Must breast cancer have surgery?

This is uncertain, divided into many different types of breast cancer, there are different types of treatment methods, the following describes the type of breast cancer and related treatment:

(1), cystic hyperplasia of breast: breast cystic hyperplasia is a duct or acinar epithelial hyperplasia and proliferation of duct epithelium at the expansion or the formation of cysts. The disease occurs in women before and after 40 years of age, but young women and the elderly woman was also suffering from the onset to treatment time of varying lengths, the shortest were only a few days, the longest more than ten years. The main symptoms of the disease is tumor, may have 4 different performance:

Single mass: large cysts, mostly due to the boundary clear, free promotion, and often can be identified as a cyst. Unless the cyst contents are too many great tension, or mass, position and mistaken for deep and solid. Capsule contents and more clear, such as concurrent infection is the content of opacity. If the adhesions caused by the surrounding tissue near the nipple can nipple retraction.

Most of mass: It is caused by multiple cysts, and multiple cystic nodules palpation, can affect the whole milk.

Sections of breast nodules: This knot mostly triangles, bottom edge in the breast, cutting-edge point to the nipple.

Nipple discharge (bloody or serous): breast examination no positive findings, but the push in some parts of the breast around the area (the equivalent of a mammary gland or a few gland), can cause one or several duct duct discharge.

Breast pain and more disease was not significant, as the blunt pain or sting, begin to expand when the milk ducts can be accompanied by pain.

Use of traditional Chinese medicine Shugan Qi, phlegm meridians, promoting blood circulation and Western hormone therapy, the effect is poor, resectability and for pathological examination. Removal of lesion resection principles, such as broad discretion to the whole breast lesion excision; if postoperative pathological examination revealed cancer, the additional radical surgery.

(2) breast fibroids: breast fibroids are the most common benign tumor of young women, mostly without pain of the mass, more inadvertently discovered; initially small, but growing rapidly, up to 3cm during slow or stop the growth of growth; were round or oval, clear border, and more than the bulge, were less flat surface, not very smooth, fine touch of small nodules, there was significantly lobulated, moderately hard, and more without tenderness be free to drive.

Breast fibroid surgery good results. But breast fibroids may recur, a surgical resection, you can make other parts of the breast recurrence. Such as continuous new breast fibroids, the procedure difficult to sustain, and patients often refuse surgery. Then you can try androgen therapy, 1 week after the cessation of menstruation oral testosterone to end before the start of the next menstrual daily dose, the total does not exceed 100mg appropriate. During treatment, to not make for the degree of menstrual cycle disorders.

(3) large duct papilloma breast: a large duct papilloma breast from the duct opening is about 1cm until the following section of ampullary duct papilloma occurred. Dominated by single and multiple are rare. Clinical breast examination can be expressed as nipple discharge, pain, three cases reach mass, nipple discharge smear cytology, showing red blood cells and epithelial cells, tumor cells sometimes visible, but often can not determine the benign or malignant.

With nipple discharge as the only clinical manifestation of a large duct papilloma breast, treatment principles are as follows: ① simply a conduit discharge, local excision may be the point, if the press led to a section of the discharge, viable segments removed. ② multiple duct discharge, the elderly are feasible mastectomy, the younger section of the line should be removed. ③ specimens for pathological examination, and finally according to pathological examination, and then decide whether additional other therapy.

Papilloma of the following clinical features, treatment methods are as follows: ① There is bleeding, large duct excision feasible. ② small nodules near the areola, the nodules can be removed. ③ obvious central cystic breast mass, particularly in larger tumors, where the clinical diagnosis was unknown, middle-aged women, should line mastectomy, if the tumor is smaller, the local excision can be.

Papillomas were large duct is very rare, it should not be regarded as precancerous lesions. Large duct papilloma recurrence after local excision was very small, with total mastectomy for the treatment to be carefully chosen.