Treatment of cystic hyperplasia of the breast (breast cysts)

  Cystic hyperplasia of the breast is actually a stage of breast enlargement. The usually mentioned lobular hyperplasia, breast adenopathy, cystic adenopathy, breast dysplasia, and cystic hyperplasia of the breast all belong to the category of breast hyperplasia. It is the most common breast disease in women, and its incidence accounts for the first place in breast diseases, with an incidence rate of more than 70%. In recent years, the incidence of the disease has been increasing year by year, and the age is getting younger and younger.  The majority of lobular hyperplasia is related to the imbalance of endocrine balance in the body. However, it is not an inflammatory disease, let alone a tumor, but a physiological response of the body to endocrine imbalance and a disruption of the normal structure of the breast. In addition to the sensation of swelling, tingling or hidden pain in the breast, you may also find lumps, granular or nodular “lumps” that are tough or hard. When a lump-like nodule is found, you should pay close attention to it and seek medical attention. In general, differential diagnosis can be made by breast color ultrasound, magnetic resonance imaging or mammogram; in some cases, a coarse needle aspiration biopsy or biopsy of the “lump” is required to clarify the diagnosis.  Treatment of cystic hyperplasia of the breast: mainly includes non-surgical and surgical treatment methods.   1, non-surgical treatment, more than 90% of cystic hyperplasia can use non-surgical treatment.  Mainly include: (1) breast massage, acupuncture and physical therapy such as moxibustion, etc. Harmony between husband and wife and husband caring for breasts is also a good physical therapy method.  (2) Chinese herbal medicine treatment, to dredge the liver and regulate qi and harmonious Chinese medicine or Chinese herbal medicine. Such as Yanlu Breast Health Tablets, Easy Pill, Safflower Easy Pill, Red Gold Dissipating Capsules, Breast Dissipating Capsules and so on.  (3) Estrogen regulators, which is often referred to as Western medicine western medicine treatment method. Commonly used ones such as tamoxifen, toremifene, etc. Because the instructions of these drugs are mentioned to treat breast cancer, they often cause high tension among female patients – either suspecting that they have cancer or that their doctors have prescribed them wrongly. However, the use of such drugs must be applied under the guidance of an experienced mammographer. Commonly used method: Start using 7-14 days before menstruation (that is, about 7-10 days after menstruation clears), once a night with tamoxifen tablets 20mg; or toremifene 40mg (or 60mg), once a night; and so on for the next menstrual cycle, for a total of 2-4 menstrual cycles ranging from more severe cases (such as cystic hyperplasia or intraductal papillomatosis that have been diagnosed as precancerous lesions) and Those who take it without obvious side effects can persist for six months to two years.  (4) Other medications, such as methyltestosterone 5mg/time, 3 times/day before menstruation; also oral progesterone, 5 to 10mg daily; vitamin E, Cileol, vitamin AD pills and other drugs can also be used; the use of all 7 to 10 days before menstruation to take.  2.Surgical treatment, only a few cystic hyperplasia of the breast requires surgery, and different surgical methods are chosen according to different situations and different purposes. Except for the following three cases treated by surgery, general cystic hyperplasia of the breast does not require surgery and only requires regular review and the above mentioned medication.  (1) For single and large breast cysts, surgical removal can basically cure them.  (2) For patients with multiple cysts or diffuse cysts in both mammary glands for surgery, the following surgical indications should be followed for selection: First, larger cysts, such as those over 3 cm, may be prone to intracapsular bleeding or repeatedly touching themselves to feel discomfort. Second, regardless of the size of the cyst, surgery is needed when the cyst wall is thickened or when calcification or protrusions such as papillae appear in the cyst wall. Thirdly, patients with great psychological pressure from their own fear of cystic hyperplasia leading to cancer (such as those with a family history of breast cancer) can consider surgery to reassure them.  (3) Total mastectomy, which is a total subcutaneous glandular excision that preserves the nipple areola, is a complete cure for cystic hyperplasia of the breast and is not used as a routine method, and should only be considered and recommended by physicians based on the following circumstances If there is a high suspicion of cancer, or if surgical biopsy has been done to consider precancerous lesions or carcinoma in situ, and very rarely in high-risk patients with family history who insist on surgical removal of the entire gland. Such patients can have silicone implants placed immediately at the time of total glandular excision so that the appearance of the breast is not affected.