乳腺增生的臨床表現
//hzlcwl.cn2009-08-31 13:37:37 來源:全民健康網
是女性最常見的,其發病率占乳腺疾病的首位。近些年來該病發病率呈逐年上升的趨勢,年齡也越來越低齡化。據調查約有70%~80%的女性都有不同程度的乳腺增生,多見于25~45歲的女性。現代醫學則認為,它的發生,發展和轉歸,完全是由于婦女體內的激素周期性變化所導致。
和腫(zhong)塊為本(ben)病主要的臨床表現。
(1)疼痛(tong)(tong)(tong)(tong):常(chang)為(wei)(wei)脹(zhang)痛(tong)(tong)(tong)(tong)或(huo)刺(ci)痛(tong)(tong)(tong)(tong),可(ke)(ke)累及(ji)(ji)一側(ce)(ce)(ce)或(huo)兩側(ce)(ce)(ce),以一側(ce)(ce)(ce)偏(pian)重多(duo)見(jian),疼痛(tong)(tong)(tong)(tong)嚴重者不可(ke)(ke)觸碰,甚至影響日常(chang)生(sheng)活及(ji)(ji)工作。疼痛(tong)(tong)(tong)(tong)以腫塊處為(wei)(wei)主(zhu),亦可(ke)(ke)向患側(ce)(ce)(ce)腋(ye)窩、胸脅或(huo)肩背部(bu)放(fang)射(she);有些則表現(xian)為(wei)(wei)疼痛(tong)(tong)(tong)(tong)或(huo)癢。疼痛(tong)(tong)(tong)(tong)常(chang)于前數(shu)天出現(xian)或(huo)加重,行(xing)經后(hou)疼痛(tong)(tong)(tong)(tong)明顯減輕(qing)或(huo)消失;疼痛(tong)(tong)(tong)(tong)亦可(ke)(ke)隨(sui)情(qing)緒變(bian)化而(er)波動。這(zhe)種(zhong)與月經周期及(ji)(ji)情(qing)緒變(bian)化有關的疼痛(tong)(tong)(tong)(tong)是乳腺增生(sheng)病(bing)臨床表現(xian)的主(zhu)要特點。
(2)腫(zhong)塊(kuai)(kuai):腫(zhong)塊(kuai)(kuai)可(ke)發于單(dan)側(ce)或雙(shuang)側(ce)內,單(dan)個(ge)或多個(ge),好(hao)發于外(wai)上象(xiang)限(xian),亦可(ke)見于其(qi)他象(xiang)限(xian)。腫(zhong)塊(kuai)(kuai)形狀(zhuang)(zhuang)(zhuang)有片塊(kuai)(kuai)狀(zhuang)(zhuang)(zhuang)、結節(jie)狀(zhuang)(zhuang)(zhuang)、條索狀(zhuang)(zhuang)(zhuang)、顆粒狀(zhuang)(zhuang)(zhuang)等,其(qi)中以片塊(kuai)(kuai)狀(zhuang)(zhuang)(zhuang)為多見。腫(zhong)塊(kuai)(kuai)邊界不明顯,質地中等或稍硬(ying)韌,活動好(hao),與周圍組(zu)織無粘連,常(chang)有觸痛。腫(zhong)塊(kuai)(kuai)大小不一,小者如粟(su)粒般大,大者可(ke)逾3~4cm。腫(zhong)塊(kuai)(kuai)也有隨月經(jing)(jing)周期(qi)而變化(hua)的特點(dian),月經(jing)(jing)前腫(zhong)塊(kuai)(kuai)增大變硬(ying),月經(jing)(jing)來潮后腫(zhong)塊(kuai)(kuai)縮小變軟。
(3)溢液(ye)(ye):少數患者可出(chu)現溢液(ye)(ye),為自發溢液(ye)(ye),草黃(huang)色(se)或棕(zong)色(se)漿液(ye)(ye)性(xing)溢液(ye)(ye)。
(4)月經失調:本(ben)病患者可兼(jian)見月(yue)經前(qian)后不定期(qi),量少(shao)或色淡,可伴。
(5)情(qing)志(zhi)改(gai)變(bian):患者常感情(qing)志(zhi)不暢或(huo)心煩易怒,每遇生氣、精神緊張(zhang)或(huo)勞累后加重。
乳腺(xian)增生(sheng)的程度分期(qi)
有(you)很多(duo)(duo)患者患乳腺(xian)(xian)增(zeng)(zeng)生(sheng)(sheng)后不(bu)(bu)知道是(shi)(shi)嚴重還是(shi)(shi)不(bu)(bu)嚴重,醫生(sheng)(sheng)檢查后也只是(shi)(shi)說乳腺(xian)(xian)增(zeng)(zeng)生(sheng)(sheng)。患乳腺(xian)(xian)增(zeng)(zeng)生(sheng)(sheng)的(de)女性朋友(you)可能對(dui)乳腺(xian)(xian)增(zeng)(zeng)生(sheng)(sheng)并不(bu)(bu)十分了(le)解,更(geng)不(bu)(bu)知道自己乳腺(xian)(xian)增(zeng)(zeng)生(sheng)(sheng)的(de)程度如何。大多(duo)(duo)患者在醫院檢查后醫生(sheng)(sheng)就(jiu)(jiu)告訴說是(shi)(shi)乳腺(xian)(xian)增(zeng)(zeng)生(sheng)(sheng),要么(me)(me)開點藥,要么(me)(me)不(bu)(bu)了(le)了(le)之,為什么(me)(me)?因為,目前醫生(sheng)(sheng)對(dui)乳腺(xian)(xian)增(zeng)(zeng)生(sheng)(sheng)是(shi)(shi)束(shu)手無策,不(bu)(bu)然也就(jiu)(jiu)沒有(you)這么(me)(me)多(duo)(duo)乳腺(xian)(xian)增(zeng)(zeng)生(sheng)(sheng)患者了(le)。下面把乳腺(xian)(xian)增(zeng)(zeng)生(sheng)(sheng)的(de)程度分期介紹給患者朋友(you),以便自我診斷其嚴重程度:
一(yi)、乳(ru)腺小葉增(zeng)生(sheng)(Ⅰ期(qi)乳(ru)腺增(zeng)生(sheng)):是乳(ru)腺的(de)初(chu)期(qi)增(zeng)生(sheng),多發生(sheng)在25-35歲,癥狀表(biao)現較輕,屬于乳(ru)腺增(zeng)生(sheng)Ⅰ期(qi)。在乳(ru)腺增(zeng)生(sheng)患病率(lv)中占70%以上(shang),往(wang)往(wang)不被引起(qi)重視,不積極治療任其發展。
二、乳(ru)腺(xian)(xian)(xian)(xian)腺(xian)(xian)(xian)(xian)病(bing)(乳(ru)腺(xian)(xian)(xian)(xian)導管(guan)擴張(zhang)癥,Ⅱ期(qi)乳(ru)腺(xian)(xian)(xian)(xian)增生):是乳(ru)腺(xian)(xian)(xian)(xian)初(chu)期(qi)增生的(de)進一步發展,從小(xiao)葉(xie)增生發展到乳(ru)腺(xian)(xian)(xian)(xian)導管(guan)擴張(zhang),稱為乳(ru)腺(xian)(xian)(xian)(xian)腺(xian)(xian)(xian)(xian)病(bing),多發于30-45歲(sui),癥狀(zhuang)表現(xian)嚴重(zhong),屬于乳(ru)腺(xian)(xian)(xian)(xian)增生Ⅱ期(qi)。容易引起重(zhong)視(shi),往往治愈(yu)比較困難(nan),久治不愈(yu)造成精神(shen)壓抑,導致癥狀(zhuang)加重(zhong)。嚴重(zhong)導致內分泌(mi)紊亂,身體則出現(xian)一系列(lie)疾病(bing)癥狀(zhuang),如(ru)、、膚色嗨暗等系列(lie)反應。
三、囊(nang)性增生(sheng)(乳(ru)腺(xian)導管(guan)擴張合并(bing)上皮細(xi)胞增生(sheng)癥,Ⅲ期(qi)乳(ru)腺(xian)增生(sheng)):是乳(ru)腺(xian)二(er)期(qi)增生(sheng)的進一步發展,多發生(sheng)在40-55歲,癥狀表現非(fei)常(chang)嚴重,屬于乳(ru)腺(xian)增生(sheng)Ⅲ期(qi)。三期(qi)增生(sheng)的惡(e)變率在70%以上,積極治療和定(ding)期(qi)檢(jian)查是非(fei)常(chang)必(bi)要(yao)地,三期(qi)乳(ru)腺(xian)增生(sheng)往往會給(gei)患者帶來(lai)精(jing)神(shen)壓抑及(ji)恐(kong)懼(ju)心理。
四、乳腺(xian)囊腫(zhong)病(bing)(Ⅳ期(qi)乳腺(xian)增(zeng)生):乳腺(xian)導管(guan)細胞及(ji)上皮細胞大量堆積死亡,形成囊腫(zhong)性腫(zhong)塊,癌變率90%以上。
五、乳腺癌(Ⅴ期乳腺增生):多由囊性增生和囊腫進一步發展而來,乳腺癌的早期治療只有手術,保乳與否是手術的選擇。Ⅰ期和Ⅱ期乳腺增生發展成乳腺癌的機率1-3%,患上乳腺增生都必須及時治療,不能任期發展。
[[編輯推薦:乳腺增生的發病原因]]