Tuesday, July 13, 2010

How the differential diagnosis of breast hyperplasia?

  Mammary glands in patients with clinical manifestations of atypical or if there is no apparent premenstrual breast tenderness, and showed that breast tumors, especially unilateral single, hard lumps, breast fibroadenoma and should be differentiated from breast cancer.

  (1) mammary glands with breast fibroadenoma: both can see breast lumps, single or multiple, real tough texture. Mammary glands of the breast lumps are mostly bilateral multiple, tumor sizes, nodular, massive or granular films, generally soft texture also was hard and tough, sometimes unilateral single person, but more associated with premenstrual breast tenderness, is also inconsistent with a sense of pain, and breast tumor the size of the characters may occur with menstruation and cyclical changes in the young age of onset was more; breast fibroadenoma of breast lumps are mostly single-sided fat mass were round or oval, clear boundary, range of large, tough texture of the general fact, there are multiple tumors, but in general no breast tenderness, menstrual breast or only mild discomfort, no tenderness, breast tumor the size of the characters had no menstrual cycle because of changes in patients over the age of 30 years of age, 20 to 25 years old up to see. In addition, the breast X-ray mammography, the breast fibroadenoma Changbiaoxianwei round or oval homogeneous density in the shadow of its unique circular transparent halo, can also serve as an important basis for the differential diagnosis.

  (2) of the mammary glands and breast cancer: both can see breast lumps. However, mammary glands of the breast lumps are generally more soft texture, or medium hardness, mass mostly bilateral multiple sizes and can be nodular, massive or granular films, activities, and no adhesion of skin and surrounding tissues, tumor the size of the characters often change with the menstrual cycle and mood change with, and slow-growing tumor, occurs in young women; breast cancer breast lumps generally hard texture, and some hard as stone, mostly unilateral solitary tumor The mass can be rounded, oval or irregular in shape, can grow to great activity and deteriorating happened with the skin and surrounding tissue adhesion, mass and independent of the menstrual cycle and mood changes, rapid growth in a short time large, occur in middle aged women. In addition, the breast X-ray mammography, the breast mass in Changbiaoxianwei, small calcifications, abnormal vascular shadow and burr, etc., can also help diagnosis. Needle aspiration in breast lumps can be found atypical cells. Final diagnosis is pathological test results in order to prevail.

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