cause of disease
This sickness cause of disease is not clear,because but this gets sick common in,the senior citizen,possibly is one kind of recession change,falls or abnormal,the squamose epidermis with nipple in enters the drive pipe endophragm,creates the keratinization scale filings blocking,or the lipin secretion stimulation drive pipe wall,creates the inflammation,the scar proliferation and continues sends the infection to concern. Own immunity disease also has the possibility,because of this sickness later period,often merges cytoplasmic cell mastitis,has the massive cytoplasmic cell infiltration common in the pathology,the pathological change assumes manifests suddenly repeatedly,therefore some people thought is one kind of own immunity disease.
displays
The early performance or has faint yellow for the nipple yellowish brown color secretion overflows the fluid,the minority case of illness appears the courage and uprightness to overflow the fluid,implicates many drive pipes,when areola place extrusion,often may extrude the faint yellow fluid. Later period nearby the areola,appears the size different tumour,either may appear the tumour and the skin adhesion,either is accompanied by in the nipple to fall the phenomenon. Sometimes has the inflammation in the tumour surface skin,the ache and the tenderness,serious may appear around the areola abscess,after the incision often not easy to heal. May infect repeatedly,but also may appear the breast syrinx prolonged not or the breast serious distortion. The condition relapse,the medical history may for 10 years long time.
the
diagnosis and the distinction diagnoses
The old age female appears the nipple to overflow the fluid,implicates many drive pipes,later period may appear the inflammatory tumour and abscess forms,after the incision is often difficult to heal,the common syrinx formation may make the diagnosis.
Should give including which distinguishes:
In drive pipe papilloma (or cancer): The patient age may be slightly light,displays for does not have the pain single or the partner has 2-3 drive pipe to overflow the fluid,sometimes may hold and the tubercle nearby the areola,holds back the history to have light yellow or the courage and uprightness overflows the fluid. Through the mammary gland drive pipe radiography or the living tissue inspection,may be clear about the diagnosis.
Breast cancer: Sees in,the old age female,in the breast the tumour for single,the nature is firm,the boundary is unclear,assumes the progressivity to grow,the common armpit lymph node shift,little has the nipple to overflow the fluid. B ultra,the pintle puncture biopsy and the pathological section inspection,may be clear about the diagnosis.
Breast tuberculosis: Also may display for the breast in the inflammatory tumour and the chronic ulcer or the syrinx,often must depend upon the pathological diagnosis. But in on the clinical breast tuberculosis forms after ulcer or the syrinx,sometimes often obviously has moves under water the edge and the pale granulation tissue,the bean slag specimen thin secretion,the sanies smear may find the acid-proof bacillus.
treats
The drive pipe expands sickness and cytoplasmic cell mastitis is a disease different time performance,the treatment plan rests on the different clinical manifestation to decide. But treats the common main point history excision has the pathological change mammary gland drive pipe,achieves the permanent control in order to the goal.
The mammary gland drive pipe expands sickness the initial period,only has the nipple to overflow the fluid either the areola department has the cyst or the young tumour,should make the expansion drive pipe technique and the tumour excision method,the excision tumour all around inflammation organizes the drive pipe which and is interlinked,and should reach the drive pipe separation the nipple place,after in order to avoid the technique recurs. Retains the nipple.
The nipple overflows the tumour which the fluid partner infects repeatedly,after elimination malignancy possible,should make the widespread excision,if the pathological change concentrates in the areola and the midcontinental region,may take the central sector breast wedge-shaped excision method,achieves the permanent control the goal.
The inflammatory tumour or abscess formation,according to inflammation processing,the use antibiotic,the partial incision drainage,are doubting have the pathological change expansion drive pipe place to do include the governing skill.
The chronic syrinx or the breast serious abnormality,may consider makes the pure breast excision method.
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