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Description:
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Inflammatory breast disorders are pretty uncommon. They present with a red, swollen, painful breast. So does inflammatory breast carcinoma, though - so any non-lactating female with this presentation should be carefully evaluated.
Benign inflammatory disorders include:
Acute mastitis (almost always occurs during the first month of breastfeeding)
Periductal mastitis (usually occurs in smokers; no association with lactation)
Mammary duct ectasia (occurs in multiparous women in 60s-70s; presents with thick white nipple discharge)
Fat necrosis (usually follows breast trauma or prior surgery)
Lymphocytic mastopathy (single or multiple hard masses; most common in patients with type I diabetes or autoimmune thyroid disease)
Granulomatous mastitis (seen in systemic granulomatous disease like sarcoidosis; in granulomatous infections like fungal infections; and adjacent to foreign objects like nipple piercings)
Read more: Robbins 9e , page 1046. |