What is the treatment for mammary duct ectasia?

The influence of the current social environment and the increasing social pressure have caused many women to have breast problems. Therefore, breast health is an increasingly serious problem, and treatment is particularly important. So what is the treatment for mammary duct dilatation? Let's ask an expert to introduce this issue.

There are two diseases that can manifest as mammary duct dilatation. One is mammary duct ectasia, also known as serous mastitis, which is a chronic inflammatory disease. The other is abnormal milk secretion, which manifests as multi-porous and small amounts of milk leakage from both breasts during the non-lactation period. Both show dilatation of the milk ducts under ultrasound images. This patient belongs to the latter, that is, abnormal milk secretion. One thing that needs to be confirmed is that galactorrhea is not a single-hole, but a bilateral multi-hole, which is considered abnormal milk secretion. The diagnosis and treatment methods of the two are quite different. Abnormal milk secretion is often caused by systemic factors, such as endocrine disorders, elevated blood prolactin, pituitary tumors, or the use of certain medications. Generally speaking, it is normal for bilateral milk secretion to occur some time after breastfeeding. After excluding other systemic factors that may increase prolactin, the patient can be observed temporarily and no special treatment is necessary.

Mammary duct dilatation is associated with inflammation

The pathogenesis of mammary duct ectasia is still controversial in academia. Generally speaking, there are the following views:

1. Catheter excretion disorder:

(1) Congenital nipple deformity, depression, uncleanness or foreign hair and fibers may cause blockage of the nipple pore, abnormal duct development, poor mammary structure, epithelial hyperplasia, inflammation, injury, etc., which may cause duct stenosis, interruption or occlusion. Poor duct drainage is often the main reason for the progression of the galactorrhea stage to the lump stage.

(2) Secretions accumulate in the duct, causing duct dilation.

(3) In some middle-aged and elderly women, due to ovarian dysfunction, the mammary ducts undergo degeneration, the duct walls relax, and the contractility of the myoepithelial cells decreases, leading to accumulation of secretions in the ducts and expansion of the duct lumen, causing this disease.

2. Abnormal hormone stimulation:

Abnormal sex hormone stimulation can induce abnormal secretion of the duct epithelium, causing the duct to dilate significantly.

Generally speaking, the presence of obstruction alone without abnormal hormonal stimulation to promote epithelial secretion will not cause duct dilatation.

3. Infection:

It may be related to anaerobic infection or areola infection.

The above is the expert’s opinion on this issue. Using this treatment method can help patients with treatment and avoid other problems. This treatment method can also help patients recover. Finally, I wish patients a speedy recovery.