Breast lumps are the most common type of breast lesion, but not all breast lumps require surgery**.
The author has explained in previous popular science articles that for breast lumps that are palpable on the surface of the body, if the lump is hard, the boundary is not clear, the surface is not smooth, and the mobility is poor, it is necessary to go to the hospital in time for ultrasound mammography and other examinations to confirm the diagnosis. For breast masses detected during daily self-examination, it is necessary to consider factors such as the patient's age and the presence or absence of breastfeeding (whether the lump is close to the nipple will affect future breastfeeding) to determine whether it is necessary to wait until after breastfeeding to undergo surgery**. If it is a breast mass found by color ultrasound mammography on routine physical examination, breast ultrasound will comprehensively analyze the echo of the lump, whether the shape is regular, aspect ratio, boundary, density, blood vascularity, etc., and the mammography will be judged according to whether the appearance of the lump is regular, there are ** thorns, whether there is calcification and calcified morphology, whether the glands around the mass are structurally disordered, etc., if the lumps are multiple and all are less than 1cm, and the imaging evaluation is BI-RADS class 3 or less, The clinician may make the decision to review periodically. If there are multiple lumps, one is greater than 1Lumps of 5-2 cm or more, or irregular bi-rads class 3 or more, may require surgery**. For imaging BI-RADS category 4 or higher, surgery is generally required**. In particular, for lesions of BI-RADS class 4B or higher, a pathologic diagnosis must be made to rule out the possibility of malignancy.
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