Lobular hyperplasia is the most common type of breast disease, accounting for about 70% of breast diseases, and occurs in women of any age after puberty. According to the scope and degree of its development, it can be divided into simple lobular hyperplasia, cystic lobular hyperplasia and glandular lobular hyperplasia. 1.Why do we get “lobular hyperplasia”? There are many reasons for the development of breast lobular hyperplasia, but at present, it is believed that it is mainly related to endocrine disorders or mental and emotional disorders. The mammary glands of women of childbearing age are controlled by the endocrine secretion of the ovaries, once the ovarian function is affected by certain factors, such as the age of first birth over 30 years old, never giving birth, not breastfeeding after childbirth, having many abortions, having an uncoordinated sex life, over-eating hormone-containing tonic products, long-term use of hormone-containing cosmetic products, unstable emotions, emotional discomfort, overwork, and changes in the living environment, etc., which can affect the proportion of estrogen and progesterone secretion or imbalance of the body’s estrogen and progesterone. Progesterone secretion ratio imbalance or secretion rhythm disorder and cause breast tissue hyperplasia. 2.How to know if you have lobular hyperplasia? According to the clinical manifestations and the doctor’s examination, you can make a preliminary judgment. The main manifestations are: (1) breast pain: unilateral or bilateral breast swelling or tenderness, the duration of the disease varies, most of the communication patients with the characteristics of cyclic pain, menstrual pride before the occurrence or and for the aggravation of many menstrual period after the alleviation or disappearance. (2) Breast lumps: often multiple, unilateral or bilateral often with the acquaintance of menstruation is cyclical changes Friday pre-menstrual lumps increased too small after menstruation lumps shrinking Examination can be found on both sides of the mammary glands have diffuse thickening, flaky or fine granular, nodular, thickened area and the surrounding mammary tissue boundaries are not clear, mostly tenderness, and no adhesion with the skin and the deeper tissues can be pushed, axillary lymph nodes are not enlarged. When cysts are formed, multiple cystic nodules of different sizes can be detected in the breast. 3.What kind of auxiliary examination should be chosen for “lobular hyperplasia of breast”? Ultrasound is non-invasive, simple and easy to perform, and is the first choice for diagnosing breast diseases. The advantages of ultrasound diagnosis: ① high accuracy, detection rate of benign and malignant diseases are more than 80%. ② Ultrasound is non-radioactive. ③The examination is suitable for any age, especially for breast swelling, pain and not suitable for other examinations, ultrasound examination is not affected. ④Ultrasound is accurate for the differential diagnosis of breast cysts and solid masses, most characteristic, superior to any examination. (2) Molybdenum X-ray Molybdenum X-ray is convenient and has a high accuracy in identifying benign and malignant masses. Shortcomings are: ① molybdenum target X-ray specificity is low, the display of benign masses is not sensitive, especially hyperplastic lesions. ② The examinee receives radiation. ③ Inflammatory breast cancer or those with significant pain cannot tolerate breast clamping, nor can they be examined with smaller breasts or after mastectomy. ④ Poor acceptance by patients due to squeezing of the breast. (3) Near infrared breast scanning Infrared examination is simple and economical. Infrared examination is simple and economical. The disadvantage is that the image of small early cancer is not ideal. It is easy to miss the diagnosis. 4. Relationship between lobular hyperplasia and breast cancer About 1%-3% of patients with lobular hyperplasia may turn into breast cancer. If it is only simple lobular hyperplasia, ultrasound can be rechecked once a year. For patients with suspected cancer, acquaintances should pay attention to the follow-up observation, and it is not enough to check the ultrasound firstly every three months. Especially for those with unilateral and limited lesions, vigilance should be raised. If the patient finds a lump that grows rapidly in a short period of time or becomes hard in texture during the follow-up observation, he/she should be highly suspicious of the possibility of cancerous transformation. If necessary, biopsy or unilateral excision of the affected breast should be performed. If cancerous cells are detected in the intra-operative frozen section, the patient should be treated according to the breast cancer. Since there is no exact understanding of the mechanism and cause of this disease, the current treatment is basically symptomatic and unique. Part of the wish patients after the onset of a few months to 2 years after the onset of the disease can often be relieved on their own, many do not need to treat the situation Symptoms of depression more smooth and obvious lesions of a wider range of patients fortunately Introduction of the bra can be bra bra breast; oral menstrual traditional Chinese medicine is very good small gold Dan or free powder, etc. can alleviate the symptoms of the disease 6, daily life in how to prevent the lobular hyperplasia of the breast? (1) 20-35 years old women should be three years for a breast examination. 50 years old women are recommended once a year; (2) high-risk groups (family history of breast disease, ovarian cancer, adenocarcinoma), there is a serious hyperplasia of women should be examined once every six months for dynamic observation; (3) to reduce the number of abortions, in order to reduce the probability of mammary hyperplasia; (4) a regular life, appropriate exercise. Usually should be a combination of work and rest, sleep enough, less late at night; (5) appropriate running, chest expansion and other sports that can enhance breast fitness; (6) breastfeeding time should be sufficient. Women do not breastfeeding or breastfeeding time is too short, will cause milk stagnation, triggering higher probability of mammary gland diseases; (7) the best not to wear too tight or squeeze the effect of breast augmentation bra, which affects the breast metabolism and lymphatic return, resulting in mammary gland hyperplasia. 7, learn to regular breast self-check (method is as follows) (1) in the normal menstruation of women, the best time to check the menstruation should be carried out in the 9th-11th day of menstruation, when estrogen on the breast of the smallest impact. (2) Self-examination position: various postures for breast examination have different meanings, so each examination of various postures should be completed one by one. ①Sitting position. Can face the mirror to sit down, both arms naturally placed on the knee, observe the appearance of the breast, and then take turns to raise the arm above the head to observe the side of the breast has not changed. ② Supine position. If the more obese or larger breasts should be in the sitting position and then take the supine position to check, check each side of the breast should be placed on the side of the arm above the head. (3) Steps of examination: ① Visualization. Observe whether the two breasts are symmetrical, whether the nipple is at the same level, whether there is depression, whether there is retraction, whether the skin has edema and orange peel phenomenon, whether there are varicose veins and so on. ② Palpation. In clinical examination, a circular line should be made around the outer edge of the areola, and then a vertical and horizontal line through the nipple, the breast is divided into five zones: inner upper, inner lower, outer upper, outer lower four quadrants and nipple area (central area). During the examination, the breast can be massaged in clockwise direction according to each quadrant of the breast, paying attention to the presence of lumps, their size, texture, mobility and boundaries, etc. Meanwhile, the nipple can be squeezed gently and the areola can be examined. It is especially important to remind that the examination must be performed with the abdomen of the finger as a circular massage type of palpation, rather than using the fingertips for scratching, in order to facilitate the real discovery of lumps.