How is paddle cell mastitis treated?

Women are no strangers to the disease of mastitis. In fact, mastitis has different classifications, including plasma cell mastitis. The onset of this type of mastitis is often sudden, and the disease progresses very quickly. The patient will experience pain in the breast area and feel a lump when pressing with the hand. The disease is very harmful and must be treated in time. Common treatments are listed below.

Treatment of plasma cell mastitis:

1. Anti-inflammatory in the acute phase. Since it is not caused by bacteria, there is no need to use antibiotics. Chinese medicine can clear away heat, detoxify, reduce swelling and disperse nodules. However, it is not advisable to use too much bitter and cold medicine. The more cold medicine you use, the slower the lump will go away.

(1) Oral hormone dexamethasone or prednisone treatment, gradually reduce the dosage, and cooperate with oral anti-inflammatory drugs for anti-inflammatory treatment.

(2) At the same time, take Chinese medicine orally to warm the yang, resolve phlegm, reduce swelling and disperse nodules.

2. In the chronic stage, use warm and hot medicine - Yanghe Decoction with modifications.

3. Choosing the best time for surgery is the most important.

The interictal period, that is, the wound healing period, is the best time for surgery, but some people think that why undergo surgery if the disease is healed? It takes a long time to wait until redness, swelling and ulceration occur again.

(1) During an attack, Chinese medicine can be applied externally to relieve pain if necessary.

(2) At the same time, cephalosporins should be given intravenously for anti-inflammatory treatment. During the ulceration period, dressings should be changed actively, or hanging thread therapy should be adopted.

If the wound cannot heal, surgery should be performed when the acute inflammation subsides and the wound is at its most superficial. At this time, there is a possibility of infection after the surgery.

4. The key to a successful operation is to flip the areola, completely remove the lesions, and clean all wound surfaces.

5. The technical key to the operation is to maintain the perfect appearance, and nipple inversion surgery is necessary.

Treatment depends on different clinical manifestations, but the key point of treatment is surgical removal of the diseased breast ducts in order to achieve a complete cure. If the mass is localized, the mass can be removed. If an abscess is formed, it can be incised and drained. If a fistula is present, the fistula can be removed. For some patients with chronic fistulas or severe breast deformities with a long course of disease, unit mastectomy may be considered.

What diseases are easily confused with plasma cell mastitis?

Plasma cell mastitis is easily confused with non-lactation suppurative mastitis and breast tuberculosis, especially when breast tuberculosis ruptures and forms fistulas. When nipple inversion is accompanied by a lump, it can easily be confused with breast cancer, so a local biopsy is sometimes needed for differentiation.

Plasma cell mastitis is difficult to treat. Current studies suggest that the infecting bacteria of plasma cell mastitis are mostly mycobacteria similar to tuberculosis, so it is not effectively treated with ordinary antibiotics. Surgery is an option for treatment, but the problem with surgery is that the chance of recurrence is high, about 20%. In addition, surgery requires the removal of a larger area of ​​lesions, which often causes damage to the appearance of the breast. At present, it is generally recommended that patients with mastitis take a triple anti-tuberculosis drug, namely isoniazid, rifampicin and ethambutol, one tablet each time, orally three times a day, for one year. The liver function should be checked every three months. The treatment effect is good, the chance of recurrence is relatively small, and it does not affect the appearance much.