This is the 4709th article of Da Yi Xiao Nu
The "blind box" culture is becoming more and more popular among young people, and you can find shops selling blind boxes in many shopping malls. Blind box is to hide different shapes of dolls in the same appearance of the carton, enthusiasts call this process "draw blind box", only after opening to know which one to get, and a few times can also draw a more delicate hidden model.
The picture shows a corner of the blind box store Open the carton below to get a random doll above
In the process of diagnosing and treating breast nodules, we also experienced a process similar to "drawing a blind box". Doctors make basic evaluations through clinical manifestations, palpation, imaging and other means, and pathological diagnosis is like the moment of opening a box, and finally determines the nature of the nodule. We all hope that pathological diagnosis can "draw" benign results, or control malignant diseases in the process of early detection, early detection, and early treatment. At present, the incidence of breast cancer is high, showing a trend of younger people, and patients younger than 35 years old and lactating breast cancer patients are becoming more and more common. Screening before marriage and childbirth is particularly important for young women.
So, what breast diseases need to be addressed before pregnancy?
1. Breast tumors
If the examination results show that there is a fibroadenoma, it is recommended to have surgical resection before pregnancy, especially for some patients who are not pregnant normally, such as women who are preparing for artificial insemination or IVF; if it is considered to be a breast malignancy, it is necessary to undergo surgery, chemotherapy and other treatments in time, and at the same time to postpone the pregnancy plan. Because most breast tumors are hormone-dependent tumors, the rapid rise in estrogen and other hormone levels during pregnancy will promote the rapid growth or malignant transformation of breast tumors. Some patients with nipple discharge present with brownish-red fluid from the nipple, usually suggesting a lesion within the milk ducts, such as an intraductal papilloma, that also requires prompt surgery.
2. Inverted nipples
Severe inverted nipples also need to be corrected before pregnancy. Some women do not realize that their nipples are inverted, deformed or short until they are breastfeeding, and the doctor will use different correction methods to prepare for smooth breastfeeding. Early correction has obvious effects, which can avoid the occurrence of postpartum breastfeeding difficulties, milk duct blockage, and mastitis to a certain extent.
3. Severe breast hyperplasia
Breast hyperplasia is a common physiological change of the mammary gland, when there is a localized mass or painful hyperplasia in the mammary gland, the symptoms can be controlled before preparing for pregnancy, so as to reduce the burden on the mammary gland during pregnancy and postpartum.
How to Perform a Breast Exam Correctly?
Because the arrival of many babies is not planned, it is recommended to go to the breast department to check the breast glands before marriage, and you can also check 2-3 months before preparing for pregnancy, so as to detect various diseases of the breast glands in time before pregnancy and deal with them in time.
What should I do if I miss a preconception breast test if I am pregnant?
Because the hormone is constantly high during pregnancy, it is more likely to suffer from breast diseases, so it is also necessary to check the breast during pregnancy.
Breast palpation and ultrasound examination can be performed in the first trimester until prenatal to detect problems early and deal with them; nipple maintenance can be carried out from the second trimester to prevent the occurrence of postpartum mastitis and cracked nipples, nipple discharge should not be violently removed, can be applied externally and then washed after a little wet, do not over-clean daily; prenatal breastfeeding guidance can be Xi to prepare for better feeding of the baby.
For breast lesions found during pregnancy or postpartum, according to the clinician's advice and auxiliary examinations, reasonable judgment and treatment, continue follow-up observation or needle biopsy if necessary to confirm the diagnosis.
Author: Department of Breast, First Hospital of Shanxi Medical University
Jia Hongyan Zhang Aoxue
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