How sore Breasts mastitis, unlike breast cancer?
Cancer processes in the breast may have similar symptoms, so patients are interested in how to distinguish these diseases and whether the breast to develop into cancer.
The types of mastitis
Specialists-mammologists there are two General groups of mastitis: nodular and diffuse. In the diffuse form of the disease pain is manifested due to the proliferation of connective tissue and making several small nodules under the influence of hormonal imbalance. Breast nodular arises as a consequence of undertreated diffuse form of the disease.
It can manifest in the form of fibroadenomas or cysts and under the action of risk factors over time to malignities (to cause malignant tumors). As a rule, the probability of developing breast cancer in patients with breast is improved in 3-5 times in comparison with healthy women of the same age group.
Diffuse disease of the breast occurs more frequently nodular. The disease develops due to violation of hormonal balance (excess estrogen, prolactin with an insufficient amount of progesterone – this ratio is often observed in diseases of the ovaries or during the menopause, and in some other States). When the growth of connective tissue, the patient begins to feel discomfort and tension glands, palpation palpable small nodules. Often increases the sensitivity of the breast, there are abnormal discharge from the nipple.
Depending on the nature of hormonal disorders breast may be accompanied by a constant fatigue, dry skin, disturbance of menstrual cycle and amenorrhea, irritability or apathy.
Diffuse mastopathy can be of three types:
- fibrous (manifested by growth of connective tissue);
- cystic (characterized by the appearance of fluid-filled cysts in the later stages may be accompanied by inflammation of the prostate caused by congestion);
- fibro-cystic (mixed).
In the absence of treatment in the glandular tissue formed dense nodes up to a diameter of 8-10 cm. They can be cysts or fibroadenoma. Despite the fact that any of these pathologies increases the risk of developing breast cancer, most likely you’ll be to go phyllodes fibroadenoma. Medical practice shows that malignancy is not required any special conditions. The most likely risk factor is the hormonal surge (for example, pregnancy or the menopause).
Pain in nodular and diffuse mastopathy
Pain with mastitis depend not only on the stage and type of disease. Cause pain with diffuse mastopathy are multiple education and proliferation of connective tissue. They squeeze located near nerves that causes discomfort to the patient.
Pain in the breast in mastopathy diffuse type has a number of differences:
- increases in the premenstrual period, and after the end of the cycle disappears or is significantly reduced;
- accompanied by a swelling of the breast and increase its sensitivity;
- is aching or oppressive in nature;
- manifested hypersensitivity or even tenderness in the nipples, in the later stages, the discharge from them.
To determine the nodal mastopathy is also possible for a number of typical pain symptoms:
- the pain persists during the entire cycle, with the worsening of the disease it becomes more acute;
- the discomfort radiates to the shoulder, armpit, back, area of the forearm;
- the pain is usually aching in nature, however, the acute form can be piercing;
- hypersensitivity goes into painful discomfort (even with a light touch or pressure of clothes on chest appears ache);
- the nipple area becomes very painful.
Benign tumors are usually movable relative to the surrounding tissue.
It is very important to carry out a differentiated diagnosis of nodular mastitis, to distinguish it from breast cancer and increase the chances of successful treatment if there is malignant disease.
Differences in symptoms of breast cancer and mastitis
Some signs of breast cancer are similar to symptoms of mastitis, but the rest (in combination with hardware techniques) allow to carry out differentiated diagnostics.
|Hardening of skin cancer||Missing (breast mastitis most often has the character of a painful swelling, but palpation is not difficult)||Observed|
|Discharge from the nipples||Can be locked transparent, yellowish, white, or purulent (in the inflammatory process( selection||The allocation of clear or blood|
|Erosion of the skin||No||Observed|
|Soreness of the breast||Present in the diffuse form of mastitis decreases after menstruation, when the host is preserved during the cycle||Observed in diffuse (and erysipelatous mastitis-like) form of cancer of the prostate|
|Violation of symmetry of the breast||May occur when large amounts formations (cysts, fibroadenomas)||The tumor can enlarge part of the gland|
|Node detection palpation||Can be in nodular form of the disease, education is movably||Node detectable but immobile due to tight cohesiveness with the surrounding tissues|
|Pain site||The probing node is causing the pain||The node is painless|
|Vtjazhenija the nipple and the skin surface of the breast||Missing||Observed|
|Changes to the topography of the surface of the skin (the gathering in the wrinkles, folds, etc.)||Missing||Is fixed, during germination of the tumor into the skin surface, it takes on the form of the inflorescence of cauliflower, when cancer struck armored iron crusts|
|The discoloration of the skin||Not observed||Recorded during germination of tumors in the skin|
|Swelling||Observed throughout the affected gland with the stagnation caused by compression of tissues||There is the effect of «lemon peel» skin (swollen area over the tumor)|
|Change lymph nodes||Swollen lymph nodes||The appearance of the seal in the armpit or near the collarbone in the defeat of the regional lymph nodes|
|Pain syndrome outside of the breast||Not observed||Recorded during the germination of cancer in the surrounding tissue (chest)|
|Hyperthermia (fever)||May be present with stagnation and inflammation||Observed in the diffuse forms RMJ|
How sore Breasts when mastitis is and what symptoms accompany this condition may depend on the success of the early diagnosis of cancer.
How to distinguish a breast from cancer by diagnostic methods
If mastitis sore chest and all the symptoms indicate the absence of cancer, the doctor still recommends that the patient undergo a series of additional studies. Differential diagnosis methods help to determine the location, size and shape of the formations in the breast.
In rare cases, breast shifts in breast cancer (frequency of malignancy is every tenth case diagnosed phyllodes fibroadenoma), so the specialist needs to determine what is more reasonable: removal of tumors, staging of the patient on the cancer registration or the appointment of conservative therapy.
Upon detection of seals in the mammary gland (independently or at the annual inspection) are required to take a mammogram (x-ray examination of the breast). As a rule, mammography is prescribed for women older than 35 years, because young patients mammary gland is sensitive to gamma rays. They recommended to replace radiography of the cancer ultrasonic diagnostics. Benign nodes on ultrasound have smooth contours, while the malignant tumour is characterized by uneven terrain.
If you suspect a malignancy patient, a biopsy of tumor tissue (sample for investigating the degree of cell differentiation). To diagnose cancer performs analysis on the primary breast tumor marker (CA 15.3) and contrast study of the glandular ducts.
Upon confirmation of cancer diagnosis is assigned to ultrasound of the regional lymph nodes and the abdominal Department and chest x-ray, which allows to investigate the prevalence and stage of disease. The tumor tested for sensitivity to progesterone and estrogen, if necessary appointing gormonalnaguye therapy.
In the case of mastitis diagnosed the opposite: after the study of hormonal background of the patient is assigned to hormone replacement therapy synthetic analogs of deficient hormones (usually progesterone).
Regardless of, whether aching Breasts in mastitis, detection of seal it is necessary to consult a mammologist. The results of the tests and studies he will be able to accurately establish the degree of malignancy and to appoint adequate treatment.
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