Nowadays, people's living standards are getting higher and higher, but some people do not pay attention to the protection of their breasts, which often leads to infections, breast discharge and other negative effects. Many people find that nipple discharge becomes more obvious when squeezing, but many people are not particularly familiar with these symptoms and do not know what constitutes nipple discharge. If you have concerns in this regard, you can read the introduction below. 1. Etiological diagnosis When making etiological diagnosis for patients with nipple discharge, in addition to a detailed understanding of the medical history and physical examination, it is also necessary to carefully observe the type of discharge and whether it is a single-tube discharge or multiple-tube discharge. In addition, relevant auxiliary examinations should be performed to assist in diagnosis. 2. Evaluation of discharge volume: Except for normal milk secretion during pregnancy and lactation, other nipple discharge is pathological. The amount of fluid discharged can be assessed in 5 levels. +++: No need to squeeze, just flow out naturally. ++: When lightly pressed, it sprays out in filaments. +: 2 to 3 drops flow out when strong pressure is applied. ±: Barely visible when strong pressure is applied. -: No discharge is observed even after compression. Evaluation of nipple discharge after treatment can also be used as a reference for evaluating the treatment effect. What are the treatments? 1. False discharge When treating nipple discharge, you should first distinguish between true and false discharge. False discharge can be treated locally accordingly. 2. Treatment of true discharge (1) Treatment of non-neoplastic discharge is often caused by mammary duct ectasia, cystic breast hyperplasia, etc. The former can be treated with drugs or surgery, and the latter can be treated with traditional Chinese medicine, drugs or surgery. (2) Treatment of tumorous discharge is often caused by intraductal papilloma or intraductal papillary carcinoma. The former should undergo local segmental resection, while the latter should undergo radical mastectomy. |
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