What to do if you have multiple breast nodules

There are two major physical problems that women need to pay attention to at all times. The first is gynecological problems, and the second is breast problems. In fact, both of these can be self-checked in advance before the onset of the disease. Gynecological problems require attention to daily sexual life and private parts hygiene, while breast problems can also be detected by yourself. If you find nodules during breast self-examination, go to the hospital for examination immediately. Do not relax your vigilance just because you have no discomfort symptoms. The relevant content is introduced below, let’s take a look.

examine

1. Breast palpation

2. Mammographic X-ray examination shows round or irregular nodules on mammographic films. Benign nodules generally have clear boundaries and regular shapes, while malignant nodules generally have unclear boundaries and irregular shapes, with visible burrs or lobes. Sometimes an "edema zone" can be seen outside the nodule, and it is better at showing clustered calcifications within the lesions.

3. Color Doppler ultrasound examination can clearly show smaller lesions in breast tissue and can more completely characterize and locate the tumor. Deep nodules that doctors cannot palpate can often be detected; the capsule echo can be detected, mostly showing low or medium echoes; the echo of benign tumors is uniform, while the echo of malignant tumors is generally uneven, and the blood flow distribution can be displayed.

4. Pathological histological examination of nodules can be performed by hollow needle puncture biopsy or excisional biopsy for histological diagnosis to determine the nature of the nodule. For inaccessible lesions, positioning can be performed under the guidance of molybdenum-palladium or B-ultrasound.

diagnosis

The diagnosis can be made based on clinical manifestations and examination results.

treat

The treatment of breast nodules should first establish a clear diagnosis. Through breast B-ultrasound and molybdenum target, some nodules are considered to be benign lesions with a high probability and may be considered for regular follow-up observation. Some breast nodules require biopsy to clarify the pathological nature and further treatment plans are decided based on the pathological results. If it is a malignant tumor, multidisciplinary collaboration is required based on the patient's condition to develop an individualized comprehensive treatment plan, including surgery, chemotherapy, radiotherapy, endocrine therapy, and molecular targeted therapy.

prevention

Given that the cause of breast nodules is still unclear, there is currently no clear and effective prevention method, but relevant prevention and control measures can be taken for the high-risk factors of breast cancer, including a reasonable diet and a healthy lifestyle. Encourage breastfeeding, quit smoking and drinking, avoid long-term and large-scale oral contraceptive use, etc. If the patient has hereditary breast cancer, relevant breast cancer susceptibility gene testing can be considered to clarify and develop an individualized breast cancer screening plan, and preventive mastectomy can be performed if necessary.