Viewpoint 1: Women go through hyperplasia and rejuvenation of the mammary glands during each physiological cycle. As I understand it, this is not a disease, but a phase of the physiological cycle, so not every patient should have “breast enlargement”, right? Sometimes menopausal women are diagnosed with “breast enlargement” to the point that I question their diagnosis. We never report lobular hyperplasia. Besides, there is no standard for hyperplasia, and every doctor knows differently. Even doctors in the same department are very different. Breast hyperplasia should be combined with clinical, especially the history is very important. Some ultrasound doctor came to a patient reported: the mammary gland is honeycomb-like changes – suggesting breast hyperplasia, no matter how old are so written, and then I said, why don’t you find a normal look, nothing happened to see if it’s like this, the results of a look at the female mammary glands in the development of sexual maturity are such a manifestation of. Hyperplasia must be seen as an increase in lobularity, disorganization, marked thickening of the gland, and in some cases combined with dilatation of the milk ducts. Therefore, for breast hyperplasia suggested by ultrasound, the clinician must carefully analyze the patient’s clinical manifestations and make the final conclusion, and cannot rely too much on ultrasound. Viewpoint 2: ultrasound report suggests that breast hyperplasia I think it is a disease, breast glands in each physiological cycle is experienced in the process of proliferation and recuperation, this process in normal people should not hurt or have a sense of swelling with mild pain, but now the standard of living has improved, resulting in a large number of women’s body oestrogen level is too high, and at the same time the acceleration of the pace of life, many endocrine disorders, leading to excessive proliferation of mammary glands, its main clinical manifestation is the excessive proliferation of breasts, the main clinical manifestation is the breast. Its main clinical manifestation is obvious breast swelling and pain. The diagnosis of ultrasound is based on the image, and the ultrasound performance of breast hyperplasia is the thickening of the gland and the surrounding mesenchyme, structural disorders, which is due to the existence of individual differences, making the ultrasound diagnosis and clinical diagnosis of deviation, so the clinician should also be based on the patient’s clinical performance to diagnose the degree of breast hyperplasia, and ultimately decide whether to treat. As for menopausal women breast hyperplasia also exists, I have done a 70-year-old woman, ultrasound performance is typical of breast hyperplasia, after inquiring about the old lady ate several years of “youth: program”. Viewpoint 3: less than 30 years old women first ultrasound examination selected, combined with the history of breast disease, the glands must be dense, molybdenum target generally do not shine what abnormalities. Mammograms are good, but they have their limitations. Americans have large breasts and lots of fat, so they are more suitable for mammograms. Ultrasound is better for Asian women and is at least as important as mammograms. Regarding the mammogram, if you are so young, it is not good for you, but it is also damaging to you. Overseas, there are more mammograms, but they are done more often after 40 years of age. If it is breast hyperplasia or breast adenopathy, follow up can be, pain symptomatic treatment. The key is the timing of ultrasound, preferably 7-10 days after menstruation. Molybdenum-palladium examination mainly suggests lumps and calcified spots. Generally speaking, young people’s breasts are too dense for these purposes. But too many doctors prescribe this test for young women. Breast cancer ultrasound image internal mostly low density or very low density (there are also medium-high echoes), border is not clear, the edge of the jagged, high-level physicians can see the crab foot-like, the tumor can be seen within the calcification of strong echoes, Doppler can suggest that the blood flow is rich, can be penetrated into the lesion from the outside. Doppler can indicate rich blood flow, which can penetrate into the lesion from the outside, and the spectrum shows high resistance to blood flow, with an RI greater than 0.7. The reliability of the ultrasound results is closely related to the level of the physician. If you are very worried, MR examination is feasible, and fine-needle aspiration cytology can be performed. Treatment can be started by taking Chinese medicines, plus tamoxifen if necessary, not too long. If the cyst is removed surgically, the cyst may reappear in the future. It is recommended to treat the cyst with mammotome rotary incision, which can aspirate the fluid and remove the cyst wall to avoid surgical scars, and the removed tissue must be examined pathologically.