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Common Breast Disorders
Duct Ecstasia
More common in women over the age of 40, duct ecstasia is a
common cause of breast pain, that results in the milk-producing
ducts filling with fluid and becoming blocked and inflamed. This
results in irritation of the nipple, and a thick brownish,
blood-stained discharge is common. Although usually painless, this
condition, if neglected can cause periodic pain. A soft, uneven lump
or lumps can also be felt under the areola (coloured area
surrounding the nipple).
Treatment
Responds well to treatment with antibiotics, although the quitting
of smoking is very important. Removal would be carried out under
general anaesthetic, whereby an incision would be made round the
areola and a segment of tissue containing the duct, removed.
Following the operation, the breast would be less rounded and the
nipple may appear to be somewhat flatter - breastfeeding would not
be possible from this breast. It is a fairly painful procedure, so
you may want to request painkillers and go without a bra until
healing is complete. There is no chance of duct ecstasia recurring
after treatment.
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