Breast pain is the most common symptom in outpatient clinics, and patients usually come to see a doctor for fear of “cancer”, especially after a public figure has passed away from breast cancer, and the hospital’s breast specialist clinic will be bursting at the seams! In fact, patients diagnosed with cancer because of breast pain are quite rare. Here is a little bit of knowledge about diseases related to breast pain. Generally speaking, breast pain can be divided into cyclic and non-cyclic, and cyclic can be transformed into non-cyclic, of which 2/3 of breast pain is cyclic. Breast pain is strictly speaking divided into two categories: one is physiological pain, that is, pain caused by hyperplastic lesions, including breast development and a normal physiological pain before the physiological period, usually after the physiological period will be better, and there will be no lumps and so on; the other is the pathologic pain, this kind of patients because of different lesions, the severity of the pain will be different. First, physiological pain 1, girls enter puberty, the earliest appearance of female characteristics is breast development, as the ovaries began to secrete estrogen, estrogen to the breast, stimulate the development of breast ducts and fat deposition, in this process, the breasts become sensitive, there can be a slight sense of swelling and pain, if subjected to external pressure, the pain will be aggravated. Generally no treatment is needed. 2, about 2/3 of women have breast swelling or discomfort before menstruation, the whole breast is full, hard, pressure pain, the original granular or nodular feeling is more obvious, this is a physiological phenomenon. The most common site of pain is on the upper outer part of the breasts, and the symptoms worsen during the premenstrual period. Most women do not have serious swelling and pain, can be tolerated; a few sensitive people in the breast by a slight vibration or collision, that is, the swelling and pain is unbearable, and even dare not walk, dress, all day long hand to support the breasts. This is mainly due to the increase in estrogen levels in the body 1 to 2 weeks before menstruation, caused by hyperplastic lesions of the mammary gland. After menstruation, the estrogen level drops, the symptoms can be relieved or disappear, the breasts are also loose and soft, the swelling and pain disappears suddenly, and the symptoms reappear before the next menstruation. Mild pain usually does not need to be treated, keep your mood cheerful and relaxed. If the pain is severe, oral anti-proliferative drugs can be taken under the guidance of specialists. 3, part of the pregnancy, postpartum and abortion women can also appear breast pain and other discomforts. Pregnancy pain is due to the placenta, chorionic secretion of a large number of estrogen, progesterone, prolactin, so that the mammary gland hyperplasia, breast enlargement, but also for breastfeeding to do the preparatory work. Three days after delivery, both breasts are full, painful, hard knots appear, and even extend to the axillary part of the paratesticular glands, accompanied by low-grade fever, which is mainly due to mammary lymphatic retention, venous engorgement and interstitial edema, as well as mammary ducts are not smooth due to the general to 7 days after delivery after the milk flow, the pain is mostly able to subside. Abortion even if the pregnancy is suddenly interrupted, the hormone level drops sharply, just the development of the mammary gland will suddenly stop growing, the cells become smaller, the follicles disappeared, and this agglomeration of recovery is often incomplete, uneven, like the newborn leaves are not easy to shrivel up and fall off, which will result in breast lumps and breast pain. Second, pathological pain 1, breast hyperplasia is the most common cause of breast pain, accounting for more than 2/3 of breast diseases. About 80% of breast hyperplasia have different degrees of breast pain, which is characterized by only breast pain without breast lump, the nature of the pain is swelling, heaviness and tenderness, some patients have severe and persistent swelling and pain, such as pins and needles or knife cuts, and some of them have hidden pain. The pain is mainly on the upper side of the outside, bilateral can vary in severity, can be radiated to the axilla, shoulder and back and upper limbs, serious cases can not wear underwear, dare not walk. Sometimes it may involve the axilla or the back of the shoulder on the same side. On examination, there is hypertrophy or granularity on the upper and outer part of the breasts, and there may be slight pressure pain, but there is no lump. It can also be affected by factors such as menstruation, emotions and weather changes, and often has automatic relief or irregular paroxysmal episodes after menstruation and emotional improvement. The main cause of this disease is endocrine level disorders in the body, caused by an imbalance in the regulation of estrogen. Menopausal women may also have intolerable breast pain, often accompanied by breast fever, discomfort, which is related to its body secretion of a large number of gonadotropins and plant nerve disorders. 2, mastitis lesion pain accounted for a small number of breast pain, manifested as a localized redness, swelling and hot pain in one breast, localized hard knots in the breast with unclear boundaries, accompanied by pressure or tenderness; accompanied by elevated body temperature. Early available antibiotic, hot compresses and other anti-inflammatory swelling. If late abscess formation, at this time the lump fluctuation feeling, superficial abscess fluctuation is relatively obvious. The abscess can break outwardly or break inwardly and penetrate into the milk ducts, and the pus is discharged from the nipple, then incision and drainage are needed to drain the pus. 3.Breast cancer with breast pain as the initial symptom accounts for about 13%, among which 6% of patients with breast pain is the only early manifestation, i.e., there is only breast pain and no lump can be touched, which is manifested as hidden breast pain, pure pain or stabbing pain, which can be episodic, paroxysmal or persistent. In advanced stage of breast cancer, the pain is severe and unbearable, especially when accompanied with ulcerated destruction or combined with infection, and the pain is persistent severe burning pain and progressive aggravation. Post-menopausal women with breast pain should be alerted, because women at this age will not have cyclic physiological breast swelling and pain, and women above 40 years old age group is the most prevalent stage of breast cancer, so when there is obvious pain in the breast, it is also necessary to go to the hospital, and conduct physical examination of the mammary glands, ultrasound, X-ray molybdenum target photo, MRI, and puncture pathology examination, etc. as appropriate, in order to exclude or make clear the diagnosis of breast cancer. It is important to know that early examination, early detection and early treatment are the keys to preventing breast cancer and achieving the best therapeutic effect. Therefore, women who are older, have persistent hidden pain in the breasts, fixed location, and heavy shoulders, especially those who have found breast lumps, should consult the doctor as soon as possible, so as not to miss the opportunity of early diagnosis. However, it should not be ignored that the incidence of young breast cancer is climbing in recent years, and the treatment effect is not satisfactory than that of older people! 4.Other lesions: (1) Ovarian tumor breast pain: As ovarian tumor will produce a large amount of estrogen, which will stimulate breast hyperplasia, thus causing breast pain. About 20% of patients with ovarian tumors are combined with breast diseases, including breast pain and breast cancer. For unexplained breast pain, gynecological examination should be done to clarify whether there is ovarian tumor. (2) Breast herpes zoster disease: manifested as cluster-like blisters appearing on the skin of the breast in a band-like distribution with pain like fire, which can be treated with antiviral drugs. (3) Pneumonia, costochondritis and other causes of breast pain, should be symptomatic anti-inflammatory treatment. Conclusion The cause of breast pain is physiological changes in the breast or benign breast diseases, and very few are malignant lesions of the breast. If you feel a “lump” in your breast and it is symmetrical on both sides, then you can consider it to be a common hyperplasia, and if the “lump” changes before and after menstruation, then you don’t need to worry about it being cancer. Breast pain is categorized into three degrees: one degree of pain when touching with hands, two degrees of pain when moving around, and three degrees of pain when lying in bed. First-degree pain does not need to be dealt with, second-degree pain can be considered for medication, and third-degree pain is also called severe pain, then you can go to the doctor. For the problem of female breast pain, we recommend that women over 35 years of age need to have regular mammograms every year; women under 35 years of age, if breast pain is so severe that it affects their daily lives, and if they feel a “lump”, they need to go to the hospital for medical treatment. If a woman experiences periodic breast pain, it may not be a symptom of a disease. However, to be on the safe side, it is best to go to the hospital to confirm the diagnosis, so as not to delay the condition. In conclusion, although now is the era of high incidence of breast cancer, but there is no need to panic, 90% of breast pain is a precursor to non-pathological diseases!