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The standard treatment of galactographically suspicious breast lesions is to perform a surgical intervention on the concerned duct or ducts: if the discharge clearly stems from a single duct, then the excision of the duct (microdochectomy) is indicated; [2] if the discharge comes from several ducts or if no specific duct could be determined ...
It can be exacerbated by insufficient breastfeeding and/or blocked milk ducts. When engorged the breasts may swell, throb, and cause mild to extreme pain. Engorgement may lead to mastitis (inflammation of the breast) and untreated engorgement puts pressure on the milk ducts, often causing a plugged duct. The woman will often feel a lump in one ...
Central duct excision is the surgical removal (excision) of all lactiferous duct under the nipple. The excision of a single duct is called microdochectomy , a mere incision of a mammary duct (without excision) is microdochotomy .
Some women (approximately 15%) [16] will require antibiotic treatment for infection which is usually caused by bacteria from the skin or the baby's mouth entering the milk ducts through skin lesions of the nipple or through the opening of the nipple. [23] Infection is usually caused by Staphylococcus aureus. [24]
Duct excision may also be indicated for the treatment of recurrent breast abscess and mastitis; [4] in this case however the total removal of all ducts from behind the nipple has been recommended to avoid further recurrence. [5] Galactography may be used to investigate the condition of the mammary duct system before the intervention. [6]
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Hence, the excess milk accumulates, leading to breast engorgement and pain. [3] [7] On the other hand, milk supply will be lowered by prolonged breastfeeding, high pumping pressure [3] and overly vigorous breast massage. [1] [8] Blocked milk ducts refers to lactiferous ducts’ blockage at the nipple pore or deeper breast tissue. [4]