What to do when faced with breast disease?

With the accelerating pace of work and life, many women are too busy to pay attention to and strengthen their own health, and even more so, they neglect breast health care. Breast disease is the main disease that jeopardizes women’s health, data show that 40% of women suffer from breast disease, including breastfeeding problems, mastitis, breast hyperplasia, breast fibroids, breast cysts, breast cancer six categories, the latest research results show that: the occurrence of its bad habits related to the main culprit is estrogen metabolism disorders caused by the trouble. The incidence of breast cancer ranks first among urban female malignant tumors, with 1.4 million new cases and about 400,000 deaths per year worldwide, increasing at a rate of 2% per year, and every 7 women in Europe and the United States have 1 person suffering from breast cancer. Although China is not a country with high incidence of breast cancer, the average annual growth rate exceeds that of high incidence countries by 1~2 percentage points. The clinical statistics of the past five years have distinctive features: first, the incidence rate of breast cancer has been rising sharply, thanks to the improvement of women’s health consciousness and regular annual breast examination; second, the mortality rate of breast cancer has been declining, thanks to the improvement of the level of professional comprehensive diagnosis and treatment. Thirdly, early and middle stage breast cancer and young breast cancer in the obvious increase in the causes and environmental pollution and food pollution, and experts and scholars to continue to study. The following is the experience and precautions on how to prevent common diseases of the breast to share with you. First, common breastfeeding problems: the structure of the breast is like a tree with leaves and trunk. The leaves are for milk production and the trunk is for milk walking. When the milk is sticky and the ducts are small, it is natural that there will be blockage and milk accumulation. When the milk-producing structure of the breast is out of order, there is no milk, little milk, and leakage. If done properly, these disorders recover quickly. If the method is not appropriate, it will develop into mastitis, breast abscess, have to suffer the pain of surgical incision, and after middle age, there will be breast hyperplasia and breast cancer. Expert advice: Now most women lack of breast milk after childbirth, teaching some basic adjustment methods: 1, first of all, to stabilize the mood, set up confidence, to avoid emotional fluctuations or overwork. To eat more food rich in protein, carbohydrates, vitamins, such as fish, meat, eggs, milk, vegetables, fruits, etc., eat more nutritious soup, such as chicken soup, fish soup, etc.. 2, secondly, to correctly and scientifically breastfeeding? Such as sucking the nipple as early as possible, stimulating milk secretion, breastfeeding on demand, emptying the breast when it is swollen, and keeping lactation when the mother and baby are separated. 3, the breast is an exquisite supply and demand organ, the more diligent sucking milk secretion. 4.Ask your specialist to guide you to take some traditional Chinese medicines to promote breastfeeding and lactation. 5.Please ask the specialist to carry out the treatment of lactation. 6.In case of insufficient milk due to mammary gland dysplasia, mixed feeding – breast milk + milk, milk powder and other artificial feeding can be used. 7, for children, exclusive breastfeeding is better than mixed feeding, mixed feeding is better than artificial feeding. We call for:Scientific breastfeeding methods and common sense are the basic conditions to ensure smooth breastfeeding. Women value breastfeeding as the key to reducing breast disease. Acute mastitis is an acute suppurative disease of the mammary glands, mostly seen in the breastfeeding period of new mothers. The reason: 1, due to improper breastfeeding methods, milk viscous out of the poor, breast ducts blocked and so on lead to the accumulation of milk, bacteria through the nipple into the reproduction in the milk caused by bacterial infections. 2, cracked nipple, nipple deformity and inversion or nipple trauma, bacteria enter the blood of the breast and cause infection. Experts suggest: 1, before pregnancy for your breasts to do a physical examination and ultrasound, a thorough understanding of whether the breasts are healthy. 2. Pay attention to whether your nipples are suitable for breastfeeding in the later stages of pregnancy. 3, the early stage of breastfeeding must prevent the occurrence of mastitis. 4, breastfeeding women pay attention to the protection of the nipple, timely cleaning of some of the nipple secretions, to avoid the nipple skin shedding cells and dirt accumulated in the nipple, in the breastfeeding is coming, the wrong breastfeeding way to make the milk stagnant, and then become the best breeding base for bacteria. It is recommended that new mothers, must not let the child suck on the nipple because there is no milk at the beginning, should let him more contact with the nipple, nerve reflexes so that the nipple is stimulated, increased blood flow, thickening of the keratin, nipple firmness, to avoid chaffing and relief of inverted. Symptoms suggest early detection, early treatment, good prognosis: if not treated in time will bring suffering to mother and baby. If fever and chills as well as breast abscess formation, the ductal tissue of the mammary gland is severely damaged, conservative treatment is ineffective, only surgical incision and drainage of pus. We call for: improve the attention of women to strengthen the breast of the breast before pregnancy and breastfeeding breast health care, improve the quality of breastfeeding is very important, in order to prevent the occurrence of breast disease. Third, chronic mastitis: there are 2 categories. One type is acute mastitis misuse, such as improper use of antibiotics leading to inflammation control is not complete, the nipple often cracked resulting in chronic performance or due to the discharge of breast milk is not smooth milk stagnation formation of hard knots, etc.; the second type of chronic plasma mastitis, also known as mammary duct dilatation, is the non-lactation of the most common kind of non-bacterial inflammation. It occurs in non-lactating, young or even unmarried women, as well as middle-aged women, and is mostly accompanied by nipple dysplasia or nipple deformities, such as nipple inversion, nipple splitting, nipple flattening, and so on. It starts with recurrent localized redness, swelling and pain next to the areola, which does not heal for a long time. This stage is characterized by slow onset, long duration of the disease, not easy to heal, recurrent episodes are difficult to eliminate; some hospitals misdiagnosed as breast cancer. Expert advice: the principle of treatment is to remove the core of the lesion will have a chance of cure. We call: the girl’s mother to take responsibility, in your child’s breast development, must pay attention to the development of breasts and nipples are coordinated. If the rapid growth of breast volume is greater than the growth rate of the nipple, there will be nipple inversion (commonly known as blind nipple), inversion does not go to the treatment, it is for the inflammation of the mammary glands to lay hidden dangers. Breast fibroma: It is closely related to the active role of estrogen and excessive stimulation of breast tissue. The age of occurrence is in the period of sexual function, in the past, it is believed that in the age of 18~25 years old, and recently, it is found that there are more patients in the age of 15~40 years old. Mostly seen in young and middle-aged women, can occur in one or both breasts, usually solitary, in recent years, multiple fibroids in both breasts are very common, it is estimated that it is related to diet and poor lifestyle. The lumps are ovoid or round, with smooth surface, medium hardness, clear demarcation with surrounding tissues, no adhesion with the skin, and the lumps are easy to be pushed. Current treatment is mostly surgical, and other treatments such as traditional Chinese medicine are ineffective. Color ultrasound is the most commonly used examination method, non-radioactive, high security, can be repeated many times, suitable for patients of all ages with benign tumors. Experts suggest: girls in the period of breast development pay attention to the occurrence of lumps; our clinical statistics of breast cancer in pregnancy is not uncommon, analysis found that some girls grow a tumor, into pregnancy, lactation, due to a lack of knowledge or shyness and other reasons did not formal consultation, adenomas grow rapidly, the body’s ability to inhibit cancer is not enough to lead to cancer. We call: a woman pregnant before the clinical examination of the breast and ultrasound examination is inevitable, preventive measures for the best. Fifth, breast hyperplasia: the concept of “hyperplasia” is divided into physiological hyperplasia and pathological hyperplasia 2 concepts. Physiological hyperplasia: a little girl from menstruation, with the monthly menstrual cycle, the mammary glands began to develop, which is called physiological hyperplasia. In adulthood, with the monthly cycle, in about 15 days after the onset of menstruation, with the changes in the concentration of estrogen, the breasts appear slightly swollen, the symptoms will worsen day by day, most of which belong to the degree of tolerance, the onset of menstruation, the disappearance of the symptoms, estrogen and progesterone levels decline, the breasts into a dormant state. Repeat next cycle, this situation for the cyclical response, most do not need treatment. Breast Hyperplasia: Some women are too nervous due to mental factors, emotional overstimulation of poor lifestyle, so that the body’s hormone secretion regulation activities are out of control, should be restored to the breast hyperplasia tissue can not be restored or restoration is incomplete, and over time, it will be the formation of pathology of breast hyperplasia. It is characterized by irregular swelling and pain in the breasts, involving the back of the shoulders and upper limbs, affecting sleep and life, and emotional depression. If the diagnosis and treatment are not appropriate, the burden of thought will be aggravated and the symptoms will be aggravated. Mostly occurs in middle-aged women, often in the breast there are a number of different sizes and hard irregular nodules, and the surrounding tissues are not clearly demarcated, palpation of the breast pain. Expert advice: After detailed specialist examination, completely exclude cancer, dispel her worries, the disease will be half better. It can also be cured through psychological conditioning and Chinese medicine. We call for: Whether or not breast hyperplasia progresses to breast cancer depends entirely on whether or not the estrogen metabolism in the body is regular. Mild breast hyperplasia is not cancerous; the cancer rate of patients with moderate hyperplasia is 8-9%; severe hyperplasia, especially dense glands shown by mammogram, should be careful of cancer, and the cancer rate is 17%. Those with more than moderate hyperplasia should have breast specialist examination and close follow-up, at least once every six months. Breast cancer is the biggest enemy of women. There is a dancer’s patient in the radical mastectomy, a change in the old lively and cheerful character and become depressed and low self-esteem, depression and loss of career; there are a lot of women cut off the breast no longer dare to go to the public bathroom bath, a lot of beautiful clothes do not dare to wear; young radical mastectomy patients and their husbands’ relationship is getting worse and worse. The mastectomy cured her breast cancer, but made her suffer from a serious “heart disease”. It is reported that there are more than 200,000 new cases of breast cancer in China every year, which means that more than 200,000 women will have to remove one of their breasts every year. How to smooth the more than 200,000 women due to mastectomy caused by the damage to the soul, will be a plastic surgeon must pay attention to the problem, a far more important than breast augmentation, more worthy of attention, but also more complex issues. In western developed countries, because of early detection, chemotherapy is not necessary after breast-conserving surgery, and patients will not suffer very much. Most of the breast cancers treated in our clinics are invasive breast cancers, and most of them have to undergo chemotherapy or even radiotherapy after surgery. Although most breast cancer patients survive for a long time after treatment, their quality of life is extremely reduced, they have no self-confidence, they cannot go to live with before, they lose self-confidence, charm and happiness. Early stage of breast cancer is a painless single small lump, round-like, hard as bone, surface is not smooth, tissue boundary is not clear, not easy to be pushed. There are no conscious symptoms in the early stage and most of them are discovered by patients unintentionally. When the breast cancer lump increases in size, it will be adhered to the skin, and the local skin can be concave and orange peel-like. When the lump grows up again, there will be swelling or stinging pain, even nipple retraction, inversion, bloody fluid spillage, redness and swelling of breast skin and dimple sign when the lump grows close to the skin, and enlarged axillary lymph nodes on the same side in middle stage cases. If you find any uncomfortable symptoms, please go to the regular hospital for diagnosis and treatment. Currently recognized breast cancer examination instruments: digital molybdenum target and color ultrasound, with an accuracy rate of more than 98%. You can also undergo breast MRI and biopsy of breast lumps if necessary. Experts suggest: (1) It is important for women to know the risk factors of breast cancer, so that they can be more alert and have regular checkups to avoid unnecessary panic: (1) Family genetic history of breast cancer, and maternal history of ovarian cancer. (2) Mammogram shows high density of breast glands, which is not consistent with age. (3) Those who suffer from benign breast diseases (e.g. breast fibroma, moderate to severe breast atypical hyperplasia). (4) The chest has been exposed to high doses of radiation for some reason. (5) Obesity or excessive fat intake. (6) Disorders of endocrine factors: unbalanced psychological state, prolonged depression, frequent anger, fatigue, insomnia, mood swings and so on. (7) Not breastfeeding or breastfeeding time is too short (less than 6 months). (8) Greater than 35 years of age, celibate and infertile or infertile after marriage. (9) First menstruation at 12 years of age, or menopause late at 52 years of age. (10) Those on long-term estrogen therapy. (11) The higher the level of education, the higher the incidence of breast cancer. Educated people have a 4.1-fold increased risk over uneducated people. (12) Occupation: In recent years, it has been found that those engaged in the textile and chemical industries, culture, education and health, researchers, banks and civil servants have an increased risk of the disease, which may be related to poor lifestyles. (ii) Rational use of estrogen health products: The health care market is now as much a part of the people’s daily life as food, such as calcium, iron, vitamins, protein powder and so on. Some people, due to physical reasons and different dietary structures, supplementing health care products in moderation is beneficial to the body. Before and after menopause, the production and secretion of estrogen in the body is at a low level, and even its concentration drops to the lowest point, and all aspects of the body’s functions enter into the old age, and the mammary glands are gradually shrinking, and their functions are reduced to zero. After taking health products containing estrogen, these women’s groups show that they have better sleep quality, more energy, more vaginal secretions, milder character and temperament, and at the same time, their breasts are swollen, plump and firm, and if they take them for more than one year, the hidden danger and incidence of breast cancer will be significantly increased, the reason for which is that the mammary glands proliferate under the action of estrogen, and there is no regularity in the proliferation, plus the fact that some of them have an unstable psychological state, encountering some big events and problems, or having a bad experience. The reason is that breast glands proliferate under the action of estrogen without regular proliferation, coupled with the unstable state of some people’s psychology, and they cannot control their emotions when they encounter some big events and troubles, which leads to the dysfunction of body functions and dysregulation, and it is easy to lead to cancer on the basis of breast hyperplasia. Experts suggest that estrogen-containing health products should be used reasonably under the guidance of doctors. (C) Understand the surgical treatments for breast cancer. Radical mastectomy for breast cancer is by no means the only surgical method. 1. Radical mastectomy for breast cancer: a common surgical treatment for breast cancer patients, and also the treatment program for most breast cancer patients. According to the biological characteristics of malignant tumors, the scope of radical surgery is to remove the whole diseased mammary gland together with the 5cm wide skin around the cancerous tumor, the fat tissue around the mammary gland, the pectoral muscle and its fascia, as well as all the fat tissues and lymph nodes of the armpit and the subclavian bone in one piece. About 3 weeks after the surgery, both upper limbs could be lifted freely. The procedure has been improved over many years of experience in order to provide a quicker recovery and to avoid the common postoperative complications of subcutaneous fluid retention and necrosis of the skin. The cosmetic suture of the incision satisfies the psychology of most patients, with a small scar that can be prepared for future reconstruction. EXPERT TIP: Radical surgical resection is complete and reduces local recurrence. The disadvantage is that the chest wall defect is too large, resulting in many women can not walk straight and lack of self-confidence. The quality of life decreases, and the couple’s relationship is affected. 2.Breast-conserving surgery: In recent years, breast-conserving surgery has become the main method of treating stage I and II breast cancer in Europe and America. The purpose of breast cancer breast-conserving treatment (referred to as breast-conserving treatment) is to get the same chance of survival as that of radical surgery, and at the same time, retain the relatively perfect appearance of the breast, so as to improve the quality of life, and at the same time, require a low recurrence rate of the affected side of the breast, and have a good cosmetic effect. This natural and relatively normal appearance has an immeasurable good impact on the patient’s personal psychological feeling, personal life, family life and social life, which is not only beneficial to the patient personally, but also may have irreplaceable significance to the patient’s family and many individuals and groups who are in close contact with them. If breast-conserving surgery is performed under the premise that the tumor can be well controlled, it is a more ideal treatment to improve the quality of survival. Expert advice: Early detection of breast cancer is a prerequisite for breast-conserving surgery. If it is suitable for breast-conserving surgery, it is a blessing in misfortune for women. 3.Radical Breast Cancer Surgery + Breast Reconstruction. Women who have lost their breasts due to breast cancer are very eager to make their bodies complete again with the help of superior medical technology, make their breasts plump up, and let their health, beauty and self-confidence return. With the development of medical science, the treatment effect for breast cancer patients is getting better and better, and the 5-year survival rate of patients has been significantly improved. However, the lack of body parts after mastectomy seriously affects the quality of life. In the course of treatment, breast cancer patients have to remove their diseased breasts, which affects the couple’s relationship and seriously affects the quality of life of patients. Breast reconstruction is the dream of many breast cancer patients, but breast cancer patients don’t know much about this aspect, so they have doubts and worries about breast reconstruction: 1, whether breast reconstruction will lead to cancer recurrence? 2.How painful is breast reconstruction surgery and how does it affect the body? 3. What is the effect of the surgery? 4. Is the cost very expensive? In fact, breast reconstruction after breast cancer surgery is a safe and feasible routine surgery in the field of plastic surgery. In the past ten years, this technique has been widely accepted by women after breast cancer surgery in Europe and America, and plastic surgeons have designed a variety of surgical methods for it. However, in China, there are still not many women who undergo breast reconstruction after breast cancer surgery. Due to the importance and necessity of the surgery, it can be predicted that this medical treatment will be accepted by more breast cancer patients in the near future. Most scholars believe that breast reconstruction is already part of the treatment process for breast cancer, and the challenge for breast cancer treatment in the 21st century is breast-conserving surgery and breast reconstruction – to prolong life while focusing on improving quality of life. Our hospital is now skilled in radical mastectomy + immediate mammaplasty, which is very maturely used in clinical practice. Breast reconstruction can be performed at the same time as radical breast cancer surgery (two surgeries can be combined into one, which reduces the pain of surgery and shortens the course of treatment), or one year after recovery from breast cancer surgery. “Breast reconstruction surgery can be divided into immediate reconstruction and delayed reconstruction, which are also called one-stage reconstruction and two-stage reconstruction. Stage I reconstruction is performed immediately after radical breast cancer surgery, at the same time as the surgical treatment. There will be no experience of missing breasts, and there will be no mental depression caused by the physical defect. Delayed reconstruction, on the other hand, is performed some time after radical breast cancer surgery. Patients who have experienced the pain of missing breasts are ready for and need breast reconstruction, which not only restores a woman’s physical beauty, but also restores her spiritual sense of loss. Depending on the material used for breast reconstruction, there are two types of breast reconstruction methods: autologous flap reconstruction and implant reconstruction. Flap reconstruction is the newest technique in breast reconstruction surgery, and creates the most natural looking breasts. In this method, the surgeon removes tissue from the patient’s body parts such as the back or abdomen to make a flap, skin, fat and muscle to create the new breast.