There are several types of breast tumors

There are several types of breast tumors

Healthy breast tumors are generally not serious, but the severity varies depending on the symptoms. Generally, if the tumor is large, it is more serious. Some small benign tumors are best not treated surgically rashly, but they still require more attention and timely medical attention.

Large tube papilloma of the breast:

Large tube mammary duct papilloma refers to a papilloma that occurs in a section of the mammary duct about 1 cm below the ampulla from the opening of the tube to the end. The main symptom is rotation of the chest, and multiple cases are rare. Clinically, breast examination can manifest as three main symptoms: nipple discharge, pain, and palpable lumps. Acid-fast staining cytology examination of nipple discharge can reveal blood cells and squamous epithelial cells, and sometimes tumor cells, but it is usually not possible to determine whether they are benign or malignant.

For large tube papilloma of the breast with nipple discharge as the only clinical symptom, the treatment criteria are as follows:

Blood pressure samples are collected for pathological examination, and finally a decision will be made whether to add other treatments based on the pathological examination.

If there is a lot of blood in the breast duct discharge, the elderly can undergo a complete mastectomy, while the younger ones are suitable for a segmental mastectomy.

If a single tube overflows, the part at that point can be removed. If lightly pressing a certain area causes overflow, the area can be removed.

Papilloma has the following clinical symptoms and the treatment methods are as follows:

If there are small nodules next to the blood pressure nipple, the mass can be removed.

For those who have bleeding, large tube resection can be performed.

In addition, if there is a significant cystic mass in the middle of the breast, especially when the tumor is very large, and if the diagnosis of the disease is unclear, middle-aged or elderly women should undergo a total mastectomy. If the tumor is smaller, a partial removal may be sufficient.

Large tube papilloma lesions are very rare and therefore should not be considered as precancerous lesions. Very few patients experience recurrence after partial mastectomy of large tube papilloma, so one should be cautious when choosing total mastectomy.

Breast fibroids:

Breast fibroids are the most common malignant tumors in young women. Most of them are painless lumps that are often discovered inadvertently. They are small in the early stages, but grow rapidly. When they are up to 3 cm, their growth slows down or stops growing. They are round or oval in shape, with clear boundaries, mostly protruding, and less flat. The surface is not very smooth, and they feel like small nodules when touched carefully. Some are obviously divided into small pieces. They are mildly to moderately hard, mostly non-tender, and can be easily moved.

The surgical removal of breast fibroids has excellent results. However, breast fibroids can recur, and after one surgical removal, they can recur in other parts of the breast. If neonatal breast fibroids occur repeatedly, surgical treatment is difficult and patients often refuse surgical treatment. At this time, male hormone treatment can be used. Testosterone should be taken orally starting one week after the end of menstruation and ending before the start of the next menstruation. The daily dosage should not exceed 100 mg. During the treatment period, the menstrual cycle should not be disrupted.

Cystic breast hyperplasia:

Cystic breast hyperplasia refers to the proliferation of epithelial cells in the mammary ducts or alveoli and the expansion of the milk ducts or the formation of cysts at the proliferating epithelial cells. This disease is more common in women around 40 years old, but young women and elderly women can also suffer from it. The time from onset to medical treatment varies, with the shortest being only a few days and the longest being more than ten years. The mass is a clinical symptom of this disease, which can have 4 different manifestations:

Single lump: often caused by large cysts, with clear boundaries, can be extended at will, and can often be clearly identified as a cyst. Unless the cyst contents are too large, the supporting force is very strong, or the lump is deep and is mistakenly considered solid. The contents of the cyst are mostly clear, but if there is a high incidence of infection, the contents will be turbid. If it causes adhesion of surrounding tissues, the nipple may shrink when adjacent to the nipple.

Most lumps are caused by multiple cysts, palpation is multiple cystic nodules, and can invade the entire breast.

Interstitial breast mass: This mass is usually triangular in shape, with the base located on the nipple.

Nipple discharge (persistent or serous): There is no obvious positive finding in breast examination, but pressing some places in the peripheral area of ​​​​the breast (equivalent to one or more mammary lobes) can cause discharge from one or more mammary ducts.

The breast pain caused by this disease is usually not obvious, and is dull or stabbing. It may be accompanied by pain when the milk ducts begin to expand.

Choose traditional Chinese medicine to soothe the liver and regulate qi, relieve cough, resolve phlegm and dredge meridians, promote blood circulation and remove blood stasis, and use Western medicine for hormone treatment. When the actual effect is not good, the patient can be removed and a pathological examination can be performed. The removal standard is to remove the diseased area. If the disease is widespread, total breast removal can be considered as appropriate. If postoperative pathological examination finds lesions, additional resection will be performed.

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