MASTOPATHY - dyshormonal disease of the breast, which is based on the overproduction of estrogen. Multiple abortions, gynecological diseases, and the pathology of the endocrine system (primarily the thyroid gland) are of particular importance. By the nature of the lesion distinguish diffuse and nodular forms. Characteristic dynamics of symptoms, which coincides with the menstrual cycle.
Clinical picture . The age of patients 20 - 50 years; bilateral lesions are more common. Marked engorgement and pain in the mammary glands, aggravated before menstruation, sometimes discharge from the nipple. Against the background of compacted tissue, the glands define more dense formations, most often located in the upper outer quadrant. Axillary lymph nodes may be enlarged, but soft. In the middle of the menstrual cycle, both pain syndrome and regression of local changes in the mammary gland are observed.
The bloody discharge from the nipple is due to the papillary growths of the mucous membrane of the excretory ducts of the gland; the risk of malignancy in such cases increases dramatically.
With each compaction of the breast tissue should exclude cancer . To do this, conduct mammography, puncture biopsy with a thick needle with cytological examination of the material obtained. In localized forms of mastopathy, surgical treatment is indicated - sectoral resection of the mammary gland with an urgent histological examination of the excised area.
Treatment for diffuse forms of conservative - the treatment of gynecological diseases, thyrotoxicosis. When nodular form shows surgical treatment.
The prognosis in most cases is favorable, but there is a greater tendency to relapse, due to hormonal disorders.