DUCT ECTASIA (PERIDUCTAL MASTITIS/ PLASMA CELL MASTITIS)

• Duct ectasia is dilatation of lactiferous ducts due to muscular relaxation of duct wall with periductal mastitis.
• Many ducts are involved.

 

ETIOLOGY-

• Desquamated cells causing obstruction
• Common in smokers
• Mild to low grade infection

 

PATHOLOGY-

• Dilatation of larger lactiferous ducts filled with stagnant brown or green secretion.

 

CLINICAL FEATURES-

• Seen in middle aged woman
• Discharge from nipple (paste like)
• Indurated mass under aerola which is tender
• Bilateral slit like nipple retraction
• Palpable subareolar mass

 

INVESTIGATIONS-

• Ductography- dilated cystic structure
• Carcinoma must be excluded
• FNAC confirms diagnosis

 

TREATMENT-

• Stop smoking
• Hadfield’s operation- excision of all major ducts
• Antibiotics- amoxiclav and metronidazole

Don’t Forget to Solve all the previous Year Question asked on PERIDUCTAL MASTITIS
Click Here to Start Quiz