Serous mastitis symptoms

Many female friends may not know the symptoms of serous mastitis, nor do they know the cause of the disease. This has a certain impact on our discovery of serous mastitis. Therefore, in order to increase everyone’s understanding of this disease, you can read the following introduction and let us correctly understand the symptoms of serous mastitis.

The cause of serous mastitis is unclear, but because the disease is common in middle-aged and elderly people, it may be a degenerative change related to inverted or deformed nipples, squamous epithelium extending into the inner wall of the duct, causing blockage of keratinized scales, or lipid secretions irritating the duct wall, causing inflammation, scar hyperplasia and secondary infection. Autoimmune disease is also possible, because in the later stages of the disease, it is often accompanied by plasma cell mastitis. In the pathology, a large number of plasma cell infiltrations are common, and the lesions recur repeatedly, so some people believe that it is an autoimmune disease.

Performance

The early symptoms are brown-yellow secretions or light yellow discharge from the nipple. In a few cases, bloody discharge occurs, involving multiple ducts. When the areola is squeezed, light yellow fluid can often be squeezed out. In the later stage, lumps of varying sizes may appear near the areola, or the lumps may adhere to the skin, or the nipple may be inverted. Sometimes the surface of the lump is red, swollen, painful and tender. In severe cases, an abscess may occur around the areola, which is often difficult to heal after incision. Recurrent infections may occur, and breast fistulas may persist for a long time or the breast may become severely deformed. The disease recurs frequently and the history of the disease can be as long as 10 years.

Diagnosis and differential diagnosis

Middle-aged and elderly women experience nipple discharge involving multiple ducts. Inflammatory masses and abscesses may form in the later stages. They are often difficult to heal after incision, and fistula formation can often make the diagnosis.

Those that should be identified are:

Intraductal papilloma (or cancer): The patient may be slightly younger, and presents with painless single or occasional 2-3 duct discharge. Sometimes small nodules can be felt near the areola, and there is a history of yellowish or bloody discharge upon pressure. The diagnosis can be confirmed by breast ductography or biopsy.

Breast cancer: more common in middle-aged and elderly women. The lump in the breast is single, hard, with unclear boundaries and progressive growth. There is often axillary lymph node metastasis and less often nipple discharge. B-ultrasound, fine needle biopsy and pathological section examination can confirm the diagnosis.

Breast tuberculosis: It can also manifest as an inflammatory mass and chronic ulcer or fistula in the breast, and often requires pathological diagnosis. However, clinically, after the formation of ulcers or fistulas, breast tuberculosis often has undercover edges, pale granulation tissue, and thin, bean curd-like secretions. Acid-fast bacilli can sometimes be found in pus smears.

The above tells us in detail the symptoms of serous mastitis. I hope everyone will remember the content of the article. When we encounter the above symptoms, we should receive timely treatment. I hope everyone should receive timely treatment for serous mastitis and receive postoperative care.