Breast ectasia duct or dektomi susu susu or plasma cell mastitis is a condition in which the lactific ducts are blocked or blocked. This is the most common cause of greening disposal. The mammary ducts may resemble breast cancer. This is a peri-or post-menopausal age disorder.
Dect ectasia syndrome is a synonym for nonpererperal mastitis but this term is also sometimes used to describe specific cases of fibrocystic disease, mastalgia or as a definition of a waste basket from benign breast disease.
The correlation of widening of the channel with the "classic" symptoms of ectasia duct syndrome is unclear. However, recent ductal dilation strongly correlates strongly with non-cyclic breast pain.
The channel diameter naturally varies, depending on the hormonal interactions. The ectasia duct syndrome in the classical sense is associated with additional histologic changes.
Video Duct ectasia of breast
Symptoms
Signs of dect ectasia may include nipple retraction, inversion, pain, and sometimes blood loss.
Maps Duct ectasia of breast
Pathogenesis
Duct widening is generally believed to be the result of a secretory stasis, including stagnant colostrum, which also causes periductal inflammation and fibrosis. However, because of the common nonspecific ductal dilation it may also be an accidental discovery in many processes.
Smokers appear to be more frequently exposed to duct ectasia syndrome even though reported results are not completely consistent. The correlation with smoking status appears to be weaker than a subareolar abscess. Correlation with actual channel extension is unknown.
Both the widening duct and the ectasia duct syndrome are often bilateral, then a systemic cause may be involved.
Diagnosis
A noninvasive method for determining ductal diameter in live patients is only available recently and it is unclear how the results should be compared with longer-term results from the biopsy.
Histologically, large ductal dilation is prominent. Duct widening with pertinent periductal fibrosis is often included in the definition of waste basket from fibrocystic disease.
In plasma-rich lesions diagnosed in nuclear biopsy, steroid-responsive IgG4-associated mastitis can be identified by immunostaining IgG/IgG4.
Duct Ectasia Syndrome
The term dect ectasia syndrome has been used to describe nonpuerperal mastitis symptoms, possibly related to nipple inversion and nipple discharge. In some contexts, it is used to describe certain forms of nonpuerperal mastitis coinciding with fibrocystic disease, often involving pale nipple nipples (color), nipple retraction, retroareolar abscess and blue dome cyst. Abscesses are not very frequent but by some definitions of recurrent subareolar abscesses are just variants of dect ectasia syndrome - the abscess will be clear more often with this definition.
The ductal ectasia syndrome has been associated with different histopathologic findings from simple ductal dilation. In addition to the nonspecifically widened channel the myoepithelial cell layer is atrophy, lost or replaced by fibrous tissue. The original cuboid epithelial layer may also be severely damaged or lost. Characteristic calcification is often seen in mammographic images.
Periductal mastitis, comedone mastitis, breast secretory disease, plasma cell mastitis and obliterans mastitis are sometimes regarded as special cases or synonyms of the ectasia duct syndrome.
Prognosis
This condition is usually self-limiting, and thus not indicated for surgery.
Terminology
This term has several meanings at the histological and symptomatic levels and at both levels of use overlaps with mastalgia, specific fibrocystic and sub-superclasses of nonpuerperal mastitis. While this is not ideal for definitions resulting from actual usage in the international literature. Since the research literature on eccentric districts is not much but it is probably easiest to determine the exact meaning intended by each writer on a case by case basis and this section can offer only a few pointers.
Common use in North America is a synonym of nonpererperal mastitis, including special cases of granulomatous mastitis, comedo mastitis, subareolar abscess with or without squamous metaplasia of the lactiferous ducts and fistulas.
Simple ductal dilation must be carefully distinguished from more complex histological changes.
References
External links
Source of the article : Wikipedia
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