Fibroadenoma (lump on the chest) - causes, symptoms and treatment

• home
• Surgery
• Breast abscess surgery

Breast abscess is an inflammatory disease in which a cavity forms in the tissues of the organ. The affected area fills with pus.

Causes and symptoms of breast abscess

The main reason for the formation of an abscess in women is considered to be infection of breast tissue by opportunistic bacteria, through the milk ducts or as a result of damage to the epithelium.

An abscess can be caused by:

• lactation mastitis;
• blockage of the milk ducts and the formation of cysts in them;

Also after hypothermia, sepsis, dishormonal changes.

Men rarely suffer from this pathology.

Symptoms of a breast abscess include:

• breast pain;
• increased body temperature (37.1 - 38.0);
• the appearance of a compaction near the abscess;
• hyperemia, swelling of the skin;
• in women, milk changes in color, smell, consistency.

When the first symptoms appear indicating the development of a breast abscess, you should seek help from medical professionals.

In the medical department, operations are performed to remove a breast abscess. The clinic employs experienced mammologists, gynecologists and surgeons.

When to see a doctor?

If there is a lump in your breast, you should definitely consult a doctor. Although fibroadenoma is not dangerous, its condition should be monitored regularly.

If a new lump appears that looks different or is accompanied by other signs, such as nipple discharge, you should see your doctor. These symptoms may indicate breast cancer.

If a woman is planning a pregnancy, it is recommended to remove the fibroadenoma. The tumor can grow during this period under the influence of hormones.

Fibroadenoma also increases during breastfeeding. If the tumor is large, it can block the milk ducts, which leads to additional complications.

Preparation

To prepare for surgery, the surgeon performs a visual inspection and palpation of the inflamed area.

Additional diagnostic measures are carried out:

• X-ray of the breast (pregnancy and lactation are considered contraindications);
• Ultrasound of the mammary glands and lymph nodes;
• computed tomography (if indicated);
• bacterial culture of secretions for sterility and sensitivity to antibiotics;
• clinical, biochemical studies of blood and urine;
• biopsy and puncture if oncogenicity is suspected.

It is not recommended to consume food or liquid for eight hours before surgery if general anesthesia is used.

Symptoms of thoracic osteochondrosis

The feeling of pain in the sternum with thoracic osteochondrosis is a symptom mistakenly taken by patients for pain in the heart

. Symptoms of thoracic osteochondrosis are characterized by intensification at night. They manifest themselves especially clearly when trying to straighten your back or, on the contrary, slouch, arch your back into a dome.

The severity of symptoms of thoracic osteochondrosis directly depends on the stage of the osteochondrosis disease. At the same time, negative sensations with symptoms of thoracic osteochondrosis may manifest themselves weakly (osteophytes often grow on the surfaces of the vertebrae, where there are practically no nerve endings, and the muscle corset compensates for the load for some time).

In addition to pain in the sternum and between the shoulder blades, patients often complain of the following radicular and reflex symptoms of thoracic osteochondrosis:

• a feeling of cold, burning and tingling in the chest, at the base of the neck, in the abdomen;
• muscle tension (difficulty relaxing your back);
• a feeling of pain in the sternum (a symptom of thoracic osteochondrosis, which is one of the first to appear);
• increased heart rate, feeling of pulsation in the chest;
• a feeling of “pins and needles” inside the chest, which is often accompanied by causeless anxiety or increases with stress;
• numbness of soft tissues (skin and muscles) near the spine, in the shoulders, especially noticeable when pressed or in contact with hot and cold surfaces;
• with thoracic osteochondrosis it is difficult to breathe;
• feeling of coldness in the hands and feet, pale or bluish skin on the hands;
• weakness, inhibition of reflex reactions in the affected area;
• disturbances in the functioning of the digestive organs, colic, stool disorders;
• the appearance of areas of skin with obvious nutritional disorders (peeling, pallor, thinning or, conversely, thickening of the skin);
• feeling of a lump in the chest, discomfort when swallowing large pieces of food;
• characteristic cough with thoracic osteochondrosis;
• digestive symptoms (dyspepsia, loss of appetite, nausea, heartburn, bloating);
• increased fatigue, feeling very tired in the morning (“broken” state);
• change in gait (usually stooping, unsteadiness);
• intercostal neuralgia.

The symptoms of thoracic osteochondrosis can feel like they are a stomach or intestinal ulcer, angina pectoris, gastritis or a heart attack. Sometimes it is mistaken for renal or cardiac colic, cholecystitis or pancreatitis. Indeed: advanced thoracic osteochondrosis can cause malfunctions in the gallbladder (for example, sediment formation) and intestines, and dysfunction of the heart vessels.

The specificity of the symptoms of cervical osteochondrosis depends on the location of the problem:

• 1st-2nd thoracic vertebrae
  - pain radiates to the collarbone, armpit, and can reach the shoulders;
• 3-6th vertebrae
  - patients are bothered by girdling pain above the chest, which is similar to pain in the heart or mammary glands;
• 7-8th vertebrae
  - pain in the solar plexus, which imitates diseases of the internal organs (stomach, liver, gall bladder, pancreas). There is also inhibition of the epigastric reflex (contraction of the abdominal muscles when passing the instrument along the line of the lower rib);
• 9-10th vertebrae
  - here osteochondrosis can cause sharp pain in the abdomen and under the ribs, inhibit the mesogastric reflex (when a tool draws a horizontal line at the level of the navel);
• 11-12th vertebrae
  - can initiate groin pain, diseases of the internal genital organs and intestines. Reduces the hypogastric response (by drawing a line in the lower abdomen parallel to the inguinal fold).

Difficulty breathing

During physical activity (for example, climbing a couple of floors of stairs), patients find it difficult to breathe. With thoracic osteochondrosis, severe shortness of breath is observed. Patients often describe this sensation as “breathless.” Similar symptoms can be observed during sleep: in an unsuccessful position, patients dream of lack of air, their ears may become blocked (a strong pulsation can be heard), and severe chest spasms occur.

Often the feeling that it is hard to breathe with thoracic osteochondrosis is accompanied by girdle pain in the back and ribs, as well as subcostal pain.

Increased heart rate

Even after light exertion, which previously went unnoticed, patients complain of increased heart rate, feeling as if the heart is trying to jump out of the chest. At first, increased heart rate may be caused by spastic contractions of the muscles and chest or a violation of tissue trophism, but over time, this dangerous symptom can actually outgrow angina pectoris, coronary heart disease and even lead to a heart attack.

In addition to increased heart rate, patients often note an accompanying feeling of panic, fear of death, or increased background anxiety. In some cases, against the background of thoracic osteochondrosis, real panic attacks can be observed.

Chest pain

The most telling symptom of thoracic osteochondrosis is a feeling of pain in the sternum

.
These include sharp shooting pains and a feeling of pressure in the chest, as well as intercostal pain when walking. Chest pain tends to intensify after a long stay in one position, hypothermia, turning the body and bending (especially with a turn), raising the arms. Carrying heavy objects, playing sports, taking deep breaths, and sleeping still can also increase pain. It should be remembered that due to the low mobility of the thoracic spine, osteochondrosis in this part of the back is characterized by dull, aching, pressing and throbbing pain. Acute, prolonged pain with thoracic osteochondrosis is very rare, which is why patients tend to ignore the pathology for a long time
.

Vertebral pain

In osteochondrosis of the spine, it is customary to divide into dorsago and dorsalgia.
Dorsago
is a spontaneous shooting pain that, as a rule, does not last long and goes away with a change in position.
Dorsago is usually caused by accidental root pinching. Dorsalgia
is long-lasting (about 2-3 weeks) and is associated with permanent disruption of blood circulation or nerve conduction. They make themselves felt by burning, stinging pain.

The pain intensifies when coughing and can be mistaken by patients for a spinal hernia. However, with osteochondrosis of the thoracic region, hernias are extremely rare. Don't write off the main symptom

(feeling of pain in the sternum with thoracic osteochondrosis)
to a displacement of the vertebra - its probability is extremely low in comparison with degenerative changes
!

Cough with thoracic osteochondrosis

Cough with thoracic osteochondrosis is often observed in people who lead a sedentary lifestyle, and their work duties involve prolonged sitting (office workers, operators, drivers). Maintaining this posture, which is difficult for the human spine, causes chronic muscle strain, spasms and tightness. Spasticity

is both a cause and a consequence of the fact that the cervical and thoraco-girdle area suffers from insufficient movement. At night, in positions that compress the spine, spasms and irritation of the spinal roots only intensify, causing severe coughing. If the upper thoracic vertebrae are affected, a cough due to thoracic osteochondrosis may be accompanied by pain in the esophagus, a feeling as if something is stuck in the chest.

During coughing attacks with thoracic osteochondrosis, it becomes painful for patients to breathe; It becomes difficult to take a deep breath.

Doctors surgeons

Dzhadzhiev Andrey Borisovich Surgeon

Cost of admission 1500

₽
Make an appointment
Marynich Alexander Alexandrovich Vascular surgeon, phlebologist, angiologist

Cost of admission 1500

₽
Make an appointment
Myshlyaev Anton Vsevolodovich Surgeon coloproctologist

Cost of admission 2000

₽
Make an appointment

Operation

Treatment of a breast abscess involves opening the purulent capsule and draining the contents. The operation is performed in a hospital setting under local anesthesia. KDS Clinic has at its disposal only the best surgeons who use the safest and most effective methods in practice:

• surgical intervention - performed by resection, removal of pus, installation of drainage and partial suturing of the wound;
• aspiration - using a syringe with a needle to puncture and remove purulent formation.

The operation to remove a breast abscess lasts from 30 minutes to several hours.

Healing procedures

The choice of treatment program is completely influenced by the cause of the problem.

The main task of combating lactostasis is to free the breasts from milk. A woman needs to massage her breasts, not get too cold, and feed the baby in a timely manner. It is important to eat well and rest; it is preferable to sleep on your side.

Mastitis is treated with antibiotic therapy. A properly selected treatment program can remove the seal.

When a doctor encounters purulent mastitis, surgical intervention is necessary.

For mastopathy, conservative methods are used. Various drugs, such as inhibitors, are used in therapy. Their task is to normalize hormonal levels.

When a doctor encounters a benign lump, a decision is usually made about surgical manipulation. This is more effective than therapeutic methods. Enucleation or sectoral resection is used.

Thrombocytopenia

Oncological tumors are treated only through surgery. Typically, a mastectomy is performed. In the process, regional lymph nodes are removed.

Sometimes the tumor is excised within healthy tissue.

As an alternative to treatment, chemotherapy, radiation therapy, and targeted therapy are used. The effect is enhanced if they complement each other.

Rehabilitation

The full rehabilitation period is 3-4 weeks. In the first days, the application of a sterile bandage is indicated, which is performed by junior medical personnel. The duration of hospital stay can range from several hours to 3 days. Patients are provided with comfortable rooms for the entire duration of their hospital stay. 24-hour care is provided if necessary.

To avoid the development of complications, antibacterial therapy can be prescribed; if the area is sore and inflamed, anti-inflammatory and painkillers can be prescribed. After complete healing and scarring, physiotherapy and immunotherapy are recommended.

Complications

Without timely treatment of an abscess, there is a high probability of complications developing in the form of:

• formation of an open purulent fistula;
• phlegoma - spread of inflammation and infection to nearby tissues and organs;
• rupture of an abscess into the milk ducts;
• sepsis, with possible fatal outcome.

Also, as a result of removal of the abscess, the development of postoperative complications is possible:

• bleeding;
• hematomas;
• re-infection;
• long healing period;
• lactostasis.

The likelihood of a complication depends on the individual characteristics of the patient’s body.

Causes and symptoms

The main reason for the formation of an abscess in women is infection of breast tissue by opportunistic bacteria, through the milk ducts or as a result of damage to the epithelium. An abscess can be triggered by:

• lactation mastitis;
• blockage of the milk ducts and the formation of cysts in them;

Also due to hypothermia, sepsis, dishormonal changes. Men rarely suffer from this disease.

Symptoms of a breast abscess include:

• breast pain;
• prolonged increase in body temperature (37.1 - 38.0);
• the appearance of a compaction near the abscess;
• hyperemia, swelling of the skin;
• in women, milk changes in color, smell, consistency.

When the first symptoms appear that indicate the development of a breast abscess, you should immediately seek the help of specialists. Our medical center will help you quickly overcome the disease and become healthy.



Prevention of breast mastitis

To prevent breast mastitis

You should follow the rules of personal hygiene, prevent stagnation of milk and avoid cracks and abrasions on the nipples. Please note that it is necessary to wash the nipple before and after feeding. If we talk about the treatment of cracked breasts, then sea buckthorn oil, white streptocide and starch will help you here.

It is also necessary to remember special rules when breastfeeding

:

• periodically change the position of the child so that the pressure on different parts of the nipple is uniform;
• if after feeding the baby does not let go of the nipple, lightly pinch the baby’s nose so that he pushes the nipple out;
• After feeding, it is recommended to dry the nipple. To do this, he must stay in the air for another 2-3 minutes;
• You should express all remaining milk without touching the nipple with your hands (it is better to use a breast pump);
• change your underwear daily, boil and iron your bra thoroughly.