Patient's question:
The breasts have felt like hard objects since puberty. About 10 days before menstruation, they become tender and hard. A hospital ultrasound showed thickening of the breasts with some punctate echoes and slight disorder.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 tissues having poor sensitivity to medication, slow tumor regression, and prolonged treatment duration. Sometimes, oral medication may take six months to a year to become effective.
3. Complete surgical removal; the best treatment for localized lesions, as removing the large focal lesions often yields definite therapeutic effects. If there is a clear tendency toward malignancy or the 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 with galactorrhea to avoid misdiagnosis.