How far is the breast nodule from breast cancer, come to listen to the experts say

The medical examination is over. Xiaomei found the word "the right breast low echo nodule" on the report form. It was very nervous in an instant. Listening to my colleagues said that the breast nodule would become breast cancer. Time bomb. Xiaomei thought about it, the words "breast cancer" have been lingering in their hearts, and the more they thought about it, the more and the spiritual appetite was getting worse and worse.

Director Lu Cheng, director of the Department of Breast Diseases of Nanjing Maternal and Child Health Hospital, introduced that in daily life, there are many women like Xiaomei. They found breast nodules during a physical examination, fearing that they would become breast cancer, and were very anxious. In fact, breast nodules are very common in clinical practice. It is a description of medical imaging. It is not the name of a disease, and it does not mean that it must be cancer. And most of the breast nodules are benign, including breast fibroma, breast cysts, breast lipoma, etc., only a small number of nodules are malignant.

If there is a nodule, what should I do? How to judge whether your nodules are malignant?

Experts said that breast B -ultrasound is the most commonly used method for breast nodules and one of the methods of female breast cancer census. Based on the boundary, echo type, blood flow signal, density, etc. in the image science, the abnormal gland signal is scored. Usually, the higher the grading, the greater the possibility of malignant. The possibility is very small.

Grade 4 is divided into three levels: 4A, 4B, and 4C. The possibility of viciousness of 4A cords <10%, 4B malignant possibility> 10%but <50%, 4C malignant possibilities> 50%; 50%;

Level 5 is highly suspected of malignant, the possibility of malignant ≥95%, level 4 and level 5 need biopsy to clear nodule nature;

Level 6 is a malignant lesion that has been diagnosed by the pathology, and surgical resection is performed when the conditions are appropriate.

In addition, regular breast self -examination is essential for early detection of breast disease. Wu Xiaoli, deputy director of the Women's Health Department of Nanjing Maternal and Child Health Hospital, suggested that the regular self -examination of the breast should be performed within one week after the menstruation is cleaned once a month. Just remember the four words "see the crowded investigation".

First observe the appearance of the breast, including the shape of the breast, skin tone, whether there are skin depression, and whether the bilateral breasts are symmetrical; touch the breast, the outside of the breast, and the armpits, check whether there are lumps and hardships; gently squeeze the nipples to observe whether the nipples can squeeze the nipples that can squeeze the nipples. Out of liquid; Finally, if we find the nipple depression, the ulcers of the skin, the skin of the skin's orange skin, the nipple discharge, the breast redness, the mass, and the lymph nodes, etc., it can be further checked at the hospital's medical examination center. Don't forget to conduct a gynecological examination once a year.

What should we do if we discover the breast nodule?

Director Lu Cheng introduced that with the advancement of the technology diagnostic technology, more and more breast nodules were detected, accounting for 60%to 70%of the women's groups. But in fact, there is still a very long distance from the breast nodule to the breast cancer, because breast cancer often rarely changes from the breast nodule, but from the beginning of the breast epithelial cells. cancer.

After detecting the breast nodules, the state of comprehensive age, family medical history, and breast nodules need to be diagnosed. If there are dangerous factors, for example, there are breast cancer and ovarian cancer in female direct relatives; if there are pancreatic cancer and prostate cancer in the male direct relatives, then it must be diagnosed by higher -level image diagnosis or even genetic screening. Scoring whether it is a high -risk population.

For low -risk breast nodules, patients only need to follow up once a year. A series of examinations need to be performed for high -risk breast nodules, such as doing nuclear magnetic resonance examinations to determine its benign malignant, or puncture biopsy for breast nodules. After identifying whether the breast nodule is benign or malignant, the doctor evaluates the next treatment plan.

Correspondent Wang Ningyan

Reporter Sun Sujing

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