How to treat granulomatous mastitis

Mastitis is a physiological disease unique to women. Because women's mammary glands are very developed, coupled with some breast enhancement factors in life, the mammary glands become too enlarged, thus inducing the onset of mastitis. This disease is one of the more painful diseases for women, and patients often suffer from high fever as a sequela. The incidence of mastitis during lactation is relatively high, and there are many types of mastitis. Among them, granulomatous mastitis is a relatively rare mastitis. It is painful and harmful and requires careful treatment. Let’s take a look at how to treat granulomatous mastitis.

Granulomatous mastitis is a type of chronic breast inflammation with granuloma as the main pathological feature. It includes multiple clinical diseases, one of which is more common and has unknown cause. The granulomatous inflammation is centered on the mammary lobules, so it is called granulomatous lobular mastitis.

diagnosis:

Clinical manifestations: The average age is 30 years old, and the course of the disease is short, usually within 5 months.

The main manifestations are: breast lumps, pain, hard texture, irregular shape, unclear boundaries with normal tissue, and enlarged lymph nodes in the ipsilateral axillary. The onset is sudden or the lump suddenly increases in size. After a few days, the skin turns red and forms small abscesses. There is not much pus after the abscesses break, and the abscesses do not heal for a long time, with redness, swelling and ulceration occurring one after another.

The initial lump stage is very similar to breast cancer, which can easily lead to misdiagnosis and incorrect treatment. If someone rashly undergoes radical mastectomy, the breast cancer should be frozen on the table or patiently wait for the results of paraffin sectioning. This disease must also be differentiated from breast tuberculosis, breast fat necrosis, etc.

When there is redness, swelling, and suppuration, it may be misdiagnosed as plasma cell mastitis, duct ectasia, breast tuberculosis, or a general bacterial abscess, with incorrect incision and drainage.

treat:

1. Once granulomatous lobular mastitis is diagnosed, surgical treatment is more effective, but the key lies in a clear diagnosis. Surgery is the main means of treating this disease. It is necessary to completely remove the lesions and prevent recurrence, while preserving normal tissue to the greatest extent possible, and perform plastic surgery on the breast to keep it as perfect as possible.

2. After surgery, Chinese medicine treatment should be continued for at least half a year to change the body's hypersensitivity state, eliminate residual lesions, and reduce recurrence.