Lactation mastitis is also passed to?

"Doctor, I am in the end, exactly?" I first met the very fact that more than 40 years old, she cried in two years since his "experience." One day two years ago, Ms Cheung discovered accidentally left inside the areola the size of the mass emergence of a broad bean, has no care for superficial. Two weeks later, the mass rapidly increased to egg size, skin redness, but there is also a little orange peel-like depression, there have been little left armpit lump, a dull pain. Ms. Zhang rushed to a nearby hospital, the doctor examined the tumor of the breast, the view that "Breast Cancer" a great possibility, combined with axillary lymph node has been swelling, indicating serious condition, need for radical mastectomy. Very fact that suddenly terrified that she could not believe his got "ill." On the occasion of her despair, a further test results before surgery then came the "good news": pathological biopsy showed tumor is not cancer, breast inflammation may be. So, the doctor gave her intravenous antibiotics for some time, lump really reduced. Ms. Zhang was finally relieved. Can not long before disease appeared again, this has reduced the tumor has gradually increased, but rupture the pus, then re-use of antibiotics are not efficacious, and ulceration Department also how close I can not. Ms. Zhang doctor around, eventually finding a good several large hospitals, and some say that breast-TB, anti-TB treatment needs; some kind of change that breast orange peel skin, not only for reconstruction of breached blood and pus, and the axillary lymph nodes may be the last puncture in place, and still can not rule out the possibility of breast cancer ... ... the past two years, Ms. Zhang to treat spent a great deal of energy and money, and even lost his job, and I feel extremely depressed.

Understand the very fact that the condition, we carefully made for her, it was discovered in patients with left nipple retraction, nipple hole a small amount of powder residue discharge, the left one is about 4 cm medial mass × 5 cm, texture hard, the surface not only whole, the border less clear, there is an ulcerated mouth, there is pus and blood flowing out, the skin color dark red, orange peel-like change. Palpable left axillary lymph node swelling, and tenderness. According to inspection, our preliminary determination is very fact that suffering from mastitis.

"My kids have been 10 years old, how could I have mastitis?" Miss Zhang puzzled. Indeed, we usually know mastitis majority (90%) occurred in the post-natal breast-feeding, especially after the full moon in children with acute suppurative mastitis, which occurred in non-lactating mastitis full name "plasma cell mastitis ", which affects mainly due to papillary dysplasia, congenital deformity, depression, dirty and so lead to the nipple openings are blocked, breast duct obstruction. Ductal shortened by fibrosis, traction inverted nipples or nipple Erzhi make more retraction had inverted nipples. Local skin edema due to tumor adhesion and inflammation can be orange peel degeneration, both axillary lymph node swelling reaction. Resembles its clinical breast cancer, is often wrong with radical mastectomy. Also, because of plasma cell mastitis after recurrent left breast areola Department and the Department of fistula, delayed healing, easy to become confused with tuberculosis.

As a non-plasma cell mastitis bacterial inflammation, so the use of antibiotics ineffective. Traditional treatment of this disease are mainly surgery, especially for late fistula has formed ulcer cases, Western medicine or section by simple mastectomy surgery, Chinese medicine, is targeted at patients with different situations by open debridement method, hanging line method, delay line method, removal of surgical instruments rot myogenic law, and with the Oral Traditional heat, and business trust drug Endometriosis Chinese medicine. Chinese combination therapy with less tissue damage, pain, recurrence rate after the more advantages can be essential to maintain breast shape. Very fact that more than a month of intensive treatment, eventually recovered.

Ms. Zhang to cure the disease and was very pleased, but at the same time take up for his heart to her daughter, and her daughter, like the original, but also congenital nipple inversion. Since the occurrence of plasma cell mastitis is closely related with the inverted nipple, then her daughter can do? Infants and young children if the child was found inside inverted nipple reduction, the mother should be promptly pull with your fingers or needle aspiration of negative and other methods to pull out the baby nipple, but action should be gentle, and pay attention to cleaning and disinfection. If in infancy did not pull out the nipple, it may not yet shaped at puberty when breast development, the implementation of the nipple to the regular hospital orthopedic surgery, so that the nipple back to normal. As for the breast development has basically shaped the adult female, poor ductal bend, then re-nipple effect of orthopedic surgery is not very satisfactory. Secondly, women should always pay attention, especially in puberty nipple clean, when the powder residue inside the nipple discharge, should be regularly wiped with alcohol cotton balls or saline.

In recent years, plasma cell mastitis misdiagnosed as breast cancer, breast impose inappropriate treatment of TB and cases have occurred. Plasma cell mastitis has the following characteristics: ① The onset is not breastfeeding or pregnancy, more common in over 30 non-lactating women or postmenopausal women. ② majority of patients with congenital inverted nipple or a linear depression deformity, nipple hole often smell like powder residue or grease-like substance discharge solution; ③ mass began in the Department of the areola. ④ acute onset of sharp, areola swelling to a quadrant of the Department of stretching, the formation of irregular hard mass, but less severe systemic symptoms, body temperature is not high. After the abscess wound often recurrent ulceration, pus, and form leading to the nipple openings of the fistula, fistula into the chronic phase. If we do not get a positive rational treatment, a tumor of the breast can be extended from one quadrant to quadrant 23, the breast deformation damage on the more serious.