duct ectasia and tubercles mastitis Flashcards
whats duct ectasia means ?
dilation of the lactiferous duct and many duct are involve
what’re the causes of the duct ectasia ?
the dilation of the lacteferous duct is because of the
- relaxation of the muscle
- and periductal mastitis
whats the other name of the duct ectasia ?
plasma cell mastitis
because the periductal mastitis contain many plasma cells
what’re the clinical features of the duct ectasia ?
1- feel lump under the areola maybe tendernesss
2- nipple discharge is green
3 nipple retraction as slit like in the late stage because of the fibrosis and access formation
Dose duct ectasia is unilateral or bilateral ?
is bilateral and multifocal
whats the differential diagnosis of the duct ectasia ?
breast cancer
whose the most risk group for duct ectasia ?
the smokers because of arterial problem
whats the management of the duct ectasia?
1- stop smoking
2- antibiotic
3- cone excession
what’re the investigations of the duct ectasia ?
TRT ---------------------------------------------- 1- take the drainage as a biopsy 2- ultarasound 3- mammography
Investigation -------------------------- 1-drainage study 2- ultrasound 3- mammography
whats the complication of the duct ectasia ?
secondary bacterial infection
what’re the causes of the tubercles mastitis ?
its associated with cutover pulmonary tuberculosis
what’re the clinical faeatures of the tuberculus mastitis ?
1- swelling of the Brest with cold abcesse
2 bluish appearance around the skin
3 sinus
4- matted axillary LN in the ipsilateral side
whats the differential diagnosis of the tubercles mastitis ?
breast cancer
what’re the managements of the tubercles mastitis ?
TRT ----------- -antitibial drugs (PIER) 1-pyrizinmide 2-INH 3-ethambutol 4-rifamoicin
- drainage of the cold abccess Investigation ------------------------- 1- core biobsy 2- frozen biopsy 3- exctional biopsy
