What to do with breast pimples? The correct way is this

Women's breasts may have lumps, which are medically called breast lumps. The most common cause is breast fibroids, but it may also be caused by breast inflammation. It is reported that women who are postpartum and breastfeeding are more likely to experience this condition. In addition to the lumps, there may also be a feeling of swelling and pain. So how should it be treated at this time?

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, breast mass classification

Most of the lumps that premenopausal women suffer from are cystic breast hyperplasia and fibroadenomas, which are mostly caused by hormonal fluctuations. Cystic hyperplasia is filled with fluid, so it feels soft and can slide under the skin; fibroadenoma is caused by hyperplasia of connective tissue, has clear boundaries with surrounding tissues, can move freely, and is hard but not as hard as stone. The main characteristic of large duct papilloma of the nipple is nipple discharge (bloody). The lumps are generally small and soft, while the lumps of cancer are as hard as stone, adhered to the surrounding areas and cannot move. The rest of the mass in the breast may simply be some exaggerated nuclei, but it is clearly different from the surrounding tissue. Doctors often refer to it as "fibroglandular breast changes."

If you find a new lump in your breast, you should seek medical attention immediately. Doctors generally use color ultrasound or mammography and other technologies to make diagnoses.