Most breast nodules are found during an examination, and if they can be felt, then they are breast lumps, and if they can't be felt and are found during an examination, they are called breast nodules. Most of the breast nodules are found on ultrasound and molybdenum screening and are considered benign hypoechoic lesions, but they can be malignant. We deal with cases where malignancy is suspected and where it is more malignant. This generally refers to cases in more than 4 categories.
BI-RADS classification, BI-RADS (Breast imaging reporting and data system), which is recommended by the American College of Radiology, categorizes breast nodules according to nodal boundaries, echogenicity, aspect ratio, and blood supply. Breast nodules are categorized according to their borders, echogenicity, aspect ratio, and blood supply. Often patients take the report and say, "Doctor, this is a category 2 or 3, is it breast cancer? Of course it is not. According to the BIRADS classification, the higher the grade, the higher the risk, and this is classified as category 4 and above. anything below category 3 is not considered. The specific categorization is not something most people need to master, we just need to know how to deal with the different categories.
Here is a reminder of the more detailed classification and treatment of category 4
4A: need biopsy, but the likelihood of malignancy is low (10%). If the biopsy is benign results can be trusted, it can be converted to six-month follow-up.
4B: Tends to be malignant. The likelihood of malignancy is 10% 50%.
4C: Further suspicion of malignancy with 50% 94% likelihood.
Special circumstances (clinical experience):
1) Biopsy should be considered in some patients with BI-RADS grade 3 breast nodules if the patient is anxious and over 40 years of age.
2) Patients at special times, such as breastfeeding or pregnant women, with breast nodules that have increased significantly in size over a short period of time, or with morphological changes such as small calcifications with unclear borders, need to be biopsied to clarify the nature of the nodule, as surgery is not possible for the time being.
3) Long-term observation and follow-up of the nodule, the recent increase in size, or unclear borders, irregular morphology, or calcification, the need for biopsy. If intraductal papilloma is suspected, minimally invasive excisional biopsy is an option.
4) Minimally invasive excisional biopsy is an option for those considering intraductal papilloma.
Don't panic when you find breast nodules, you should have a rough idea in your mind and consult a specialist at the first time. The treatment, apart from surgery, is to follow up and observe. It has been proved that most of the nodules can be followed up, but there are many patients can not follow the doctor's advice this is a big problem. There are also a lot of patients who go to beauty parlors to do massage and relaxation, and apply traditional Chinese medicine externally, etc. All of these are not recommended. Need to biopsy on biopsy, do not go to eat unnecessary drugs, at present see all can not be eliminated.
First of all, what is a breast nodule?
Breast nodules are generally small lumps in the breast that cannot be detected by palpation, and are mostly detected by ultrasound of the breast or by mammogram during a physical examination. Breast nodules often do not have any uncomfortable symptoms, and may occasionally cause discomfort such as swelling and pain.
How should breast nodules be handled?
①. The first step is to initially determine the nature of the nodule based on ultrasound and other tests. If the nodule is suggestive of anechoic. Color ultrasound morphology suggests that the boundary is clear and the shape is regular. This is mostly a breast cyst, which is a benign disease. The first thing you need to do is to get a good look at the actual color of the skin, the color of the skin, and the color of the skin.
②. If the nodule is hyperechoic, the color ultrasound pattern suggests that the morphology is regular. Color ultrasound morphology suggests that the shape is regular, the border is very clear, long, oval and other manifestations, aspect ratio 1, no blood flow signal, for the characteristics of benign solid nodules. The treatment, you can regularly review the breast ultrasound, observe the size of the nodule changes, at the same time, according to the patient's specific situation, oral Chinese medicine, proprietary Chinese medicine and other treatments.
③. If the color ultrasound examination suggests: hypoechoic nodule classification in the class 4, or above level. Color ultrasound morphology suggests: irregular, blurred borders, aspect ratio 1, there are multiple strong echogenic spots, the back wall of the nodule, lateral echoes have attenuation, there is blood flow signal, such a nodule is recommended for surgical treatment.
I suggest following @Dr. Yang, Mammography, and checking out my past articles and health Q&A, which will surely be rewarding!
I am the director of the Department of Major Surgery and Breast Center at Fuxing Hospital of Capital Medical University, and I would like to summarize a few core issues of breast nodules for you: 1. Breast nodules are a common breast disease in women, and unlike lumps, nodules are usually not palpable on self-examination; 2. Breast nodules are commonly associated with breast hyperplasia and breast oncological diseases; 3. It is necessary to examine and confirm the nature of the nodules, whether they are caused by breast hyperplasia or by tumors; 4, although the possibility of malignant breast nodules, but once found should be further examined in a timely manner to avoid delay; 5, do not believe that the beauty and body-building institutions publicity, through the health, breast massage can be cured.
I, breast nodules: a common disease, frequent disease, generally benign
Many women found breast nodules, nodules and breast cancer will be linked, which is not necessary and has no scientific basis. Breast nodules are a symptom, commonly found in breast hyperplasia and breast tumor disease. There is no direct link between nodules and breast cancer, and women should not panic.
Second, the cause of breast nodules is unknown, so the lack of necessary preventive measures
Breast nodules are different from other breast diseases such as mastitis and even breast cancer, through early prevention will have a very good effect. Breast nodules have no known cause, so there is a lack of necessary preventive measures. In the face of breast nodule disease, only early detection and early treatment.
Third, why do many women talk about nodules?
Women's fear of breast nodules comes from several sources. The first is that society lacks the necessary popularization and education of women's breast disease, resulting in women's knowledge of their own disease is very little. Once a breast disease occurs, they are often at a loss. Secondly, society is misled by unscrupulous businessmen. Some beauty salons and even medical check-up organizations blindly exaggerate the harm of breast nodules for their own commercial interests. After a breast nodule is detected, the consequences of the nodule will be intimidatingly explained.
Fourth, the high detection rate of breast nodules: related to the development of medicine and advanced medical equipment
In recent years, breast nodule exposure and awareness rate in the female population is increasingly high, which is also related to the development of China's medical level. With the domestic medical level, medical means and the sensitivity of the examination equipment is getting higher and higher, resulting in the detection rate of breast nodules is getting higher and higher. According to incomplete statistics, the detection rate of breast nodules in medical check-up organizations has been as high as more than half. This has led to a higher visibility of breast nodules as a breast disease among women.
Fifth, the key to breast nodule disease: distinguish the type, attach great importance to
Breast nodules accompanied by breast hyperplasia or breast tumors, breast hyperplasia disease accompanied by nodules, and the menstrual cycle has a close relationship with this type of nodules can not be dealt with in general.
If the nodules are caused by breast tumor, it is necessary to attach great importance to further examination to determine the nature of the nodules, and follow the doctor's advice to actively treat them.
Breast nodules, as a common breast disease in women, have gained more and more social recognition in recent years with the improvement of medical standards and the popularization of women's health knowledge. This is a good thing, but it also has its drawbacks. If a woman has breast nodules, she must first go to a specialized clinic in a regular hospital as soon as possible for further examination to determine the nature of the nodules and then treat the symptoms. The first thing you need to do is to find a way to get the best out of it.
In general, there is no need for surgery, dietary attention, do not eat spicy, do not drink alcohol, keep a good mood are good