Would it suffer from mastitis after a breast-feeding?

“Doctor, I got in the end What’s wrong?” I first met more than 40 years of age very fact that she cried out their two years of “experience.” One day two years ago, Ms. Zhang stumbled on the inside of the left areola lump the size of the emergence of a broad bean, because superficial no-care. Two weeks later, mass rapidly increased to the size of an egg, skin redness, but there is also an orange peel like a small depression, the left armpit there have been a small lump, dull. The very fact that hastened to a nearby hospital, doctors examined their breast lump, after the Ministry, saying that “breast cancer” a great possibility, combined with axillary lymph node has been swelling, indicating serious condition, need to line radical mastectomy. The very fact that suddenly petrified, and she could not believe she is suffering from “incurable disease.” On the occasion of her despair, preoperative was news of further test results “good news”: Pathological examination showed that mass is not a puncture cancer, breast inflammation may be. So, the doctor gave her intravenous drip of antibiotics for some time, lump indeed reduced. Ms. Zhang was finally relieved. Can not long before the disease appeared again, this has been reduced mass also increased gradually, and ulceration out pus, this time re-use of antibiotics are not efficacious, and ulceration of office matter how close I can not. The very fact that four doctor and, after quite a few large hospitals and some say that breast tuberculosis, need to anti-TB treatment; Some said the breast skin and orange peel-like change, dyke breach more than sepsis, and the axillary lymph nodes, and perhaps the last puncture is not in place, still can not rule out breast cancer … … the past two years, Ms. Zhang spent a great deal for the healing energy and money, and even lost their jobs, and I feel extremely depressed.

 Understanding of Ms. Zhang’s condition, we carefully made for her, it was discovered in patients with left nipple retraction, nipple hole a small amount of powder residue-like secretions inside the mass of about 4 cm left internal mammary × 5 cm, hard texture, surface not only the whole, the border less clear, there is an ulceration of mouth, there is pus and blood flowing out, the skin color dull red, showing orange peel-like change. Palpable left axillary lymph nodes swollen, with tenderness. Based on the inspection, we have initially determined very fact that suffering is a kind of mastitis.

 ”My kids are already 10 years old, how could I have mastitis?” The very fact that puzzled. Indeed, we usually know the vast majority of mastitis (90%) occurred in the post-natal breast-feeding, especially in the month after the child’s acute purulent mastitis, which occurred in the non-lactating mastitis full name ” plasma cell mastitis “, its causes are mainly papillary dysplasia, congenital deformity, depression, dirty, etc., causing the nipple openings are blocked, ductal obstruction. Ductal fibrosis due to shorter inverted nipple pulling nipple Erzhi sunken nipple or to the original is more inversion. Local skin edema due to tumor adhesion and inflammation can be presented orange peel-like change, while there are reactive axillary lymph node enlargement. Its clinical manifestation resembles breast cancer, is often wrong with radical mastectomy. Also, because of plasma cell mastitis recurrent left breast areola and the Department of the Ministry of fistula, persistent unhealed, easy to be confused with the TB change.

 Plasma cell mastitis due to non-bacterial inflammation, so the use of antibiotic treatment ineffective. Chinese and Western medicine treatment of this disease are based on surgery, especially for the latter part of the formation of ulcers fistula cases, Western medicine to use more simple mastectomy or a section of the resection medicine is for patients to take the different situations incision debridement method, hanging line method, drag-line method, Qu rot myogenic law surgical means, and in line with Oral Shugan heat, and the battalion care drugs, Ruanjian Sanjie Chinese medicine. Combination therapy with traditional Chinese medicine organizations, fewer injuries, less pain, the more low recurrence rate after the advantages, may be essential to maintain breast shape. The very fact that well more than a month after treatment, eventually recovered.

 The very fact that the cure the disease and are very pleased, but at the same time for his own daughter to take up their mind, the original daughter and like her, is also a congenital nipple inversion. Since the occurrence of plasma cell mastitis is closely related with the inverted nipple, then she can not do anything for his daughter? If infants and young children during the child was found inside the inverted nipple reduction, the mother should promptly pull with your fingers or with a negative needle aspiration methods such as the baby nipple pull-out, but the movement should be gentle, and pay attention to cleaning and disinfection. If infants and young children during the pull-out failure to nipple, it can be shaped at puberty when breast development has not yet, to the formal implementation of the nipple hospital orthopedic surgery, so that the nipple back to normal. As for the breast development has been basically shaped adult women, breast ducts bending impeded, this time re-nipple effect of orthopedic surgery is not very satisfactory. Secondly, women should always pay attention, especially in adolescence papilla clean, when there is powder residue inside the nipple-like secretions, should be regularly polished with alcohol cotton balls or normal saline.

 In recent years, plasma cell mastitis misdiagnosed as breast cancer, breast, and to impose inappropriate treatment of tuberculosis cases occur. Plasma cell mastitis has the following characteristics: ① incidence of breast-feeding is not a period or pregnancy, more common in over 30 years old non-lactating women or postmenopausal women. ② majority of patients have congenital inverted nipple or showed a linear depression deformity, nipple hole-like substance often smell powder residue or grease-like solution discharge; ③ mass began in the Department of areola. ④ acute onset drastically, areola swelling to a certain quadrant of the Department of stretching, forming an irregular hard mass, systemic symptoms, but a lighter body temperature is not high. After the abscess wound ulceration often repeated attacks, pus, and the formation of the fistula openings leading to the nipple into the period of chronic fistula. If we did not receive a positive and reasonable treatment, the Ministry of breast lumps can be extended from one quadrant to quadrant 23, breast deformation damage on the more serious.