Patient: both breasts very painful premenstrual period, left breast much larger than the right, many lumpy misshapen things when touched by hand. Some were very large, and x-rays showed larger scabby nodules. This has been going on for about ten years or so. I’ve taken oral paxil capsules, breast pills. There are also tonics. The effect is not obvious. Is it possible to treat it surgically? Laboratory and examination results (please use the tool on the right to upload): Ultrasound showed that the glands of both breasts were thickened, the layers were not clear, and the echogenicity was disturbed. The right gland is thickened by 19MM and the left is thickened by 27MM. blood flow is not abundant. Yin Jian, Department of Breast Oncology, Tianjin Cancer Hospital: Hyperplasia generally does not need surgery. Surgery is needed only when it is not clear whether it is hyperplasia or tumor. If the hyperplastic mass on the breast is still hard through medication, surgery can be considered for local excision. However, surgery only removes the most suspicious area, it is not possible to remove the whole breast, and hyperplasia may appear in other parts of the breast in the future. Also, surgery does not completely solve the problem of pain, but only improves it.