Drive pipe expansion sickness history one kind of not rare benign disease. It and cytoplasmic cell mastitis are possibly one kind of disease’s different period, this sickness is not rare, common Yu Zhong, the old age female, the peak age is 50-60 years old. Because its clinical manifestation is complicated and diversified, by the error diagnostic is breast cancer easily, is the patient suffers the nonessential expanded surgery.
Cause of disease
This sickness cause of disease is not clear, but because this sickness common Yu Zhong, the senior citizen, are possibly one kind of recession change, falls or abnormal, the squamous epithelium with nipple’s 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 following sends the infection to concern. Own immunological 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 that is one kind of own immunity disease.
Performance
The early performance or has faint yellow for the nipple yellowish brown color secretion overflows the fluid, the minority case presents 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, presents the size different tumour, either may present the tumour and skin’s adhesion, either is accompanied by in the nipple to fall the phenomenon. Sometimes has inflamed, the ache and the tenderness in the tumour surface skin, serious may present around the areola abscess, after the incision, is not often easy to heal. May infect repeatedly, but may also present the breast syrinx prolonged not or breast’s serious distortion. The condition relapse, the medical history may be 10 year long time.
Diagnosis and differential diagnosis
, The old age female presents the nipple to overflow the fluid, implicates many drive pipes, later period may present the inflammatory tumour and abscess forms, after the incision, often difficultly heals, the common syrinx forms may make the diagnosis.
Should give distinguishes includes:
In drive pipe papilloma (or cancer): The patient age may be slightly light, displays single or occasionally has 2-3 drive pipes for the indolence 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 Yu Zhong, 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. the ultrasound, the pintle puncture biopsy and the pathological section inspection, may be clear about the diagnosis.
Breast tuberculosis: May also display for the breast in the inflammatory tumour and the chronic ulcer or the syrinx, often must depend upon the pathological diagnosis. But on clinical breast tuberculosis after ulcer or the syrinx form, sometimes often obviously had 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.
Treatment
The drive pipe expansion sickness and cytoplasmic cell mastitis is a disease different time performance, the therapeutic schedule rests on the different clinical manifestation to decide. But the treatment common main point history excision has pathological change’s mammary gland drive pipe, achieves the permanent control in order to the goal.
The mammary gland drive pipe expansion sickness 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 inflammation all around organizes the drive pipe which and is interlinked, and should reach the drive pipe separation the nipple place, in order to avoid after 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 form, according to inflammation processing, the use antibiotic, the partial incision drainage, is doubting has pathological change’s expansion drive pipe place to do includes the governing skill.
The chronic syrinx or the breast serious abnormality, may consider that makes the pure breast excision method.
