What is the best treatment plan for BI-RADS category 4A?
Nov 10, 2024
Source: Cainiu Health
Dr. Lv Dapeng
Introduction
Generally speaking, there is no absolute "best" treatment plan. Category 4A breast nodules refer to breast nodules classified as Category 4A according to the BI-RADS classification system. These nodules carry a certain risk of malignancy, approximately between 2% and 10%, although most remain benign. Treatment options typically include follow-up observation, fine needle aspiration biopsy, medication, surgical treatment, and physical therapies.
Generally speaking, there is no absolute "best" treatment plan. Category 4A breast nodules refer to breast nodules classified as BI-RADS category 4A, which may be caused by factors such as milk stasis, mastopathy, mastitis, fibroadenoma, or breast cancer, and carry a certain risk of malignancy. Treatment options usually include warm compresses, medication, surgical treatment, chemotherapy, and others. Detailed analysis is as follows:
1. Milk Stasis: Patients who are breastfeeding might experience milk stasis, which can lead to the formation of breast nodules. This is a normal physiological phenomenon that generally does not require special treatment. It can be improved with warm compresses while maintaining nipple hygiene and avoiding scratching the affected area.
2. Mastopathy: Due to an imbalance of estrogen and progesterone in the body, hyperplastic changes in the breast tissue may occur, potentially forming breast nodules leading to BI-RADS category 4A. Symptoms may include breast pain and lumps. Under a physician's guidance, patients may use medications such as Xiaoyao Pills, Rupi Sanjie Capsules, or Rukang Tablets. Regular breast ultrasound and mammography examinations should also be performed to monitor changes in the size and morphology of the nodules.
3. Mastitis: If the breast tissue is stimulated by pathogens, mastitis may develop, and the accumulation of inflammatory secretions may also form breast nodules, leading to BI-RADS category 4A. Patients may experience symptoms such as breast pain, redness and swelling, and fever. In such cases, medications like Cefixime Capsules, Amoxicillin Capsules, or Cefuroxime Axetil Tablets may be used under a physician's guidance.
4. Fibroadenoma of the Breast: Fibroadenoma is a benign tumor caused by abnormal proliferation of fibrous cells on the walls of breast ducts. This abnormal proliferation may form nodules or masses, leading to BI-RADS category 4A. If no obvious symptoms are present, treatment may be deferred with regular follow-up visits. However, if significant pain or swelling occurs, prompt medical attention is needed, and surgical treatments such as minimally invasive excision or microwave radiofrequency ablation may be required.
5. Breast Cancer: Breast cancer originates from the malignant transformation of breast epithelial cells and may also result in BI-RADS category 4A. Symptoms may include breast pain and nipple discharge. If breast cancer is diagnosed, prompt medical attention for surgical treatment is necessary, such as total mastectomy or radical mastectomy. Radiation therapy, chemotherapy, or targeted therapy may also be required.
Patients should maintain good lifestyle habits and healthy dietary practices in daily life, actively adjusting their physical condition to enhance treatment effectiveness when managing diseases.
