Is surgery necessary for breast granuloma?

The occurrence of breast granuloma is often related to blocked mammary ducts. Bacterial infection at this time will cause this symptom. When this happens, you should first use some anti-inflammatory drugs in time, pay attention to good rest and strengthen good conditioning. Generally speaking, if it is not particularly serious, there is no need to consider surgery. Of course, if the situation is more serious or the medication is not effective, surgical treatment can be performed.

Is surgery necessary for breast granuloma?

In this case, we need to consider the possibility that it is caused by blocked milk ducts, bacterial infection, etc., and can be treated with anti-inflammatory drugs. Get adequate rest, avoid strenuous activities, eat a light diet, avoid spicy and irritating foods, wear loose underwear, and do not squeeze the breasts. If the medication is not effective, you can consider surgery. Change the dressing on time after surgery to prevent infection.

Pathological changes

Gross examination: lumps of varying sizes, without capsule, some of which are solid on cross section, grayish white, hard and dirty. There are scattered necrotic lesions resembling rotten meat fillings, multiple abscesses of varying sizes, and rice-soup-like or yellow-white thick pus. In short, the pathological manifestations are diverse.

Light microscopic observation: The structure of the mammary lobule still has an outline. Low-power observation shows that the mammary lobule has many granulomas, some of which are fused with each other. High-power observation revealed that the granulomatous lesions were composed of foreign-body-type multinucleated giant cells, epithelial cells, eosinophils, neutrophils, lymphocytes, etc. Acid-fast staining did not reveal tuberculosis bacilli, PAS fungal staining was negative, and microscopic findings showed chronic inflammation of breast tissue.

Scattered granulomas or large necrotic fusions may show multinuclear giant cell reactions, infiltration of lymphocytes and monocytes, and some may show eosinophil infiltration, often accompanied by abscess formation.

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 general bacterial abscess, and incorrect incision and drainage may