With the increasing improvement of people’s living standards, women are paying more and more attention to their own health. As a symbol of women’s beauty, breasts are being taken care of more and more. Not long ago, Chen Xiaoxu, the actress who played the role of Lin Daiyu in “Dream of the Red Chamber”, died prematurely due to breast cancer, causing an uproar. This undoubtedly gave women, especially the white-collar women, a wake-up call. Women flocked to hospitals and asked for breast checkups; many women were worried when they found breast “lumps” during self-examinations, and most of them were worried that their breast lumps would develop into breast cancer. In fact, only very few of the breast lumps we see are breast cancer. Worldwide, Asia is a low incidence area for breast cancer, and Shanghai has the highest incidence of breast cancer in China, with information reporting 46 breast cancer patients per 1 million people. In recent years, although the incidence rate of breast cancer is increasing, the mortality rate of breast cancer is decreasing, which is attributed to two important factors: firstly, women’s awareness of self-protection is increasing, the medical insurance system is improving, and the treatment methods for breast cancer are improving, resulting in a higher early detection rate of breast cancer. For example, molecular targeted therapy for breast cancer has initially shown its advantages, and this antibody can specifically bind to breast cancer cells, thus killing them; breast cancer surgery has also changed from large to small, which is less and less traumatic and more humane. The treatment of breast cancer also tends to be more instrumental, less painful, more cosmetic, and as human as one wishes. Most breast cancer patients come to the clinic because they find breast lumps, but it does not mean that breast lumps are cancer, so what are those common breast lumps diseases? Generally speaking, breast lumps can occur in a variety of diseases, such as: breast hyperplasia, breast fibroadenoma, acute mastitis, breast cancer, etc. Let’s talk about how to identify breast lumps. 1, breast enlargement: due to the improvement of living standards, the acceleration of the pace of life, the increase in the pressure of work life, coupled with the excessive use of cosmetics containing estrogen. Unbeknownst to us, estrogen is a double-edged sword. On the one hand, it can keep women looking good, but on the other hand, it can also cause the proliferation of breast duct epithelial cells and make them malignant. At present, the occurrence of breast enlargement is very common. Statistics from our clinic show that 70-90% of women who come to our clinic have breast enlargement. Many women are reminded by the hospital, “You have some breast enlargement.” This makes many women very nervous and afraid of being linked to breast cancer. Most patients with breast enlargement have premenstrual pain, pain that is relieved after menstruation, pinprick-like or swelling pain, and many nodules or lumps in the breast during self-examination. Some women use incorrect techniques to grasp and pinch their breasts, suspecting them to be “lumps”, but in fact they are not lumps, but normal breast glandular tissue. Ultrasound is a non-invasive, easy-to-use diagnostic tool that can distinguish between cystic and solid lumps, and the presence of nodules or masses. In most patients, ultrasound only indicates ductal structural disorders, which do not require special treatment and can be reviewed regularly at the hospital once a year. If a nodule or mass is found, careful women will pay attention to every word depicted by ultrasound, such as: nodule or mass with indistinct borders, no obvious envelope, somewhat strong echogenicity within, or with abundant blood flow, in which case early surgical treatment is indicated. In the absence of these signs, a mammogram is recommended. If gauze-like calcifications are found within the nodule, surgery is required; otherwise, the mammogram should be reviewed every 3-6 months. Generally speaking, breast enlargement is not a precancerous lesion of breast cancer, and the chance of breast enlargement developing into breast cancer is very small (1%-3%), so women with breast enlargement should not be nervous, as long as they pay attention to adjust their emotions, relieve stress and cooperate with some treatments, breast enlargement will not threaten their health. Fibroadenoma of the breast: mostly occurs in young women around 25 years old. Most women will tell their doctor when they come to the hospital that they have found a “wandering” lump in their breast, round or oval, which is the characteristic of fibroadenoma, and it is easy to make a diagnosis with ultrasound. In addition, fibroadenomas can suddenly increase in size during pregnancy. Treatment is mainly surgical excision. 3, acute mastitis: usually occurs in breastfeeding women, especially in primiparous women, when mastitis occurs, the patient mostly has systemic symptoms, such as: chills, fever. The local skin of the breast is red, swollen, with pressure pain, the breast can be felt a lump with unclear boundaries, early treatment is based on antibacterial agents. It must be treated early, otherwise the breast will develop abscesses secondary to surgical incision and drainage, which will leave permanent scars. 4.Breast cancer: Most patients come to the clinic with breast lumps, mostly painless lumps. Doctors often say that most of the painful ones are lobular hyperplasia, while the non-painful ones may be cancer. Ultrasound indicates that the lump has no envelope, rich blood flow, and strong echogenicity of light dots. Sometimes we may see the “dimple” or orange peel appearance of breast skin, which are characteristic changes of breast cancer. For early stage breast cancer, we can use breast preservation surgery to restore the beauty of women; some women may ask what to do if the lump is larger than 75px. We can also use neoadjuvant chemotherapy (chemotherapy before surgery), and then perform breast-preserving surgery after the tumor shrinks. All of the above are common breast lump diseases. If you find a lump, go to the hospital early. If a breast lump is really found to be breast cancer, we should also face the reality and actively cooperate with the treatment, so that there will not be a second Chen Xiaoxu. Life itself is full of twists and turns, joys and pains, and it is impossible to have smooth sailing, no matter at any time, we should face it positively. The disease is not scary, the most fear is to lose the confidence of life.