What should I do about bilateral breast hyperplasia with a mass in the right breast?

Patient's question:

Bilateral breast hyperplasia. Right breast mass, BI-RADS category 4 (with exclusion of cystic lesions). The bilateral breast margins are smooth and intact. The glandular layer is thickened, with uneven distribution of internal echoes. In the outer upper quadrant of the right breast at the 11 o'clock position, 1.0 cm away from the nipple, a hypoechoic mass is observed, measuring approximately 2.0 cm x 1.5 cm, with indistinct margins. A strong echogenic band is seen within it. CDFI: No blood flow signals are detected within it. What should be done?

Doctor's answer:

According to your description, it is recommended to undergo a needle biopsy or direct excision for pathological examination in a formal hospital. Generally, the malignancy rate of grade 4a is about 40% or higher, so it is crucial to pay attention to examination and treatment. Breast hyperplasia is a common gynecological disease that is prone to occur. During medication, women need to pay attention to their own care, especially in terms of hygiene. It is recommended that patients pay close attention to maintaining external genital cleanliness and changing underwear frequently.

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