traumatic breast hematoma
Introduction
Introduction to traumatic breast hematoma Traumatic breast hematoma can also be called blood cysts after breast trauma, mainly due to blunt external force on the internal blood vessel rupture caused by the breast, and then form a local blood cyst. Clinically, it is mainly characterized by breast lumps, which are characterized by bloody liquids. Asking a detailed history is important for diagnosis. basic knowledge Probability ratio: Susceptible people: no special people Mode of infection: non-infectious Complications: abscess
Cause
Causes of traumatic breast hematoma
(1) Causes of the disease
The blunt contusion or violent collision of the breast is the main cause of the disease. The patient has thrombocytopenia or other bleeding disorders, which is more likely to promote the disease. Breast hemostasis can also form a blood cyst in the breast surgery.
(two) pathogenesis
A blunt contusion or a violent collisional injury acts on the breast, causing the small blood vessels in the breast to break, resulting in local bleeding in the gland or under the skin of the breast, thereby forming a local blood cyst.
Pathological examination, common lesion cyst changes, the surface may have dark red bleeding plaque, after the incision can be seen inside the cyst cavity with dark red blood, or chocolate-colored old blood, the lesions for a long time, the wall of the fibrous tissue is obviously proliferated, inside There is hemosiderin, the epidermis of the breast is changed from the early purple of the injury to the yellow of the medium to the normal skin color that is completely absorbed.
Prevention
Traumatic breast hematoma prevention
1. When doing heavy physical labor or strenuous exercise, pay attention to protect the breast and avoid hard objects or violence against the breast.
2. After the breast is subjected to sudden external force collision, it is necessary to go to the hospital in time for timely diagnosis and timely treatment.
Complication
Traumatic breast hematoma complications Complications
After the hematoma is formed, it can not be properly treated. The bacteria can enter the hematoma along the milk duct or blood, causing acute mastitis or breast abscess. At this time, the patient may have systemic fever, local redness, swelling, heat, tenderness, and acute breast infection. deal with.
Symptom
Traumatic breast hematoma symptoms Common symptoms Breast pain, skin lesions, broad ligaments, hematoma cysts, breast lumps
Trauma can occur in any part of the breast. Early manifestations include swelling and pain in the breast. Some patients may see signs of bleeding such as bruising on the skin, and then hematomas may form in the breast. Some hematomas may disappear and disappear without treatment. Many have formed blood cysts due to slow absorption.
Physical examination: It can be seen in the breast with obvious masses, the size is different, the texture is medium and hard, there is obvious sac sexy, the activity is still good or poor, often there is tender tenderness, or no obvious tenderness, the affected axillary fossa can be In the mass, the swollen lymph nodes can move, but the advanced lymph nodes often have no obvious swelling.
Examine
Traumatic breast hematoma examination
Blood routine examination can increase the total number of white blood cells. If there is infection, the neutrophil count can be higher than normal.
1. Mammography X-ray film
In the early stage, the diffuse density of the breast is increased, the skin is thickened, and the fat layer of the skin is changed by the frosted glass. Afterwards, the shadow of the edge of the edge is clear, the size is 1 to 3 cm, and the transparent halo is often seen around the wall. The bloody liquid in the capsule is rich in hemosiderin, so the density of the shadow is relatively high.
2. Ultrasound examination
Ultrasound examination of blood cysts can also be seen in typical liquid level or dark areas. The exact location, size and extent of blood cysts can often be determined based on their reflected waveforms and dark areas.
3. Fine needle puncture
With the 7-8 needle as the blood cyst puncture and suction, most of the non-condensable bloody fluid can be extracted. At this time, in general, in combination with the clinical situation, an affirmative diagnosis can be made.
Diagnosis
Diagnosis and diagnosis of traumatic breast hematoma
diagnosis
Most patients have obvious history of trauma, usually damage to the utensils, or accidental accidents. Some patients may still have a history of blood. Generally, according to the history of trauma, the mass of the intratumoral mass is obvious, often accompanied by skin ecchymosis. A preliminary diagnosis can be made, and the hemorrhagic fluid can be diagnosed by puncture.
Differential diagnosis
Breast cancer
The history of trauma is an important factor in the identification of two diseases. There is no history of trauma in breast cancer; the mass of breast cancer is hard, the capsule is not sexy, and the shape is often irregular, the activity is poor, and the cyst of breast blood cyst is obvious and sexy. It is round, oval and has a good degree of activity.
2. Cucumber cysts and simple cysts
Detailed medical history and puncture examination and B-ultrasound examination are not difficult to identify.
