Intra pro-current papilloma of a mammary gland
Intra pro-current papilloma of a mammary gland - the intraduktalny papillary tumor developing in a lacteal channel. Existence of intra pro-current papilloma is followed plentiful to allocations from a nipple of dairy, yellowish-greenish or brownish color. Diagnosis of intra pro-current papilloma of a mammary gland includes carrying out a duktografiya, mammography, ultrasonography, cytologic a research of allocations. Treatments of intra pro-current papilloma of a mammary gland – quick, includes a sectoral resection of a mammary gland.
Intra pro-current papilloma of a mammary gland
Intra pro-current papillomas (papillary tsistadenoma, tsistadenopapilloma) represent the good-quality sosochkovidny outgrowths arising from an epithelium of channels of a mammary gland. They can develop at any age – from the pubertatny period to a postmenopause. Detection frequency tsistadenopapilly in a mammology makes about 10% among total number of opukholepodobny diseases of a mammary gland.
Macroscopically intra pro-current papilloma of a mammary gland reminds cystous education with soschkovidny growths. Papillomas are easily injured, and the bloody liquid which is emitted at the same time gets to output canals and is emitted outside from a nipple. In the field of a tumor hemorrhages and necroses are possible; a thicket multiple intra pro-current papillomas of a mammary gland are exposed to an ozlokachestvleniye.
Classification of intra pro-current papillomas of a mammary gland
Papillary tsistadenoma of a mammary gland can develop in any department of pro-current system – from a nipple to terminal protokovo-dolkovy structural units. On the basis of localization allocate the central papillomas located in the field of an areola and peripheral.
Intraduktalny papillomas can be single (solitary) and multiple; their sizes vary from several millimeters to 1-2 cm in the diameter. Solitary papillary tumors it is more often localized in subareolyarny area; multiple – are closer to the periphery of gland.
The high potential possibility of a malignization is peculiar to multiple intra pro-current papillomas of a mammary gland. As a rule, from them there is an intra cystous or intra pro-current papillary breast cancer.
Reasons of development of intra pro-current papilloma of a mammary gland
The hormonal imbalance is considered the defining factor leading to development of intra pro-current papillomas. Development of intra pro-current papilloma of a mammary gland can be provoked by any changes of a hormonal homeostasis: dysfunction of ovaries, ooforita, adneksita, abortions, obesity, stresses etc. In risk group on development of intra pro-current papilloma of a mammary gland there are not giving birth, smoking women. To a lesser extent the patients having children, nursing, using hormonal contraception are subject to development of new growths of a breast.
As a rule, papillary tsistadenoma develop against the background of available fibrous and cystous (nodal or diffusion) mastopathies. Mastopathy is resulted by local expansion of canals of a mammary gland in which there are sosochkovy growths. At patients with intra pro-current papilloma of a mammary gland family history of tumoral damages of mammary glands of the malignant or good-quality nature is quite often traced.
Symptoms of intra pro-current papilloma of a mammary gland
Emergence of plentiful allocations from a nipple of various character belongs to the first clinical symptoms of intra pro-current papilloma of a mammary gland. Allocations can be transparent, whitish, greenish, brown or bloody character.
It is possible to probe papilloma when it settles down in the main channel. In this case at a palpation in the field of an areola the roundish knot of an elastichesky consistence, slightly painful is felt when pressing. Squeezing of a small knot is followed by allocation from a nipple of bloody drops and reduction of a tumor. At development of a secondary inflammation the opukholevidny knot is condensed, hypostasis of surrounding fabrics develops.
Diagnosis of intra pro-current papilloma of a mammary gland
Recognition of intra pro-current papilloma of a mammary gland is based on kliniko-X-ray-cytologic data. The skilled mammologist can suspect existence of a papillary tsistadenoma already when carrying out a palpation of mammary glands. As an obligatory stage of diagnostics serves the cytologic research of dab from a nipple of a mammary gland. At identification more profound inspection and consultation of the mammologist-oncologist is shown in the analysis of a cellular atipiya. For an exception of an oncopathology the research of an onkomarker of a breast cancer of CA 15 - 3 is carried out.
Among methods of tool verification at intra pro-current papilloma the duktografiya, ultrasonography of mammary glands, mammography, MRT is applied. By means of a duktografiya (galaktografiya) – a X-ray contrast research of channels papilloma is defined as defect of filling of a lacteal channel. Duktografiya gives an exact idea of localization and the amount of papillary growths that it is extremely important when planning expeditious treatment. Before carrying out a duktografiya it is categorically forbidden to mass and squeeze a breast, to decant milk.
Performing ultrasonography, mammography and MRT of a mammary gland does not allow to consider lacteal channels, but helps to differentiate intra pro-current papilloma from breast cancer. Also in the course of diagnostics it is necessary to exclude , arising at a prolaktinoma.
Treatment and prevention of intra pro-current papilloma of a mammary gland
As intra pro-current papilloma belongs to precancer damages of a mammary gland, concerning it exclusively surgical tactics is shown. At a papillary tsistadenoma the sectoral resection of a mammary gland during which fabrics with the changed channels are removed is carried out. Usually operation is carried out through a periareolyarny section that does not influence further the size and a shape of a breast and excludes need of carrying out a mammoplastika. At detection of intra pro-current papillary cancer the radical mastectomy is shown.
Regular mammology inspection, timely therapy of mastopathy, inflammatory and disgormonalny violations of a female genital allows to prevent development of intra pro-current papilloma of a mammary gland. For early detection of tumoral changes the systematic self-checking including palpatorny inspection of mammary glands is recommended.