Is it necessary to have surgery for breast cystic hyperplasia with nipple discharge?

Patient's question:

Nipple discharge, pale yellow, slight pain in both breasts before menstruation, otherwise normal.
Medical history and treatment outcomes in February 2011:
- March 2, 2011: Ultrasound revealed bilateral cystic fibrosis of the breasts.
- Mucus discharge test showed white blood cells 0, red blood cells 0-1 hp.
- Took "Yanlu Ru Kang" pills for a month, but the effect was not significant.
- March 29, 2011: Switched to another hospital for a thorough examination.
- Recommended surgery.
Question: Must surgery be performed? Is it possible to treat with medication instead?

Doctor's answer:

Your current condition is that the medication is still not able to relieve your symptoms. You still need to have surgery as soon as possible. Otherwise, if it's left too long, there is still a possibility of cancer transformation. You still need to pay attention. Regarding the question of "Does breast cystic hyperplasia with nipple discharge always require surgery?", we will stop here for now. If the condition does not improve, please go to the hospital for medical attention as soon as possible. Wishing you a speedy recovery.

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