Patient's question:
The breasts have felt like hard objects since puberty. About 10 days before menstruation, they become tender and hard. A medical examination with an ultrasound showed breast thickening and some point-like echoes, with slight disorganization.Doctor's answer:
1. Regular check-ups; to detect early and treat promptly.2. Adhere to medication; this condition is a severe endocrine disorder, with the affected tissue having poor sensitivity to medication, slow tumor regression, and prolonged treatment duration. Sometimes, oral medication may take six to twelve months to become effective.
3. Complete surgical resection; the best treatment for localized lesions, as removing the large focal lesions can often achieve definite therapeutic effects. If there is a clear tendency toward malignancy or a biopsy confirms pre-cancerous lesions, a simple mastectomy should be performed for safety. Additionally, when a patient experiences galactorrhea, it is important to differentiate it from hyperprolactinemia or hypogonadotropic hypogonadism to avoid misdiagnosis.