breast cancer in stage I and stage II breast cancer is 1-3%. All patients with breast hyperplasia must be treated promptly and cannot develop during the term.
Symptoms are mild, thickened breast and nodular granules, breast pain, nipple discharge, menstrual disorders, etc. Often not being taken seriously.
