Pathology of breast cancer

Malformations. There are insufficient development of the mammary gland (aplasia), rarely missing (Amalia). Excessive developing breast cancer may take the form of polymastia - availability of incremental Breasts with nipples (Fig. 1) and without nipples - or the availability of additional lobules, which are located more in the axillary region.


Fig. 1. Incremental mammary gland. Fig. 2. Symptom retraction of the skin. Fig. 3. The symptom of "orange peel".

Cracked nipples occur often in the first days after birth, especially in nulliparous in connection with the improper feeding, or improper care nipples.
Cracks are formed by vigorously suck a nipple, biting his child or a sharp removing the nipple from the mouth of a child. This leads to superficial abrasions, and sometimes very deep lesions with ulceration. Especially deep fissure can lead to its deformation, partial separation from the areola. Cracks quickly become infected, there is a sharp pain nipple, making it much harder feeding. If untreated, the infection can penetrate into tissues of the breast, to lead to the development of lymphangitis and acute mastitis (see).
Prevention of cracks should begin during pregnancy (see Pregnancy, prenatal care). After giving birth you need before each feeding baby wash Breasts and nipples boiled water and to wipe nipples 60-70% with spirit or Cologne. When dry skin of the nipple should be lubricated his vaseline oil.
The most rational method of treatment of surface cracks is a lubrication nipple 1 % alcohol solution of methylene blue, or 2% alcohol solution gentian Violeta. Deep cracks after feeding placing towel with syntomycin or penicillin, and in severe pain with anesthesiology ointment. Before feeding ointment wash away. Strict adherence to the mode of feeding.
Tuberculosis breast cancer is very rare, is characterized by infiltration sites softening, which are formed stubbornly persisting fistula with purulent discharge. Diagnosis after the biopsy. Treatment anti means (streptomycin, PAS and others).
Syphilis breast cancer may occur in all three stages. Chancre is usually located in the nipple and areola, Gunma - in the tissues of cancer in dense limited site. Both types of lesions should be differentiated from cancer (biopsy). If the diagnosis is carried out protevoepilepticescoe treatment (see Syphilis, treatment).
Mastopathy (synonym: dishormonal hyperplasia, fibroadenomatosis, the disease reclu) - a group of hormone dependent breast cancer, which are very common and can serve as a background against which in some cases there is cancer. Breast meets nodular and diffuse. In nodular form in the breast is constantly determined (less clearly in the horizontal position of the patient) limited section of the seal, sometimes painful (at palpation or by yourself). This form of mastitis should be considered as a precancerous condition, and in the identification of this pathology patients referral to a hospital for resection of the affected area of the breast and a histological examination istechenii tissue.
In the diffuse mastopathy there has been a swelling, teistest, pain mammary glands, growing before menstruation; there are serous nipple discharge of the nature or type of colostrum. Patients with diffuse mastopathy should be under a doctor's supervision. Prophylaxis of mastitis: normalization of sexual life, re-birth, the prevention of abortion.
From benign breast tumors are more common fibroadenoma. They clearly distinguished from the breast tissue, have a dense consistence, bumpy surface.
Surgical treatment. Lipoma relatively rare, are located outside of the glandular tissue of the breast, have a soft consistence, sometimes lobed character. Surgical treatment (a must!), remote tumor should be histologically examined. Galactorei (see) - racemose education because of the delay of milk. Treatment: surgical - removal of the cyst. Sometimes puncture with suction content. Breast-feeding should be discontinued. Other benign tumors - angioma, myoma, handsome, osteomas - are extremely rare.

  • Breast cancer