What to do with ductal breast tumors? This is scientific therapy

Once a woman suffers from breast duct adenocarcinoma, her nipples will secrete unknown fluid, some of which is bloody. If you press the breast with your hands, you can feel some round lumps. In fact, this is a breast tumor, a serious disease that poses a huge threat to women's health. Therefore, you should go to the hospital for examination in time and cooperate with the doctor for active treatment.

First, treatment

Once breast duct adenomas are formed, they cannot be eliminated by taking medicine. Taking medicine can only play a conservative treatment role and control the progression of the disease. Whether breast duct adenomas need to be cured or surgically removed, surgical removal is recommended because intraductal papilloma still has the possibility of malignant transformation.

Second, symptoms

The main manifestation of breast duct adenocarcinoma is the discharge of serous or bloody fluid from the nipple, which is intermittent or continuous and increases in amount during menstruation. In some patients, a small round tumor can be felt near the nipple. The tumor is soft in texture, has no adhesion to the skin and can be moved. Breast duct adenocarcinoma has a 5%-10% chance of becoming cancerous.

Third, the cause

The cause of this disease is unclear, but because it 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.

Fourth, inspection

1. Physical examination, pay attention to the location, size, boundary, shape, texture, mobility of the mass, whether it is adhered to the skin or chest wall, whether there is tenderness, whether there is skin depression or edema (orange peel sign) and satellite lesions, and make comparisons. Check whether the bilateral axillary and supraclavicular lymph nodes are swollen, pay attention to their number, hardness, mobility, and make comparisons.

2. Check whether there is secretion from the nipple, note its nature, and send it for cytological examination. Biopsy of the ulcerated area. Fine needle aspiration cytology may be done for suspicious masses, but a negative result does not rule out cancer.

3. Auxiliary examinations include breast dry plate radiography, mammographic target radiography, mammary duct angiography, oral breast thermography, such as infrared thermal display, liquid crystal thermography, and ultrasound examination to assist in diagnosis. When necessary, liver B-ultrasound, lung and bone X-rays or (and) radionuclide scanning, CT, and MRI examinations can be performed to determine whether there is distant metastasis.