When does breast hyperplasia require surgery?
Breast hyperplasia is a common gynecological disease in women, mostly seen in women aged 25 to 45. It refers to the hyperplasia of mammary epithelium and fibrous tissue, structural involutional changes in mammary ducts and lobules, as well as progressive growth of connective tissue, leading to abnormal hyperplasia of mammary tissue. According to surveys, about 70% to 80% of women have varying degrees of breast hyperplasia, making it one of the most common diseases among women.
Gynecological experts state: Due to an incomplete understanding of the mechanism and causes of breast hyperplasia, treatment is currently mainly symptomatic. Some patients may experience spontaneous relief several months after onset or within 1 to 2 years, often without requiring treatment. However, some women with severe breast hyperplasia need surgical treatment.
So, under what circumstances does breast hyperplasia require surgery?
Experts explain: Breast hyperplasia is a benign proliferative lesion of the breast, and generally, conservative drug therapy is advocated. However, approximately 2% to 3% of patients may develop malignancy, which has a close relationship with breast cancer. Therefore, when breast hyperplasia exhibits the following conditions, patients should undergo surgical treatment.
Surgical treatment is needed in the following situations for breast hyperplasia:
[1] Hyperplastic lesions are localized in a certain quadrant of one breast, especially in the upper outer quadrant; large volume, hard texture, and ineffective conservative treatment;
[2] Rapid enlargement of pre-existing hyperplastic breast lumps in a short period;
[3] Worsening symptoms and signs of pre-existing breast hyperplasia during observation and treatment, with progression of lesions indicated by imaging examinations such as mammography X-ray and needle aspiration cytology compared to previous examinations, suggesting possible malignancy;
[4] Age >35 years, with maternal family history of breast cancer, and breast lumps presenting as nodular, not significantly reduced after various treatments;
[5] Postmenopausal elderly women newly experiencing breast hyperplasia, such as breast pain and gland thickening;
[6] Patients with breast hyperplasia confirmed by needle aspiration cytology or biopsy to show active proliferation of breast epithelial cells, even beginning to exhibit atypia, should undergo excision of the hyperplastic lump or simple mastectomy.
Experts remind: Breast hyperplasia is primarily focused on prevention, so women should pay attention to regular living habits and moderate exercise. Maintain a balance between work and rest, ensure sufficient sleep, avoid staying up late; engage in activities like running or chest-expanding exercises that can enhance chest beauty; keep a cheerful mood and optimistic emotions; and regularly conduct breast screenings.
This article is excerpted from the official website of Changchun Gynecological Hospital. Original address: http://www.tjfk999.com/ruxianjibing/201105112405.html For more information on gynecological diseases, please visit the official website of Changchun Gynecological Hospital.