I'm 20 years old. My right breast is slightly smaller than my left, and the lump is bigger. Is it worth worrying about?

Qi Xiaodong-Director of Tumor Surgery, Chief Physician, Doctor of Medicine, Beijing Tongren Hospital.

Moderator: Good evening, netizens and friends. Welcome to China Reproductive Health Network. Tonight, we invited Qi Xiaodong, director and chief physician of tumor surgery in Beijing Tongren Hospital. Today we will talk about breasts.

The topic of health care, if you are interested in this topic or have questions to answer, you are welcome to join our program.

Moderator: GuestuKZwjC: How to protect breasts?

Qi Xiaodong: How to protect breasts is a very big topic. From several aspects, breasts are divided into different periods in a person's life, and the protection at different stages is different, such as adolescence, pregnancy, lactation and menopause. In adolescence, breasts are a developmental process. Generally, the breast begins to develop at the age of 8- 12, and it is 18 after puberty, and some are 25438+08. For the protection of breasts, besides general cleaning, we should also pay attention to some sagging caused by exercise. At this time, we should pay attention to the use of bras. If the breasts are large, it is generally not suitable to wear a thick padded bulging bra or a bra with a steel ring underneath. Larger breasts are suitable for wearing some cloth, and softer ones can play a supporting role. If the breasts are small and not suitable for wearing hard ones, they will oppress the breasts. People who wear hard rings have deep indentations, leading to local blood circulation disorders and some breast diseases, and even some people are related to cancer, but there is not a lot of facts to prove that, at least, if the bra is not worn properly, it will bring some diseases. Another problem in the protection of adolescence is how to protect health. In fact, how to increase small breasts is actually related to diet, exercise and local massage. During pregnancy, it should be noted that with the delay of pregnancy, the breast will gradually increase with the increase of progesterone level. At this time, it is necessary to clean it with warm water and wear suitable breasts to prevent nipples from drying out. During lactation, more attention should be paid. In our clinic, acute mastitis is more common in surgery. Good breasts need to be cut several times for drainage, and serious patients all require breast cutting, but we try to keep them. That is to say, during lactation, due to the mother's factors and the baby's factors, there are still some operating environments that have not reached a certain degree of perfection, so they will appear. From the mother's point of view, when breastfeeding, try to breastfeed bilaterally, and the rest should be emptied. If there is a lot left on one side after breastfeeding, it should also be sucked dry with a breast pump. In addition, there are some bacteria and viruses in the baby's mouth, which can enter the breast with the nipple and mammary duct, especially after the child bites. Ulcer and inflammation in the baby's mouth should be treated in time at any time. In addition, after feeding, wash with warm water and apply clean oil. In daily life, I'm sorry that some breast-feeding patients also need massage and protection to prevent some diseases from happening during this period. Of course, at this time, the breasts may be bigger, so just hold them up. Breast protection for middle-aged and elderly patients means exercise, diet and proper breast enhancement.

Compere: Please introduce your work.

Qi Xiaodong: My major is tumor surgery, but in fact, our colleague hospital has set up a tumor diagnosis and treatment center, and comprehensive treatment is also part of my work. Surgery includes breast diseases, breast hyperplasia, breast benign tumors and breast malignant tumors. The diagnosis and treatment of these lesions include surgery and comprehensive treatment, which includes chemotherapy, biotherapy and gene therapy. Besides mammary glands, we have also done some standardized treatments for gastrointestinal diseases, especially tumors. I am not an obstetrician.

Moderator: GuestDCsPiN: What are the types of breast hyperplasia? Why can't clinical examination be classified? What kind of people are at risk of cancer?

Qi Xiaodong: There are many classification methods for mammary gland hyperplasia. There are several pathologies, including inflammatory hyperplasia, breast hyperplasia and cystic hyperplasia. There are many kinds, but it is hard to say which kind of mammary gland hyperplasia has canceration. As long as the glandular epithelium and ductal epithelium of breast hyperplasia have atypical hyperplasia, this time is precancerous lesions.

Moderator: What you said about atypical hyperplasia is more professional. What this friend said about the classification of clinical examination. What kind of examination is used for diseases such as mammary gland hyperplasia at present? And can such test results predict whether there is a risk of cancer?

Qi Xiaodong: Clinically, it is generally called mammary gland hyperplasia or mastopathy. There is no specific subdivision in clinic, unlike pathology. Clinically, it refers to whether there is breast hyperplasia, including ultrasound, X-ray plate, CT, magnetic resonance, and manual examination by surgeons or gynecologists. Combined with some symptoms, whether the pain is related to the menstrual cycle, the location, nature and pathological changes of the pain, according to the clinical symptoms, physical symptoms and physical comprehensive examination, it is finally judged whether there is breast hyperplasia.

Host: GuestK2g6gh: Excuse me, expert: I am a married woman, and my breasts often hurt. Why?

Qi Xiaodong: There are many factors in breast pain itself, but generally speaking, tumors are painless, so most of them can be ruled out, but not 100%. When breast hyperplasia occurs, breast pain often occurs. Some people have breast pain without obvious hyperplasia. No lumps or thickening were found in the surgical examination. It still hurts under normal circumstances, not just breast pain. The cause of breast pain is generally believed to be related to endocrine disorders caused by hormonal imbalance, but there is no more accurate research result to prove that pain is caused by endocrine disorders.

Moderator: If you say that breasts often hurt, but no special problems are found in the examination, does this pain need treatment?

Qi Xiaodong: Generally speaking, pain needs treatment because it has caused pain. In other words, why do patients come to the hospital to see a doctor? What problems can the hospital solve for them? Patients see a doctor for two purposes. First of all, I have pain. Second, I want to get rid of the root cause. If I have pain, I want to know what disease it is. As a hospital, it is also two aspects. On the one hand, I will solve your pain, whether it is pain, side effects during chemotherapy or other pain. Second, if possible, I get rid of the root causes. This is what hospitals should do. In other words, if the breast pain is mild and will not affect life and work, you can not manage your finances. If it affects work and life, it is necessary to treat it with drugs. In fact, it is also a part of breast hyperplasia, but the degree of hyperplasia is not heavy. You can use some traditional Chinese medicine and vitamin E, which has a good effect on relieving breast pain.

Qi Xiaodong: Breast pain is mostly caused by endocrine disorders. What causes endocrine disorders, including emotional factors, poor spirits, depression, and other factors. Some environmental factors will cause endocrine disorders, some signs and symptoms, some pathological changes, and some changes in clinical symptoms.

Moderator: Guestbwcyzp: 15 years ago, he suffered from multiple lobular hyperplasia and had several operations in a few years. How to treat another lobular hyperplasia now?

Qi Xiaodong: It should be said that lobular hyperplasia does not necessarily require surgical treatment, because many people have lobular hyperplasia because there are more lobules in the breast. He said that there was a lobular hyperplasia, but in fact, no one can tell how many lobules there are now, because the lobules are very small, so we can only say that there is another lobular hyperplasia. Whether breast hyperplasia needs surgery is a problem. When you don't need surgery, you shouldn't have surgery, because after surgery, there are still injuries that need to be cut. If you cut off the breast, it will definitely not proliferate, but it should not be like this when you cut it. In principle, no matter in textbooks or literature, breast hyperplasia surgery is not done, and there are some indicators in clinic. Our indicators are as follows. Breast hyperplasia was suspected to be malignant at first, and clinical physical examination and some laboratory tests were also suspected to be malignant. Second, when the pain is unbearable after several months of drug treatment, this time is also ok. Thirdly, after several months of comprehensive treatment, the mass caused by mammary gland hyperplasia does not disappear, and the mass is flat and thickened. Surgery should also be performed when a specific mass is likely to form vegetation hyperplasia. There is also a patient who is very scared and does not have surgery from a medical point of view. However, from a humanistic point of view, surgery can be performed if the appearance is not obviously damaged and the cosmetic effect is better. So 15 years ago, there were many lobular hyperplasia, and there were lobular hyperplasia after several operations. In this case, I think it is necessary to have an operation. Maybe you shouldn't have surgery for this disease for so many years. At that time, the situation may be serious and you need surgery, but at present, if your lump is not like that, you can not have surgery and observe it. If the symptoms are not serious, consider yourself a healthy person, but pay attention. Go to the hospital for examination in three months and half a year. Once there is an abnormality, you will find active treatment, but you can't always think that I am a patient psychologically. This endocrine disorder will aggravate breast diseases.

Moderator: What disease is mammary gland hyperplasia?

Qi Xiaodong: The incidence of mammary gland hyperplasia is not very clear. It is generally believed to be related to hormone level disorder. Women generally have estrogen, progesterone, prolactin and androgen. Normal people develop to a certain level and age little by little according to normal steps. But if endocrine disorders are caused by external factors, internal factors and drug factors at a certain stage, especially the pituitary gland of the brain. In order to affect the breast, the uterus, ovary and adrenal gland also secrete some hormones, and these organs are also controlled by the pituitary gland. Conversely, these organs have some control and influence on the breast. When the endocrine disorder of the body is caused by any factor, when the level of estrogen is high, mammary gland hyperplasia will occur. Breast diseases are mostly related to the increase of estrogen, and breast hyperplasia is the most important one. In addition, there are fibroadenoma, intraductal papillary tumor and breast cancer. Therefore, as soon as the estrogen level rises, mammary gland hyperplasia will occur after the endocrine level of the body is unbalanced. The disease itself is benign, and less than 5% may become cancerous, not most of them, so don't be too afraid, and go to the hospital to see a specialist regularly. During the treatment, the symptoms are not obvious. I don't need drugs or observation. I don't think of myself as a normal person. Go to the hospital regularly for three months and six months. If I am over 40 years old, I can do some sawdust or ultrasound. I will check regularly to prevent some changes. Therefore, saying that you have breast hyperplasia does not mean that all breast hyperplasia diseases must be treated with drugs, only when necessary. Mild symptoms do not require surgery, and moderate and severe symptoms can be treated with drugs and more traditional Chinese medicine.

Moderator: Guest9KFdsX: How about Rupixiao in treating hyperplasia? How long does it usually take to treat this disease?

Qi Xiaodong: In fact, breast hyperplasia itself seems to be a common disease, but it is actually very complicated. It is not easy to cure, that is, there are various causes. Everyone has different individual and endocrine levels, different pathological types of hyperplasia and different sensitivities to various drugs. Rupixiao is just a kind of traditional Chinese medicine. It was used to treat hyperplasia of mammary glands more than 20 years ago, and it is effective for some patients. One third to nearly half of my patients are effective, but I don't know if the medicine itself has improved because I haven't used it in recent years. There are many kinds of Chinese medicines for treating hyperplasia of mammary glands, such as Koganamaru and Xiaojin Dan. At present, there is no unified evaluation on which medicine is effective for mammary gland hyperplasia. Everyone has a certain effect, but it is ineffective for many people, just like hypertension and diabetes. If the breast elimination effect is not good, you can switch to other drugs, but the general course of treatment is usually one to three months, and some use four months, but I usually use one to two months. If it doesn't work in two months, I'll change to another medicine. If the pain is serious, I will add some vitamin E to relieve the pain. If the pain is not serious, I will only give drugs to promote blood circulation and remove blood stasis. I don't approve of using more than two kinds of Chinese patent medicines. People who engage in Chinese medicine are well aware that they have the fear of 18 against 19, but ordinary people don't understand. For example, it is a compound. These are not toxic in themselves, but it is hard to say whether there is any toxic reaction between them when they are put together with other Chinese patent medicines. So use a Chinese patent medicine. If there are two kinds, it is recommended to take them two hours later. Therefore, the use of proprietary Chinese medicines must be cautious, the second guarantee. Two months should be a limit, no matter how long it is, it may not be good. This medicine is not good. It may be useful to take care of it.

Moderator: Guest9KFdsX: Is breast hyperplasia easy to recur? Do you need to take medicine often for treatment?

Qi Xiaodong: It should be said that breast hyperplasia is easy to recur, and most patients are like this, and elderly patients are not easy to recur. Why is it easy to relapse? Just like stomach trouble, I met some patients in clinic. When they are angry, or influenced by emotions, the pain will get worse immediately, and the hyperplasia of mammary glands will get worse, or other factors can also directly affect them. Stomach and breast are the most sensitive organs, which may be caused by emotions and other factors. Although cured by drug treatment, endocrine disorders and dysfunction caused by other factors will lead to pathological changes and some symptoms over a long period of time, which is called recurrence. Whether it needs long-term treatment, some need it, some don't need it, her symptoms, degree, degree of illness, whether it is enough for treatment, and if so, treat it. If it doesn't get better, change the medicine. In addition, hyperplasia of mammary glands itself is an endocrine disorder, with increased estrogen and decreased progesterone levels. For pregnant women or pregnant women, mammary gland hyperplasia may be relieved or disappeared, so no treatment is needed. There are also some elderly patients. After menopause, the secretion of the whole endocrine hormone level decreases as a whole, and the degree of mammary gland hyperplasia will gradually decrease with age.

Moderator: Guest9KFdsX: How to find out whether there is atypical hyperplasia in epithelium?

Qi Xiaodong: Whether epithelial cells have typical hyperplasia mainly depends on pathology. No imaging examination knows the changes of epithelial cells. It depends on the pathology. Cytological changes must be seen after staining, and surgical puncture is needed, or specimens must be taken out surgically, frozen or macroscopically pathological. Whether there is atypical hyperplasia can only be determined by biopsy or surgical puncture.

Moderator: GuestBWCYzP: What effect does Xiaoyao Granule have on lobular hyperplasia?

Qi Xiaodong: I haven't used Xiaoyao San, but I used Xiaoyao Pill before, 20 years ago, when I was a doctor. Like breast addiction and digestion, some patients do have the effect of relieving pain, reducing swelling and softening. Over the past ten years, it may have improved, it should be said that it is higher than the original, but I have never used it and have no experience.

Moderator: Generally speaking, is there any comparison between the effects of traditional Chinese medicine on lobular hyperplasia?

Qi Xiaodong: As far as I know, there is no comparability. If there is, everyone uses the best.

Host: Guest0M4tIk: Which one needs surgery? Can B-ultrasound detect breast ductal tumor and fibroma?

Qi Xiaodong: Ultrasound can diagnose intraductal papilloma and fibroadenoma. The accuracy of the exam is very high. As long as it is detected, it should be said that there is, but it cannot be said that there is no, because the frequency of the ultrasonic probe is different. Some places cannot be detected, and some places cannot be detected. Maybe it has something to do with ultrasound, maybe it has something to do with the level of doctors, but as long as it is detected, it must be. What kind of mammary gland hyperplasia needs surgical treatment? First, it is suspected to be malignant. Second, the hyperplasia of mammary glands changed from flaky thickening to massive thickening, and it still did not improve after several months of treatment with traditional Chinese medicine. Third, the pain is very painful and has not been alleviated after treatment. Fourth, I have my own requirements.

Moderator: What are the common breast diseases?

Qi Xiaodong: Generally speaking, neoplastic diseases and non-neoplastic diseases, that is, mastitis and some deformities, are becoming less and less common. The most common diseases are tumors or tumor-related diseases. In this category, common breast hyperplasia, breast fibroadenoma, intraductal papilloma and lipoma are all benign lesions. There are also some inflammatory mastitis, phyllodes cystadenoma, and malignant lesions are breast cancer, and there are also men, with a male-female ratio of 65,438+000: 65,438+0. There are more women, and cancer accounts for about 99% of malignant tumors, some of which are sarcoma, fibrosarcoma and liposarcoma. And lymphosarcoma. These are also malignant, but the proportion is very small. Generally speaking, tumor and non-tumor

Host: Guest0M4tIk: Is mammary gland hyperplasia very common? What situation needs to be vigilant? Isn't it bad not to disappear often? Nothing happened after disappearing?

Qi Xiaodong: Everyone has a feeling of worry or fear about mammary gland hyperplasia. It should be said that breast hyperplasia is more common in women over the age of 25 and 30. In fact, proliferation is different to some extent. Mild hyperplasia, moderate hyperplasia and severe hyperplasia are very different. Mild hyperplasia can generally be ignored and does not require treatment. Proper attention is enough. The so-called mild, that is, there are some symptoms, most of which are hyperplasia of mammary glands. In the premenstrual period, a lesbian has a swollen breast and mild pain. After menstruation, she returns to normal without nodules or lumps. This is a normal physiological state. If the premenstrual pain is so severe that you feel a mass, it is hyperplasia of mammary glands, which is also a pathological state. Some of them are regular, but at a certain stage, they are irregular. There were masses, thickened nodules, cord-like and flaky thickening in all cases. In this case, we should be vigilant. Generally, it is light, with a little swelling in the premenstrual period. Don't ignore this situation. It's definitely not good not to disappear often. This kind of situation needs to go to the hospital to find a specialist for treatment. Generally, it can be considered that there is no problem after it disappears.

Moderator: Do these routine inspections need to be done frequently?

Qi Xiaodong: I think we should do it at a certain age. Globally, the onset age of breast cancer is younger. In the past, 45-50 years old was the peak, but now 35-45 years old is the peak, that is, the peak is advanced. I was surprised when I got breast cancer in my thirties, but I'm not surprised now. Therefore, based on the age of breast cancer, as a surgeon, the youngest breast cancer I have ever done is 10. With social competition and air pollution, coupled with changes in mood and various aspects, changes in diet, breast hyperplasia itself has also advanced. That is to say, we should always pay attention to its development and change, check ourselves on the examination, see the lump or thickening, and go to the hospital for observation. I think it is necessary to see a specialist regularly, at least once a year, according to the doctor's examination results.

Moderator: Are there any breast examination items in the routine gynecological examination?

Qi Xiaodong: It is different according to different hospitals. For example, Beijing Maternity Hospital, the gynecological examination of their physical examination center, in addition to checking ovaries, uterus and so on. , also check the breast. But in general hospitals, gynecological examination is gynecological examination, and breast examination belongs to surgery or tumor surgery. According to different hospitals, the contents of the examination are different.

Moderator: When does this disease usually need attention?

Qi Xiaodong: Breast hyperplasia is generally more common after the age of 30, but it is more common in people aged 65,438+07 and 65,438+08 in clinic, and it is also more common in outpatient clinics in their twenties. So age is one thing, and the most important thing is whether there is this symptom. Once symptoms appear, no matter how old you are, you should see a specialist.

Compere: GuestFwDxn8: Excuse me, experts, what is the feeling of normal breasts? Is it normal to have lumps in it?

Qi Xiaodong: Hard lumps are definitely abnormal, but the methods and techniques of breast examination are different and wrong. It is very likely that normal breasts will be touched into a ball. Under normal circumstances, the breast is a disk-shaped geometry attached to the pectoralis major. If you grasp it by hand, it will form a block. This method of examination is wrong. It must be parallel to the breast and examined symmetrically on both sides. It is rare for the left and right breasts to have the same lesions in the same place. Second, what is the feeling of doing breast examination? Breasts of different ages are different. During adolescence, they are more resilient. After giving birth during lactation, it is particularly soft. In old age, they are thinner and smaller except for softness. In different periods, the performance of breasts is different. Generally speaking, they should be elastic and have a softer feeling.

Moderator: Can I do manual inspection at home?

Qi Xiaodong: It should be possible. The key is how to check correctly, that is, self-check. Let me give you a brief introduction. There are many methods of self-inspection. The most common thing is that we use our own hands, the three fingers in the middle and the outer edges of the fingertips of the three fingers to touch smoothly, and the two sides should be compared. In addition to fingering, there is also a test sequence. Generally speaking, some people are willing to start with the armpit, and I am the last one to check the armpit. I usually check from the outside, because breasts are the most common, and breasts are disk-shaped hemispheres. In fact, there is a corner near the armpit and a nipple, so the upper limit is large and the whole breast area is large. In addition to its own part, there is also the tail of the breast, so this part has the highest incidence. I usually check from the upper limit, and there is also a posture problem, some are standing, some are sitting, some are lying on their backs, some are lying on their sides, but not prone. As far as inspection is concerned, if we use the external upper limit, if we check from the standing position or sitting position, we should check from the external upper limit. Hands should be even and symmetrical. What is the feeling of hand feeling, elasticity or softness, and the strength is different. For the same person, the hardness of the whole breast is the same. It depends on how your fingers feel. You can check from the external upper limit to the upper limit or from the internal upper limit to the lower limit. Generally speaking, I suggest that if there is an examination, look in the mirror at home as much as possible to see if the breasts on both sides are symmetrical, the size is symmetrical and the skin is normal. The so-called normal and abnormal skin refers to whether there is a rash, whether there is a lump, whether there is a burst, or whether the nipple has changed, whether the nipple overflows, whether the nipple direction has changed, and whether it is abnormal. The nipple direction on both sides is 45 degrees below the outside. If one is below the outside and the other is inside, it means that the direction of the nipple has changed, indicating whether there is a tumor around the nipple and areola. The tumor invades the ligament and pulls the nipple toward the tumor. So it depends on the skin, symmetry, nipples. The other two sides can be lifted. At home, the chest muscles change, and so does the skin. In addition, if there is any local change or abnormality, it is palpation after examination. Generally, I suggest checking both hands at the same time, with nipples in the middle and starting from the inside. In this case, the feeling should be the same. If there is anything unusual, just look at what is going on and get to the bottom of it. It is not difficult to check the reality through manipulation. It's important to master it slowly and find the feeling. Only when you feel normal can you know what is abnormal. If you don't know the normal feeling, you won't know the abnormal performance.

Moderator: GuestCMxorp: How should lesbians pay attention to health care during pregnancy? Thank you.

Qi Xiaodong: I think it is very important to keep a good attitude. The second diet is not only for the fetus in the womb, but also for your own health. Breast development needs high protein and a small amount of animal fat. The size of breast is directly related to the proportion of fat. We should also have a lot of vitamins, eat some vegetables, lettuce, a lot of vegetables and fruits, and a high-protein diet is good for breast development and lesbian health care. In addition to diet, but also proper exercise, in the case of not affecting the fetus, proper exercise, lesbians can do some dumbbell exercises and exercise pectoralis major muscles, not only pregnant women, but also gay men. Pectoralis major is very big, and pulling exercise can also achieve certain results. The size of fat and the number of glands are related to pectoralis major. Generally speaking, people with developed pectoralis major have a normal diet. Breast will be bigger and more elastic than normal. Generally speaking, their sides will be more uniform and straight. Therefore, exercise is also very important. Diet, combined with local cleaning, is often protected with warm water and low-irritant detergent to prevent some trauma. Then there is a proper gentle massage, usually when taking a bath, with some detergent and bath liquid on your hands. At this time, after massage, you will feel better when you have bath liquid on your hands. Pay attention to mental health exercise and local massage cleaning.

Moderator: What problems should we pay attention to during pregnancy and lactation?

Qi Xiaodong: If you don't eat those things during pregnancy, you are afraid of getting fat. On the contrary, your breasts will not develop well, including lactation. Once breastfeeding is over, your breasts will obviously shrink or become slack.

Moderator: jinxianguo 1 127 Moderator: Hello, I have bloodshot leucorrhea on 10 day after my menstrual cycle. What's the matter?

Qi Xiaodong: Generally speaking, ten days after menstruation, leucorrhea should be close to normal, with bloodshot at least vaginal or uterine bleeding. Otherwise, there will be no bloodshot. Need to check whether the bleeding is in the vagina, cervix or endometrium. If there is bloodshot, more hospitals should further do a colposcopy or hysteroscopy to see if there is erosion or bleeding, which should be paid attention to.

Moderator: GuestS3qW69: Do you need to go to the hospital for reexamination frequently if you have this disease? Doctor, can you teach us how to observe and check the severity of the disease at ordinary times?

Qi Xiaodong: If it refers to breast diseases, I think if there are symptoms and abnormalities have been detected in the hospital, you should go to the hospital for regular review. If it's light, check it once a day, it's one and a half years heavier, and then it's one or three months heavier. The examination may not be done in CT, ultrasound or X-ray room. According to the pathological changes, the doctor will know the details. In our clinic, under normal circumstances, it won't. I just think it is necessary to distinguish it from malignant tumor, or whether the curative effect has improved, and then do the examination. Generally, drugs are used to relieve it first. If it is relieved, treat it. If there is no relief, we will check again. Of course, China's economic conditions will require routine ultrasound examination when it comes. In addition, it is also very meaningful to find early cancer through plank X-ray. In the United States, Europe and America, this is a major means. China is also mobilizing the national million breast examination project, which also uses plank X-ray machine to find cancer lesions that can't be touched by hands, but this examination costs 300 yuan, one is the patient's tolerance, and then another examination is carried out. X-rays may have negative effects on the body, but in Japan, Europe and America, women over 45 years old are generally examined once a year, and in some countries, women over 50 years old, because the X-ray exposure time is relatively short, and the degree of injury is relatively light, but the specific examination should be based on the condition of the disease and the hospital, and comprehensive judgment should be made according to the age.

Moderator: Guestz5j7wD: I am male 19 years old. I had a lump on my nipple when I was a freshman, and it hasn't disappeared for six years now. My other secondary sexual characteristics are normal. How can it be? What if I don't have surgery? Thank you!

Qi Xiaodong: The increase is caused by the increase of estrogen level, and most of them can disappear. The lump has not disappeared for six years. What is it? Is it unilateral or bilateral? Generally, both sides do not need surgery and can observe. If it is a unilateral mass, you should go to the hospital. Whether to perform surgery should be judged according to specific conditions, such as ultrasound, wood X-ray and comprehensive examination.

Qi Xiaodong: In breast diseases, disgusting tumors should be paid attention to. In addition, the longer the benign tumor, the bigger it is, which affects the appearance and may also become cancerous. The third is hyperplasia of mammary glands. Preventive resection should be done when you are not at ease. Mastitis with the development of medicine, with the improvement of living standards, with the increase of people's knowledge, mastitis should be less and less, but it can still be seen frequently in outpatient clinics. In other words, if we don't publicize our knowledge enough, it will be greatly discounted. So these are common diseases. As mastitis, if you want to prevent it or reduce its occurrence, it is a kind of propaganda. If breast-feeding is guided correctly and well, it will be greatly reduced. Due to hyperplasia of mammary glands, regular examination according to her condition will also relieve pain and symptoms. Breast tumor needs early examination, and the effect of early diagnosis is completely different from that of early diagnosis. Therefore, once a benign tumor is found, it will not grow again. It is best to cut it when you are young, not to raise it.

Moderator: GuestNhiSG3: The breast always hurts one week before menstruation, and it hurts for 6 or 7 days at most. What's going on here?

Qi Xiaodong: There are two reasons for premenstrual breast pain. If it is mild, breast hyperplasia is not serious, but it can also be physiological. It hurts a little, and it disappears after menstruation. Many people will do this, and this situation does not need to be dealt with. Like this, it can hurt for several days, or it may be very painful. In this case, you should go to the hospital to check whether there is breast hyperplasia. If that's the case, you should use traditional Chinese medicine to adjust it, and add appropriate western medicine to improve it, which may be good for you.

Moderator: guest reduk:]: How long does it take to do a good job of inspection and find the problem early? Are there any abnormal signs of breast cancer in the early stage of its formation?