Breast pain or cystic hyperplasia of the breast Three early signs to look out for

Cystic hyperplasia of the breast is a disease of the female breast, it is also one of the diseases that occur from time to time, after getting the disease, the breast will also have some abnormal reactions, we must check and diagnose it in time.

Cystic hyperplasia of the breast symptoms

1. Lump: A lump in the breast is often the main symptom, which can occur in one breast or both breasts, but the left breast is more significant. The mass can be single or multiple, and can vary in shape from a single nodule to multiple nodules.

2. Breast pain: The breast pain of this disease is mostly not obvious, and the relationship with the menstrual cycle is not close, and there are occasional pains with a variety of manifestations, such as dull pain, stabbing pain, chest and back pain and upper limb pain. Clinical experience suggests that most patients with this change are benign. If the lump grows rapidly and is firm, it suggests a malignant transformation.

3. Nipple discharge: about 5%~15% of patients can have nipple discharge, mostly spontaneous nipple discharge. It is usually a grass-yellow serous, brown serous, serous bloody or bloody discharge. If the discharge is serous, bloody or bloody, it often marks an intraductal papilloma.

Types of cystic hyperplasia of the breast

1. Lobular hyperplasia: it is an early form of adenopathy, mainly lobular hyperplasia, the number of glandular ducts in the lobules increases, so the volume increases, but the quality of the lobular is not obvious. Occasionally, fibroblasts are slightly more numerous and less lymphocytic infiltrate is seen. This type can be divided into:

(1) Acinar adenopathy: mainly the terminal duct or acinar hyperplasia is lobular and crowded with each other, and sometimes the epithelial hyperplasia is multi-layered and fills the cavity, which is solid, causing the appearance of the acinar to disappear, which must be distinguished from the lobular ulcer in situ.

(2) Ductal adenopathy: mainly intralobular ductal hyperplasia, like the ductal system of embryonic neonatal without the formation of adenotears, forming lobules of different sizes, and sometimes the epithelium can be papillary hyperplasia protruding into the lumen.

2. Fibroadenopathy type: for the medium-term change, the glandular duct and connective tissue in the lobules are proliferative and have different degrees of lymphocyte infiltration, not only the fibroblasts in the lobules are increased, but also there are collagen fibers, so the glandular ducts are scattered, the shape of the lobules is not neat, or even scattered to the boundary is not clear, and the scattered lobules can be fused with each other. Slight dilation of the intralobular ducts. Sometimes the glandular ducts are compressed by the proliferation of collagen in the lobules, which occasionally atrophy or deform. When the glandular ducts and fibrous tissue are further focal, there is a tendency to form fibroadenopathy.

3. Sclerosing adenosis (fibrosis stage): due to the hyperplasia of fibrous tissue exceeding glandular hyperplasia, the glandular epithelium is squeezed and distorted, the epithelial cells become smaller in size and darkly stained, and in severe cases, the cells are separated from each other, which is very similar to hard cancer, especially under frozen sections It is difficult to identify, and should be noted.

Pathological features of cystic hyperplasia of the breast

Cystic hyperplasia of the breast isBreast hyperplasiaA specific type of sexual lesion. The incidence is low in our country. Cystic hyperplasia of the breast is a special pathological type that coexists with the formation of cysts of different sizes and lobular hyperplasia of the breast, so it is called cystic hyperplasia of the breast.Some are called breast cyst disease, or fibrocystic breast disease, etc. Breast cyst disease is characterized by the formation of cysts due to the high expansion of the lobules and peripheral ducts of the mammary glands, accompanied by some other structural lesions.

Cystic hyperplasia of the breast test

1. Physical examination: physical examination is very important for judging the benign and malignant nature of breast cystic hyperplasia, and it is of great help to the treatment after judging the condition of the disease.

2. Mammography X-ray: This examination method is very helpful for the diagnosis of breast lumps, and there is no mammography X-ray photograph in school hospitals, only a few large hospitals with conditions have it, and the examination fee for breast cystic hyperplasia is relatively high, so patients should be cautious when choosing an examination and choose the appropriate examination method.

3. Ultrasound examination: This examination method is the most effective for breast cystic hyperplasia, which can clearly judge the breast cyst lump and the localization and measurement of the lump, which is of great help to the next step of treatment, because it has determined the location of the disease.

4. Puncture: insert a fine needle into the lump of the mammary gland, extract a small amount of tissue, and do cytological examination, which is a very good and direct examination method, the price is not very expensive, the average person can accept, and this method is very accurate, there are many hospitals can combine B ultrasound, X-ray positioning for puncture, you will find some lumps that can not be touched, this method is still more practical.