Patient's question:
Doctor, hello; Breast inflammation, what is breast hyperplasia? What are their characteristics? What causes them? Thank you!Doctor's answer:
Hello; What are the symptoms of acute mastitis? Acute mastitis is an acute purulent disease of the breast, usually caused by Staphylococcus aureus infection. It is more common in the lactation period of primiparas. Bacteria can invade through cracked or broken nipples, or directly into the milk ducts, spreading further into the breast tissue. Generally, the course of acute mastitis is short, with a good prognosis, but if treatment is not proper, the course may prolong, and it may even lead to systemic purulent infection. In traditional Chinese medicine, acute mastitis is called "ruchi."What is duct ectasia of the breast? Duct ectasia of the breast, also known as plasma cell mastitis, usually occurs in non-lactating women over 40 years of age, with a prolonged course, often lasting up to 5 years, commonly appearing in chronic adenitis tissue. This condition has two significant features: 1) dilation of the breast ducts, hyperplasia of the ductal epithelium, with yellowish-brown or bloody discharge; 2) fibrous tissue hyperplasia around the ducts, accompanied by lymphocyte and plasma cell infiltration. Early symptoms are similar to acute mastitis but may include nipple retraction, making it easy to misdiagnose as breast cancer. Drug treatment is not ideal, and surgery is primarily used for partial or complete simple mastectomy.
Breast hyperplasia: It is a common and frequently occurring disease in women, classified as a benign lesion. Although some believe that benign breast diseases can increase the risk of breast cancer, the probability of breast hyperplasia turning malignant is generally very low. The probability of simple breast hyperplasia becoming malignant is less than 1%, while the probability of cystic hyperplasia becoming malignant is 2%-4%. This condition can be divided into three stages:
(1) Simple breast hyperplasia: This is an early manifestation of breast hyperplasia, characterized by hyperplasia of breast lobules with minimal or mild hyperplasia of the interstitial tissue.
(2) Cystic breast hyperplasia: This is the pathological hyperplasia stage of breast disease, characterized by severe dilation of terminal ducts within the breast lobules, forming one or more cysts of varying sizes.
(3) Glandular lobular hyperplasia: This stage lies between simple and cystic breast hyperplasia, characterized by varying degrees of hyperplasia of terminal ducts, alveoli, and fibrous tissue within the lobules.
Simple lobular hyperplasia is closely related to the menstrual cycle,、，，，，. The pain of cystic breast hyperplasia is less severe than that of simple breast hyperplasia but lasts longer, with varying pain characteristics, generally、，，，、，，，，. Glandular lobular hyperplasia is characterized by breast pain, with pain characteristics similar to cystic breast hyperplasia. During examination, localized, firm, and rubbery-hard nodules can be palpated in the outer upper quadrant of one or both breasts, with clear boundaries and pain upon palpation.