At non- gestation period and don’t breast feed a period, crowded knead nipple have liquid run off to be called a nipple discharge.The nipple discharge is one of the familiar sympton of the mammary gland paroxysm, according to the covariance, want the sympton to seek medical advice to have 3% ?s 14%, the incidence rate only next to mammary gland lump and breast ache of the mammary gland paroxysm with the nipple discharge the leader.If the nipple discharge appear is a single nipple discharge, most heels following several species breast disease relevant:
1.The mammary gland catheter extends a disease:Get parts of patients of this disease, the head hair sympton was a nipple discharge in early days.The color polypeptide which overflows a liquid is a brown and the minority is a guts;Overflow the liquefaction checks a check it is thus clear that have a great deal of plasma cell, lymphocyte but have no oncocyte.This disease is so deliver in 40 years old don’t above and not breast feed period or menopause women.The occurrence overflows the areola mammae region of liquid to have and the lump of skin occlusion, the true conjugate diameter, anteroposterior diameter is often smaller than 3 Li rices, together side axillary fossa the lymph node be swollen big, the quality be soft and have already touched a pain.If erupt infection, the lump part is red, cyst, heat, pain of inflammation performance.
2.The mammary ridge takes care of inside the papilloma:This disease much sees by the 40-year-old ? 50-year-old, 75% neoplasm ketone body occurrence at close by the part of nipple, the neoplasm ketone body is very small, girdle pedicle but have a villi, and have a lot of blood vessels with thin walls, so easily bleed.Analyze the check’s overflow can find out oncocyte inside liquid.Sometimes the patient cautiously touches Men breast, can discover that the bottom of the areola mammae has cherry peach to greatly wrap a piece, the quality is soft, smooth, activity.
The 3. breast capsule hyperplasis:Much see by reproductive life women.Parts of patient’s nipple discharges is Huang green, brown, guts or achromatic color syrup liquid kind, analyze a check to overflow inside liquid have no the oncocyte exist.This disease has two characteristicses:Is a breast periodic while being a performance bulge pain, like hair or aggravate at the premenstrual phase in month, the light polypeptide isn’t mind by the patient, heavy can affect work and life.Two is a breast lump often in order to much deliver, it is thus clear that can also limit at a fraction of the breast at a side or asunder at the whole breast.The lump presents tubercle form and size different, the quality Ren isn’t hard, have no occlusion with skin, with around organize boundary not pure, the lump can have already contract after menstruation.
4.Breast carcinoma:Parts of breast carcinoma patients have the nipple discharge of fresh and red or dark red, sometimes produce clear water to overflow a liquid, achromatic color clearing, accidentally have mucopeptide, don’t stay trace after overflow, analyze a check to overflow can find out a cancer cell inside liquid.The 45-year-old ? is 49 years old and 60-year-old ?’s being 64 years old is two outbreak high peaks of this disease.Its vesication disease is slow-moving, the patient is unintentionally canning discover a breast lump, much Be located on inside upper limit or outside upper limit and have no pain, gradually big.The later period pathological changes part appears orange bark kind skin change and satellite tubercle.The axillary fossa swelling of lymph node, quality are hard and make progress each other to blend conglobation with the course of illness.
Still have, need to be notice:
A, overflow a liquid is a true still a false.The true overflows a liquid to mean the liquid is from the mammary gland run off inside the catheter.The false overflows a liquid familiar at the nipple depression, shed off a cell to deposit at hollow place because of nipple epidermis, cause a little amount likeness liquid bean residue the transudation of the kind, often have bad smell.Once pull up hollow nipple, keep part to sweep and”overflow a liquid” will disappear.
Two, overflow a liquid is a pair of side with still single sides.The double side overflows a liquid to then living reasonableness of, such as stop breast feed in a year, the most women still have a little amount human milk secret.Later period in the pregnancy, some pregnant womans double mammary ridge can extrude the colostrum of few and simple elegance color.A handful of women after the mightiness of orgasm, because of the breast afferent and high congestion, breast bulge big, nipple erection, will also appear overflow of short time mammary ridge.The women get into a climacteric, will make the parts of women secrete a little amount human milk because of the endocrine, internal secretion mess.Above and all belonging to a physiology circumstance isn’t an abnormal state.But double the side nipple discharge can be also pathologic and call such as a species menostasis-overflow mammary ridge comprehensive advertise for of disease, is because the hypophysis, pituitary gland tiny adenoma cause and in addition to overflowing mammary ridge, return a companion to have menostasis, have a headache, the visual field narrow down and the prolactin, PRL in blood goes up etc..The brain CT check can confirm.An another nipple discharge sees at the patient of few hyperplasia of mammary glands.
Three, overflow a liquid is a single foramen or have another a pore, porus.The nipple contains 15~20 openingses of mammary ridge palatine canals.To observe liquid while appearing to overflow a liquid which or a few openingses overflow.The single foramen overflows the liquid polypeptide as mammary gland intraductal papilloma.Have another the pore, porus overflows a liquid and may living reasonableness, drug, the whole body positive disease or hyperplasia of mammary glands disease.
Four, overflow a liquid to by oneself and outside overflow to still squeeze to overflow behind.The former polypeptide is a disease reasonableness of and the patient of breast cancer has 13% to have self-moving to overflow a liquid history around.Positive or the physiology overflow a liquid to much see after overflow the liquid with squeeze.
Five, overflow the character, trait of liquid.
The disease of breast dissimilarity, the character, trait for it to overflow liquid is also inconsistent.Such as:
(1)human milk kind.Much is a physiology, if break milk behind or Miscarriage empress of isn’t the performance of cancer in the near future.
(2)the pus overflow a liquid and the polypeptide extends a disease, plasma cell mastitis for the catheter.
(3)thin yellow’s overflowing a liquid be the most familiar a species to overflow a liquid, almost is see in various mammary gland disease and take hyperplasia of mammary glands disease as to much see.Also have a fraction as intraductal papilloma or breast carcinoma.Therefore, this needs to raise a vigilance.
(4)the guts overflow a liquid, can be a fresh red, coffee color, thin yellow, brown etc. different color.This kind overflow a liquid is a dangerous signal, in response to height vigilance, among them 50% ?s 75% is intraductal papilloma, 15% breast carcinomas.If the guts overflows liquid occurrence in Menopause after, 75% then is breast cancer.
(5)the clear water overflow a liquid, achromatic color clearing, accidentally have mucopeptide, don’t stay trace after overflow.This kind of overflow the liquid may be a breast carcinoma of signal, in response to the further check.
In fine, the nipple discharge is an important breast sympton and among them, 10% ?s 15% may be breast cancer.Appear the sympton wants to arrive a hospital to seek medical advice in time and do to overflow the liquid smear cytology check.Near infrared line mammary gland’s scan can reach to 80% ?s 95% to the male diagnosis rate of areola mammae region catheter pathological changes.The B super check, Mu target photograph also has equal accuracy.Selectivity pathological changes catheter’s building a shadow check is the check method of an in common use species of the nipple discharge, to have a nipple discharge of good malignancy of the differential diagnosis have bigger value, it can also provide the scope accurate fixed position of the surgical operation excision for the doctor.
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September 2nd, 2007 at 6:14 am