Clinical strategies for the treatment of nipple discharge

Nipple overflow is usually discovered unintentionally by the patient, or overflows automatically, or is gently squeezed out, and the color is either creamy white, coffee, yellowish, or red. We have seen many such patients in outpatient clinics, either they have just discovered it and are very panicky; or they have just been cured and relapsed; or they have undergone surgery and are left with a radiating, long and permanent scar on their breasts. Therefore, we have been trying to take time to make a serious sorting out of the diagnosis and treatment strategy of this kind of disease, so that patients can have an objective understanding and get the rationalized and optimal treatment. Cheng Xufeng, Department of Breast Surgery, The First Affiliated Hospital of Henan College of Traditional Chinese Medicine First of all, if there is still milky white overflow in both breasts within 2 years after breastfeeding, it should be a hyperprolactinemia, Chinese medicine is a “qi deficiency does not regulate” as long as the use of some of the spleen and qi tonic Chinese medicine to regulate a period of time, the symptoms will naturally disappear, the western drug bromocriptine or surgical methods are not the first choice. Western medicine bromocriptine or surgery is not the first choice. If a woman over 40 years of age develops overflow, it is more common in the clinic. If both breasts are overflowing, or porous overflow, the first choice is not recommended to choose surgery immediately, this kind of disease is generally considered pituitary lesions, hyperprolactinemia, or cystic adenopathy, etc., a clear diagnosis is the most important, symptomatic treatment can be, in general, the condition will not be malignant. If you exclude organic brain lesions, the treatment is based on traditional Chinese medicine, combining external and internal treatments of traditional Chinese medicine, it can be completely cured, and there is no need to do surgery. If the overflow of single pore, or bilateral single pore overflow, the color is not pure pale, mainly turbid, usually mainly ductal tumor, ductal inflammation, ductal dilatation, plasma cell mastitis early stage and so on. After a clear diagnosis of this type of disease, surgical treatment is usually preferred, and surgery is simply the removal of the diseased duct. Generally, there are 15-20 ducts in one breast. If the incision is well designed and the surgery is fine, the scar after surgery is not only slight, but also does not affect the breastfeeding in the future. Of course, it is beneficial to take some traditional Chinese medicines after the operation. You can choose some traditional Chinese medicines that clear heat and dampness, which can effectively prevent the recurrence of similar lesions. If it is bloody and accompanied by a mass in individual patients, it should be malignant under normal circumstances and requires immediate hospitalization. Catheter endoscopy has many advantages in the diagnosis of nipple overflow, but local anesthesia, catheter dilation, probe insertion, and flushing bring a certain degree of pain to the patient, and its degree of trauma is equivalent to direct catheterization. Therefore, if the clinical diagnosis confirms the lesion of the catheter, it can also be treated directly by surgery, which not only clarifies the diagnosis thoroughly, but also removes the lesion and eliminates the hidden danger. This not only completely clarifies the diagnosis, but also removes the lesion and eliminates the hidden danger. This, on one hand, relieves the patient of the repetitive pain of catheteroscopy plus surgery, and on the other hand, saves medical costs. 90% of ductal overflow is a manifestation of endocrine abnormality in patients, and local surgical resection has a great degree of limitation. At the same time with some of the liver and blood, spleen and qi Chinese medicine to regulate the endocrine, can be from the root of the problem, should be one of the most important aspects of the clinical treatment of this type of disease. In addition, some foods need to be avoided, such as mutton, spicy, thick and greasy and other warm and hot foods, and maintaining a good mental state is also a must.