Patient's question:
There are also such cases: during menstruation, breast tenderness and lumps occur, but they disappear every time menstruation ends. Recently, after the uterus was removed, the same symptoms still appeared. I would like to ask what is going on. Onset time: Before the surgery, it occurred every time during menstruation, and recently after the surgery, it occurred on the 28th-29th day. Test results: None.Doctor's answer:
Lumps in the breast may be due to fibrocystic changes. It is recommended to have a mammogram, which is not directly related to hysterectomy. What tests should be done for breast hyperplasia?When performing a correct breast examination, the palm should be flat with all four fingers joined together. Use the most sensitive tips of the index, middle, and ring fingers to gently palpate the outer upper, outer lower, inner lower, and inner upper regions of the breast in order. Finally, check the nipple and areola area in the center of the breast.
During the examination, avoid pinching the breast tissue with your fingers, as this may misinterpret the pinched breast tissue as a lump.
Start the examination while sitting. Any inversion of the nipple, skin dimpling, or abnormal structures are signs of deep breast cancer. If the patient claps with both hands above their head to contract the chest muscles, these signs will appear.
When the woman is sitting, it is easier to examine the lymph nodes above the clavicle and in the armpits. Finally, perform a tactile examination while sitting, using joined fingers to touch the area under the nipple.
For a more extensive tactile examination, lie down with a pillow under the same breast and raise the opposite hand above the head to spread the breast evenly against the chest wall, making it easier to palpate deep breast cancer. Use the palmar surface of the index, middle, and ring fingers, not the fingertips, for palpation.
The palpation method should be circular, rotating from the nipple outward in a horizontal direction. Pay special attention to the breast tissue extending to the armpits.
The first step in breast examination is to observe the development of the breast. Are both breasts symmetrical? Are their sizes similar? Are both nipples at the same level? Is there any retraction or indentation of the nipples? Is there any erosion of the nipple or areola? How is the color of the breast skin? Is there any edema or orange-peel-like change? Is there any redness or inflammatory signs? Are the superficial veins of the breast dilated?