The pus is discharged from the ruptured breast

Plasma cell mastitis, also known as duct ectasia, is a relatively common mastitis caused by chronic non-bacterial reasons. It often leads to dilation of the mammary ducts, causing aseptic inflammation and lumps. More severe cases can cause serous discharge and lymphocyte infiltration, which has a great impact on women's health. Regular methods must be used for treatment.

Clinical manifestations

1. Local pain and discomfort in the breast, and a lump can be felt. 2. The lump is located around the areola or extends to a certain quadrant and is tough or hard. The surface is nodular, with unclear boundaries and no adhesion to the chest wall. The lump has varying degrees of redness, swelling, heat, and pain, and the systemic inflammatory reaction is mild. During anti-infection treatment, the lump may shrink or expand. 3. The ipsilateral axillary lymph nodes are enlarged, soft, and tender, and may shrink or disappear as the disease progresses. 4. The disease recurs repeatedly, gradually forming scars and causing nipples to retract. 5. A small number of patients have bloody or watery nipple discharge.

treat

The treatment of plasma cell mastitis mainly depends on the degree of mammary duct dilatation and the condition of periductal inflammation, and different treatment plans are selected. 1. When local inflammation is obvious, combined treatment with antibiotics including anti-anaerobic antibiotics should be used, and a combination of Chinese and Western medicine can also be used. 2. After an abscess is formed, it often ruptures on its own, forming a fistula and causing a breast lump, or when nipple discharge is thick and sticky, surgical treatment should be performed. The following two procedures are commonly used. (1) Local lumpectomy: Suitable for patients with simple breast lumps that are localized. (2) Quadrant, hemi-mastectomy, and total mastectomy: Suitable for patients with large tumors that occupy the entire breast or most of the breast.

Causes

1. Since most patients have no obvious triggering factors, some scholars believe that the disease may be an autoimmune disease. 2. Lactation disorders, breast trauma, breast degeneration and endocrine hormone secretion disorders can cause poor mammary duct drainage, blockage, and secretion stagnation. 3. Abnormal hormone stimulation can cause abnormal secretion in the mammary duct epithelium and significant dilation of the duct.