Most lumps in premenopausal women are benign. Nevertheless, a non-isolated lump in the breast should be diagnosed by a doctor immediately; 50% of lumps in postmenopausal women who have not used estrogen replacement therapy are benign and 50% are malignant. For benign breast lumps, some patients think they can ignore them, and the only harm is that they may miss the chance to detect cancer. We have used Chinese medicine in our clinic to treat benign breast tumors with good results. Some small benign breast lumps can be left untreated, but it is important to conduct timely self-examinations and to have a doctor check the lumps in order to detect any changes in time. For breast abscesses or lumps caused by acute inflammation, they should be treated with antibiotics or drainage in time. The breast contains 15-20 glandular lobes, each of which is divided into many glandular lobules. Each glandular lobe has a separate duct (milk duct), which is arranged in a radial pattern with the nipple at the center of the lobes and ducts. The mammary glands are the target organs of many endocrine glands and vary with the menstrual cycle. Fibroid glands are common among female college students, hard, smooth surface, clear boundaries, good mobility, with the possibility of malignancy. Once detected, they should be surgically removed, but are prone to recurrence. Chronic breast disease is described below. Breast Mass Overview and Symptoms The disease, also known as chronic cystic breast hyperplasia, is an endocrine disordered benign hyperplasia related to abnormal sex hormone metabolism, especially the imbalance of the ratio of estrogen and progesterone. This disease is easily confused with breast cancer. The prominent clinical manifestation is breast swelling and pain and lumps, most patients’ pain is related to menstrual cycle, often the pain is aggravated 3~5 days before menstruation, and then relieved or disappeared after the onset of menstruation, and sometimes the pain is present throughout the menstrual cycle, and the disease has a long course. Examination may reveal diffuse hyperplasia in one or both breasts, which may be confined to a part of the breast or dispersed throughout the breast. The lumps are granular, nodular or flaky, varying in size, tough but not hard, mobile, tender, poorly demarcated from the surrounding tissues, and the lymph nodes in the glandular fossa are not large. A few patients may have nipple discharge. Classification of Breast Lumps Most of the lumps suffered by premenopausal women are cystic hyperplasia of the breast and fibroadenomas, which are mostly formed due to hormonal fluctuations. Cystic hyperplasia is filled with fluid, so it is soft to the touch and slides under the skin. Fibroadenoma is caused by the proliferation of connective tissues, has a clear boundary with the surrounding tissues, is free to move around, and has a hard texture but is not as hard as a stone. Large ductal papillomas of the nipple are characterized by nipple discharge (bloody), and the lumps are usually small and soft, while cancerous lumps have a hard, stone-like texture and are immobile with adhesions to the surrounding area. The rest of the lumps in the breast may simply be exaggerated nuclei that are distinctly different from the surrounding tissue. Doctors often refer to them as “fibroadenopathy”. It is important to see your doctor as soon as you notice a new lump in your breast. This is usually diagnosed by a color ultrasound or a mammogram. Surgical procedure The incision line is designed in the axillary crease line with a length of about 2-3mm to draw the scope of the paratesticular breast to be removed. Injecting local anesthesia tumescent liquid into the paratesticular breast to make the skin swollen, using a unilateral orifice suction tube connected to a negative pressure instrument to scrape and suction the paratesticular breast tissues at the pressure of -0.9kpa to make the marking scope flat and the incision does not need to be stitched up. If the patient has more obvious nipple and areola, the patient asks to remove it and wear tight elastic top to shape it within two weeks after the operation. Prevention and treatment principle There is no accurate and effective prevention and treatment method. It is mainly symptomatic treatment. The application of androgen therapy can reduce pain, but should not be used routinely, so as not to further disturb the balance of hormones in the patient’s body. 5% potassium iodide orally can ease the pain, and commonly used adjuvant drugs such as vitamin E, glutamine. Choosing the right bra to hold up the breasts can help the treatment. Rapid pathologic examination of biopsy can determine the nature of the lesion. Techniques such as dry plate mammography or infrared photography can also help confirm the clinical diagnosis and formulate a treatment plan. If the patient has a family history of breast cancer or if the biopsy reveals active epithelial bacterial hyperplasia, a unilateral mastectomy should be performed. Whether breast lump is benign or malignant is not easy to distinguish between benign and malignant symptoms, morphology, size, density and boundary. However, the diagnostic basis provided by infrared ray and x-ray molybdenum target film can be used to make a correct diagnosis. First of all, from the morphology: benign changes are more regular, round, oval, flaky, nodular, cord-like, etc., the border is clearer, most of the bilateral, more than one mass; malignant changes, most of the irregular block, the border is blurred, the surface of the mass is more uneven, most of the unilateral a mass is more common. From the point of view of texture: benign changes are tough, and most of them become hard with the pre-menstrual period; malignant changes are as hard as stone, and are not related to each other. From the mobility point of view: benign lesions have greater mobility, no adhesion with other tissues, such as fibroadenoma, hyperplasia, etc., malignant lesions are often associated with adhesion, poor mobility. From the skin surface, nipple analysis: most of the benign lesions have no skin changes, no nipple inversion (except congenital nipple inversion), a small number of patients have secretions on the nipple, secretions are mostly watery, milky, such as cystic hyperplasia, plasmacytitis; malignant masses, orange peel-like, dimple-like changes around the skin, nipple inversion (except congenital nipple inversion), nipple secretions are mostly blood-watery, yellowish, serosanguineous overflow, etc. From the point of view of growth speed: benign change grows slowly, the course of the disease has a year to several years of change, malignant change grows rapidly, a few months that may grow as the size of a fist.