Saturday, February 16, 2008

Acute mastitis and how to identify inflammatory breast cancer?

Acute mastitis plasma cell mastitis incidence was particularly prevalent in the non-lactating breast-feeding was particularly prevalent in the short course, a good prognosis long, stubborn and local symptoms occur in the lower quadrant of the breast, or deep, red hot pain or purulent. Department of the areola of good, with most of congenital nipple history of depression, wound pus in the folder with rubbish like, the very smelly secretions, can be part of fistula formation, wound recurrent systemic symptoms of chills, fever, general fatigue, dry stool acute period can be fever, but not as high acute mastitis, and chronic systemic symptoms are usually non-laboratory examination of peripheral blood white blood cell count was significantly increased, in particular the neutrophil cell count was significantly increased mass discharge smear or needle aspiration cells This shows that a large number of studies plasma cells and neutrophils, lymphocytes, macrophages and other inflammatory breast cancer known as diffuse breast cancer is a relatively rare breast cancer. The main clinical features of breast swelling and pain are also obvious, but no general local and palpable mass. The rapid development of tumors, often involving the entire breast. Because of its high degree of malignant, pathological biopsy showed diffuse see cancer cells, breast and breast in a large number of lymphatic cancer. Inflammatory breast cancer also occurs in pregnancy or breast-feeding women, because of their broken out, transfer appeared earlier and widely, often in patients with 1 to 3 years in the death. Identification of the two main points: ① can see both the Department of breast pain and swelling of inflammation performance, but acute mastitis, skin irritation can be more limited, can be more extensive and for the bright red color; and inflammatory breast cancer extensive skin change, often involving the entire breast, or purple color for Angong. Acute mastitis, a general skin pitting edema, and edema skin inflammatory breast cancer showed "orange peel-like." ② two axillary lymph node enlargement can be seen, but the axillary lymph node acute mastitis relatively soft, with no surrounding tissue adhesion, pushing the activities of the good and inflammatory breast cancer and axillary lymph nodes of hard, and skin and surrounding tissue adhesion, the hand-pushed inactive. ③ from systemic symptoms of acute mastitis often chills, high fever, and other significant systemic inflammatory response and the inflammatory breast cancer usually no significant systemic inflammatory response, such as accompanied by fever, compared with low heat or medium heat. ④ from the course, the short duration of acute mastitis, in the short term suppuration, effective anti-inflammatory treatment, the prognosis is good, and inflammatory breast cancer is a precarious condition, the general fragmentation sepsis, no Huipo skin, but can be extended and ipsilateral outside the breast and neck and arms, or even invasion and the contralateral breast, anti-inflammatory treatment fails, and poor prognosis. Inflammatory breast cancer and acute mastitis in the early identification more difficult, with the development of illness on their different points more apparent. Therefore, the initial stage of breast swelling pain patients to a hospital for treatment should be timely, so as not to delay treatment.

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