Early symptoms: unilateral or bilateral breast pain is a typical symptom of this disease, usually an early symptom, which may be mild.
Typical symptoms:
1. Breast pain
Clinically, breast pain is often the first symptom, and periodic pain is mostly physiological, while non-periodic pain may be accompanied by intervention of neurogenic, drug-induced and other diseases outside the breast. The pain complained by early patients can be periodic pain related to menstruation, while those with cystic hyperplasia of breast are often non-periodic pain with clear location.
2. Breast nodules or masses
Including granular nodules, cord-like nodules, localized or diffuse gland thickening, etc., there are often multiple nodules, which can involve bilateral mammary glands or be single. Masses are generally small and have different shapes, which can change periodically with menstruation.
3. nipple discharge
The patients with nipple discharge account for 3.6%~20%, which is usually light yellow, colorless or milky white serosity, and bloody discharge is rare.
Accompanying symptoms:
Most of them are accompanied by poor mental health such as anxiety. The detection rate of anxiety and depression in patients with hyperplasia of mammary glands was as high as 85.9% and 81.63%, respectively. Some patients have menstrual disorder.
treat
For patients with hyperplasia of mammary glands, it is necessary to give full individualized psychological intervention and drug intervention, and if necessary, combine with biopsy to decide whether to operate. Different clinical manifestations and pathological types should be treated separately during treatment.
General treatment
For those with mild to moderate pain, psychological counseling and changing living habits are the main methods.
medication
Because of individual differences, there is no absolute best, fastest and most effective drug use. In addition to commonly used over-the-counter drugs, the most suitable drug should be selected under the guidance of doctors and in full combination with personal conditions.
Patients with persistent severe breast pain can be treated with drugs, such as tamoxifen, which has a good therapeutic effect, but it is not suitable for long-term use because of its influence on endometrium and ovary.
It should be noted that drug therapy can not effectively alleviate the pathological changes of hyperplasia of mammary glands, nor can it cure it radically, but can only relieve the symptoms of pain.
surgical treatment
The lesions of hyperplasia of mammary glands are diffuse, and local surgical resection can not solve the fundamental problem. The disease itself has no indication of surgical treatment, and surgical intervention is mainly to avoid missed diagnosis, misdiagnosis of breast cancer, or resection of suspicious lesions. It should be noted that when patients are accompanied by atypical hyperplasia, it should be the focus of clinical prevention of early cancer.
Chinese traditional treatment
There is no evidence-based medical evidence to support the TCM treatment of this disease, but some TCM treatment methods or drugs can alleviate the symptoms. It is recommended to go to a regular medical institution and treat it under the guidance of a doctor.
Other treatments
Fine needle aspiration: Fine needle aspiration is the first choice for the treatment of thin-walled cysts prompted by ultrasound. When the aspiration fluid is bloody or the ultrasound examination indicates that it is a complex cyst, we should be alert to the malignant lesions of the breast. It is suggested that cytological examination or pathological examination of the bloody aspiration fluid should be carried out.