How to treat breast lumps?

Women often have lumps in their breasts. Don't jump to conclusions at this time, because breast lumps are actually a symptom. The lumps in the breasts of different patients are different. For example, the size and shape of the lumps are different, and the number of lumps is also different, so the severity is different, and the causes are also different. Therefore, the cause must be found before symptomatic treatment can be given.

First, the principles of prevention and treatment

There is no definite and effective prevention and treatment method. Treatment is mainly symptomatic. Androgen therapy can relieve pain, but it should not be used routinely to avoid further disrupting the hormonal balance in the patient's body. Oral administration of 5% potassium iodide can relieve pain, and vitamin E and oryzanol are commonly used as auxiliary medications. Choosing a properly fitted bra to support the breasts can help with treatment. Rapid pathological examination of biopsy tissue can determine the nature of the lesion. Technologies such as breast dry plate photography or infrared photography can also help with clinical diagnosis and development of treatment plans. If the patient has a family history of breast cancer or the biopsy reveals active epithelial bacterial proliferation, unilateral mastectomy should be performed.

Second, the difference between benign and malignant breast masses

Clinically, it is difficult to distinguish between the symptoms, shape, size, density, and boundaries of benign and malignant changes. However, a correct diagnosis can be made with the help of infrared rays and X-ray mammography films.

First of all, from the morphological point of view: benign changes are mostly regular, round, oval, lump-like, nodular, cord-like, etc., with clear boundaries, most of them are bilateral, with multiple lumps; malignant changes are mostly irregular lumps, with unclear boundaries, and the surface of the lumps is often uneven, and most of them are unilateral with one lump.

From the texture point of view: good transformation is tough, most of them become hard before the tide comes; malignant transformation is hard like stone and has nothing to do with it.

In terms of mobility: benign changes have greater mobility and no adhesion to other tissues, such as fibroadenoma, hyperplasia, etc. Malignant changes are often associated with adhesion and have poor mobility.

From the perspective of skin surface and nipple analysis: in benign changes, most of the skin does not change, and the nipple is not inverted (except congenital inverted nipple). A few patients have secretions on the nipple, and the secretions are mostly water-like or milk-like, such as cystic hyperplasia and plasmacytitis. In malignant changes, there are lumps, orange peel-like and dimple-like changes around the skin, and the nipple is inverted (except congenital inverted nipple). The nipple secretions are mostly bloody, light yellow, or serum-like discharge.

In terms of growth rate: benign changes grow slowly, with the course of the disease varying from one to several years, while malignant changes grow rapidly, and may grow to the size of a fist within a few months.

Third, the surgical process

The surgical incision line is designed to be about 2-3mm long inside the axillary fold line. Draw the area where the accessory breast needs to be removed. Inject local anesthetic swelling fluid into the accessory breast to make the skin swell. Use a single-hole straw to connect the negative pressure meter to scrape and remove the accessory breast tissue at a pressure of -0.9kpa to make the marked area smooth. The incision does not need to be sutured and is fixed with a pressure bandage after surgery. If the patient has a more obvious nipple and areola in the accessory breast, the patient is required to have it removed and wear a tight elastic top for shaping within two weeks after the operation.