There are always patients in the outpatient clinic who ask:
"I'm menopausal, won't I have nodules?"
"The mammography is very clear, so you don't need color ultrasound if you do it?"
······
Wrong, wrong
THE PICTURE IS FROM SOOGIF
These are easy to step on
Today, the doctor will answer!
No more nodules after menopause?
Breast nodules are a common disease in women, and their occurrence is not directly related to menopause.
After menopause, hormone levels change in a woman's body, but it doesn't mean that breast nodules won't grow anymore.
Image from "Too Handsome Gallery"
In fact, the formation of breast nodules is related to a variety of factors, including genetics, environment, endocrine, etc., and menopause is only one of the possible influencing factors.
On breast ultrasound, nodules are often followed by a BI-RADS classification, which can be divided into the following six categories:
BI-RADS1 category: negative, you can basically rest assured!
BI-RADS2 class: not a big problem! However, it is still recommended to recheck it regularly every year!
BI-RADS3类：恶性几率<2%，3~6个月复查一次即可。
BI-RADS4类：恶性几率较高（3%~94%），需结合医生判断做穿刺活检。
BI-RADS5 class: the probability of malignancy is more than 95%, and needle biopsy is recommended to confirm the diagnosis.
BI-RADS6 category: has been confirmed by biopsy to be malignant, and surgical resection is not contraindicated.
Therefore, it is recommended that adult women should add breast ultrasound to their physical examinations. Most breast cancers can be detected in ultrasound examinations!
The picture is from the copyright gallery, please do not reprint
The high incidence of breast malignancy is mainly concentrated between the ages of 40 and 50, but this does not mean that women of other ages can be taken lightly. Clinically, breast cancer patients in their 80s or even older are often encountered.
Therefore, no matter what age a woman is, she should pay attention to her breast health, have regular breast self-exams and receive professional medical examinations.
Can mammography replace color ultrasound?
Mammography and color ultrasound have their own emphasis and cannot be substituted for each other. Generally, color ultrasound is once every 3-6 months, and mammography is once a year.
The mammography picture comes from "Taishuai Gallery"
Mammography is mainly used to look for calcifications in the breast and has a high sensitivity for detecting certain types of breast cancer.
Color ultrasound can more intuitively show the structure and blood flow of breast tissue, which is of great significance for finding breast nodules, cysts and other lesions.
Women learn to self-examine on a daily basis
see
Face the mirror with your hands drooping and carefully observe whether the breasts are symmetrical, whether there are abnormal protrusions, and whether the skin and nipples are sunken or eczema.
Image from "Too Handsome Gallery"
touch
Image from "Too Handsome Gallery"
Raise the left hand to the back of the head, stretch out the palm of the right hand, put the four fingers together, use the distal fingertips of the index finger, middle finger and ring finger to gently touch and slide on the left breast to feel whether there is a hard lump, start from the nipple to do a circular clockwise examination, gradually outward (about three or four circles), until all the breasts are examined, observe whether there is a breast lump, do not grasp it by hand.
Then check the left breast and armpit, and finally the left armpit to see if there is lymphadenopathy.
The right breast is examined in the same way.
crouch
Lie flat, put a pillow under your right shoulder, bend your right hand under your head, and repeat the "touch" method to check both breasts.
Image from "Too Handsome Gallery"
squeeze
Squeeze the nipple with your thumb and forefinger, noting for abnormal discharge.
If an abnormality is found, it is advisable to see a doctor promptly.
- Guidance in this issue: Yang Yifei, chief physician of the Department of Nail and Breast Surgery, the First People's Hospital of Linping District
- Contributed by: Linping District Health Bureau
- Please indicate "Healthy Hangzhou"
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