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Watch out for itchy nipples and lumps

2019-02-26 16:23:42 1970

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The itching of nipple and areola can not be taken lightly. In some patients, no clear mass was found in the breast, only itching and rash of nipple and areola. It looks like eczema. In fact, it may also be suffering from nipple eczema-like breast cancer. Eczema-like breast cancer, or "Page's disease", is a malignant tumor occurring in the nipple and is a special type of breast cancer.

This kind of breast cancer is relatively rare, accounting for about 0.7%-3% of the total number of breast cancer. The malignant transformation of papillary epidermal cells in situ has nothing to do with carcinomas in deep breast tissue, so it is also called "papillary carcinomatous eczema" or "papillary eczema-like cancer". So don't overlook minor changes.




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  1. From the beginning of pregnancy, the color of nipples and areola will deepen, from light red to dark brown. This change is mainly due to the increase of estrogen and progesterone in the body after pregnancy, which belongs to normal physiological changes.

  2.  Some women (mostly 30-45 years old), in the absence of pregnancy, the color of nipples and areola gradually deepened, from pink brown to dark brown, if breast examination can not find any lesions, but this color change suggests that the female at this time has a "transitory" increase in estrogen in vivo, perhaps over a period of time, due to self-regulation, estrogen levels. The color of nipple and areola returned to normal, which is still a normal physiological change.

  3.  When the color of nipple and areola is deepened, it is accompanied by itching around both nipples and areola. When breast examination, it can be found that there are proliferative lesions or cystic hyperplasia lesions in bilateral or unilateral breasts. Deepening the color of nipples and areola suggests that the level of estrogen in the body is increased. Breast lesions as target organs are in line with the pathogenesis.

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2. Simple color of nipple and areola deepens to dark brown or dark brown, and even small nodules around areola glands can be found to form protuberances. At this time, there is no lesion during breast examination. Should we think of patients with more serious liver disease? This is because liver disease caused by liver function decline, estrogen in the liver can not be normal solution, resulting in darker nipple, areola color.


3. Female ovaries suffer from benign tumors, which increase the amount of estrogen secreted by ovaries, which can lead to the darkening of nipple areola color. At the same time, many small nodules can appear around the areola gland. Such patients should be consulted in gynecology as soon as possible to find out the causes and treat them in time.

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Nipple effluent may only be a normal function of the breast. If that is the case, the problem of nipple effluent can be solved by itself. Avoid stimulation of the nipple, such as regular examination of nipple leakage. Because the stimulus actually perpetuates the problem of leakage.

In addition to the normal physiological function of the breast, other causes of nipple leakage may also be:

Mammary gland expansion:

Breast swelling is one of the most common causes of nipple effluent.

Papilloma:

Papilloma is a small benign tumor growing in the latex tube.

Breast fistula:

The nipple effusion associated with breast leakage is usually a white liquid with a clearer color.

Injured:

The impact of balloon or breast in motion in a car accident may cause nipple discharge.

Cyst:

Women who are lactating usually have nipple effluents due to cysts.

Fibrous cystic changes:

Fibrous cystic changes in the breast lead to enlargement and fragility of the breast and to the exudation of yellowish, pale green fluid.

breast cancer:

The risk of breast cancer causing nipple effluent is very low, but nipple effluent may also indicate intraductal or invasive breast cancer. If your effluent is bloody, spontaneous, and occurs only on one side of the breast, you need to consult a doctor in time.

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So, what kind of situation should cause special vigilance? Generally speaking, eczema-like cancer is more likely if eczema-like changes occur in unilateral nipple areola and persist for a long time. Its main manifestations are initial itching or mild burning pain of the nipple, followed by redness of the skin of the nipple areola, mild erosion, often with yellowish-brown or gray scaly crusts attached to the surface, rough, thickened and hard lesion area of the skin, and clear demarcation with the surrounding area, and later can also occur side nipple depression or erosion corrosion, or touch hard mass in the breast.

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In the early stage of eczematoid breast cancer, the lesion was confined to the nipple areola. When the mass was not touched in the breast, simple mastectomy was performed on the affected side, and the therapeutic effect was good. If the breast mass has been formed, the prognosis is poor and radical mastectomy is necessary. Therefore, timely diagnosis and treatment at the early stage of eczema-like changes in nipple and areola is the key to a better prognosis. Clinical biopsy should be considered for definite diagnosis of skin lesions in nipple and areola which are ineffective after treatment for more than 2 weeks.image

Generally speaking, inflammatory breast masses are often accompanied by more intense breast pain, local masses are also accompanied by obvious inflammation such as red, swelling, heat and pain; proliferative breast masses, often accompanied by breast swelling and pain in premenstrual period, pain can be alleviated after menstruation, the mass can also be reduced, often multiple.




However, breast tumors of breast cancer usually have no obvious pain and discomfort in the early stage, so they are often very large once they are found. Only when local skin ulceration and infiltration occur in the late stage, pain will occur. The tumors often show progressive enlargement, with the characteristics of single, hard, poor mobility and other malignant masses.

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At the same time, if the breast fibroadenoma lump does not feel pain, it is often found unintentionally, but fibroadenoma occurs in young women, and can be multiple, most of the lumps are regular round, strong texture, clear boundaries, large mobility, generally no more than 4 cm in diameter, almost never occur skin ulceration and infiltration, these are important differences with malignant tumors. This is the case.乳房问题,不可小看,

女性朋友一定要重视起来!

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