Mammary ductectomy sequelae

The breast is very important for female friends, but it is also very common for women to suffer from breast diseases. If it is a serious breast disease, then a mastectomy may be required, which is very harmful to women and may make them feel incomplete. Therefore, friends who want to have an ideal mastectomy must understand that there are sequelae to breast duct removal.

The main problem is the appearance, and there are no other problems.

A disease of mammary ductal adenomas, which are papilloma of most ducts located around the areola. Intraductal papilloma is a common benign breast tumor in women. It has a certain rate of canceration and often presents nipple discharge as the first symptom. However, its clinical manifestations lack specificity and are not easy to distinguish from other diseases, making early diagnosis difficult. Treatment depends on accurate positioning and qualitative diagnosis. If the surgical resection is not thorough, there will be a certain probability of recurrence and malignant transformation.

Causes and clinical manifestations

The cause of intraductal papilloma is still unclear. The clinical manifestations of intraductal papilloma are mainly abnormal nipple discharge and breast lumps. Clinically, unexplained abnormal nipple discharge is often the first symptom, and most discharges are bloody, with a few being serous or alternating between the two. Among pathological nipple discharge, about 50% is caused by intraductal papilloma. About 1/3 of solitary intraductal papillomas can be felt as lumps in the areola area. The lumps are mostly round, tough, smooth and have clear boundaries. If secondary infection occurs, there will be tenderness, and they may also adhere to the skin or appear to be thickened glands. The lumps of intraductal papilloma are mostly in the peripheral area of ​​the breast and are rarely palpable. Larger lumps may be related to blocked milk ducts and fluid retention.

Treatment principles

The main treatment for intraductal papilloma is surgical resection. If the surgical resection is not thorough, there will be a high recurrence rate and a certain probability of malignancy. There are many surgical methods for the clinical treatment of intraductal papilloma, mainly including lobectomy (segmental) resection, quadrantectomy, subcutaneous mastectomy or simple mastectomy. The choice of surgical procedure is mainly based on the nature of the lesion, the extent of the lesion and the precise positioning. Because the preoperative qualitative diagnosis of intraductal papillary neoplasms of the breast is difficult and mainly depends on intraoperative frozen pathological section examination, the choice of surgical procedure is more difficult and there is a certain degree of controversy in clinical practice. In recent years, with the gradual maturity of the application of fiberoptic ductoscopy in clinical diagnosis, preoperative biopsy and auxiliary positioning technology, surgical methods have tended to be minimally invasive, effectively reducing the scope of surgical resection.