Unmarried women are mastitis darling?

In recent years, non-lactating mastitis incidence on the rise, half of which unmarried females are not sterile.

Unmarried women without education into non-lactating mastitis, “darling”, the non-lactation clinical mastitis very easily be mistaken for breast cancer.

50% of the patient was unmarried girls are not sterile

Clinical findings, previously suffering from mastitis in lactating women are basically, the situation is now greatly improved, non-lactating mastitis in this more “unfamiliar” and the crowd disease has gradually exceeded the lactation mastitis. In recent years, with pregnancy and postpartum health knowledge of the universal, the incidence of lactation mastitis shown a downward trend, rather than lactation mastitis is on the rise.

The peak incidence of this disease aged 20 to 40 years old, but more than 50% of the patient was an unmarried young women are not sterile. Because people can occur in various physiological periods of breast inflammation, it encompasses the non-lactation mastitis in infancy, adolescence, menopause and old age, while the infant and adolescent mastitis is often caused by hormonal imbalance. “We are generally referred to the non-lactating mastitis mainly refers to the adult non-lactating mastitis, there breast swelling and pain or there nodules, is a non-bacterial, there is inflammation of the performance of self-healing process.

According to clinical manifestations, the disease can be divided into three clinical types:

Acute breast abscess type: sudden appearance of patients with breast pain and abscess formation, some patients may be self-perforation abscess, pus. Partial performance of dramatic, rapid-, but the systemic inflammatory response to mild, moderate fever or fever. A few cases, leukocytosis was not obvious.

Breast lumps type: gradual emergence of breast lumps, pain or painless micro skin without redness, swelling the border is still clear, no fever history. This type is often misdiagnosed as breast cancer.

Chronic Fistula type: breasts often repeated the history of inflammation and pain, some patients may have surgical drainage history. Fistula with the nipple in the vicinity of the inlet pipe interlinked, prolonged unhealed, severe multiple fistula and breast deformation, and often repeated discharging and breast occurs within or around the inflammatory mass in the fistula.

Non-lactating mastitis easily misdiagnosed as breast cancer

Easy to recurrent disease, ulcers, and at another moment may be cured, and thus prolonged unhealed of the fistula can be formed. Because of its hidden and recurrent disease, diagnosis, encounter great difficulties, in particular, difficult to reconcile with malignant breast mass difference. If not treated properly, the disease may even be a long-term unhealed.

Clinically, many patients suffering from non-lactating mastitis was hit by a doctor after the diagnosis of breast cancer, and some have even encountered the “tumor resection” treatment. Both the external touch may be palpable mass, which is different from the general inflammation of the “red hot swelling and pain,” the four characteristics, although accompanied by pain, but it does not appear the skin red, this is it confusing that people do not think that inflammation is tumor a major factor.

Where blue, middle-aged women appear in non-lactating breasts acute abscess, inflammatory mass and chronic recurring fistula, prolonged unhealed, it is likely to cause trouble for non-lactating mastitis, if you use anti-inflammatory drugs a week after the tumor will shrink 1 / 3 of the above, the basic rule out breast cancer may be possible, because the tumor can not be through anti-inflammatory drugs on such changes. According to reports, mostly in breast cancer patients, the elderly, progressive disease course, a solid mass, the border is unclear, often the skin adhesion and nipple retraction, easy to have axillary lymph node metastasis, tumor local skin irritation and pain-free, does not occur abscess. Both of these features often can be used for identification. However, individual cases, still rely on the final pathological diagnosis. Currently, for non-lactating mastitis commonly used diagnostic tools, including B-ultrasonography, fine needle aspiration biopsy and pathological examination.

Different types of treatment is very different

Pathogen diagnosis of this disease has been unclear, but may be related to the following factors:

Ductal expansion in the normal state, only the human breast duct openings covered by squamous epithelium, if the pipe expansion, squamous cell and may even cover the duct walls, its debris and lipid secretion hyperkeratosis luminal obstruction generated so as to stimulate the wall inflammatory response.

Nipple retraction or deformity due to abnormal duct openings, narrow or expand, secondary inflammation of infection.

In addition, traumatic fat necrosis is also one of the reasons. Present studies suggest that anaerobic bacteria are also important causes of infection may be a special one. Research shows that non-lactating mastitis duct memory in a large number of pathogens, and anaerobic bacteria are aerobic bacteria twice in order to coagulase-negative staphylococcus and streptococcus mainly by a variety of common pathogenic bacteria.

The different causes of non-breast-feeding is also very different in the treatment of mastitis:

Acute abscess type: should be treated with antibiotics at the same time, to abscess drainage. See the expansion of surgery, such as pus within the outflow conduit, should be properly Saogua, curettage lesions catheter. Simple incision and drainage easy to recur.

Inflammatory mass model: as long as local inflammation good, even if there is a central abscess formation, or whether it should strive to remove as soon as possible the expansion of mass and the surrounding conduit.

Chronic Fistula type: fistula incision can be used to expand the drainage or total excision of fistula and the surrounding inflammatory tissue and expansion of the catheter. Work to preserve the breast. When the long treatment of the fistula with severe deformation of the breast who could be considered for subcutaneous mastectomy or total mastectomy. Some young patients may be concurrent or elective surgery for breast reconstruction.