Is fibrocystic breast change the same as breast hyperplasia?

Patient's question:

Is fibrocystic breast changes the same as breast hyperplasia? I had a lump on my breast removed in February, and the pathology results showed it was benign. Will it grow back in the future? What causes hyperplasia, and is it related to diet? What medications can effectively treat it?

Doctor's answer:

Hello, the etiology and pathogenesis of mammary hyperplasia are often caused by excessive worry injuring the spleen, anger injuring the liver, liver qi stagnation, and liver qi depression; or excessive worry injuring the spleen, spleen dysfunction leading to phlegm-dampness accumulation, resulting in liver and spleen damage, phlegm and qi stagnation, and blood stasis forming lumps.
Treatment for Breast Hyperplasia:
In China, most people use traditional Chinese medicine (TCM) and herbal medicine for treatment, while in foreign countries, hormone preparations and vitamin supplements are commonly used, with surgical treatment being necessary when needed.
Herbal Medicines:
Xiao Yao Wan (Free and Easy Wanderer), Xiang Fu Wan (Angelica Sinensis), Ba Zhen Yi Mu Wan (Eight Treasure Motherwort), Xiao Jin Pian (Little Jin Tablets), Ru Zeng Ning Pian (Breast Enlargement Tablets), Tian Dong Su Pian (Asparagus Starch Tablets)
Western Medicines:
1. Hormonal drugs, commonly used ones include: Tamoxifen, Bromocriptine.
2. Vitamin supplements, such as: Vitamin E, Vitamin B1, Vitamin B6.
Life Tips:
1. First, maintain a calm mood and stable emotions, avoid depression, irritability, and anger.
2. Appropriately control fat intake, as it may reduce excessive estrogen levels, so a light diet is recommended.
3. Consume more foods rich in complex B vitamins, which are beneficial for the liver's metabolism of estrogen.
4. Actively treat gynecological conditions, such as irregular menstruation, uterine and ovarian inflammation; avoid induced abortion and maintain harmonious sexual life.
5. For those with breast tenderness and lumps, seek medical examination and learn self-breast examination techniques for self-care.
6. For patients with suspected cancer, undergo repeated medical examinations and, if necessary, undergo a biopsy for pathological examination.
7. This condition has a long course and tends to recur, requiring persistent treatment and maintaining a positive attitude.

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