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Date: | Fri, 18 Oct 1996 07:42:33 -0500 |
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Pamela wrote inquiring about a woman with multiple surgeries due to duct
ectasia. I have been reading up on breast pathologies due to my recent
experience with mom with breast cancer. I'm not an expert, but here's what
I found in a recent AAP supplement on Adolescent Breast Disorders (A. Davis
and J. Kulig, in Adolescent Health Update, Oct 1996, 9(1):1-8.)
"Duct ectasia is due to metaplasia of the ductal epithelium. Plugs of
epithelial cells occlude the duct. Patients may present with discharge,
and/or breast mass, mastitis, or abscess." pg 3. "Duct ectasia is
ordinarily associated with nipple discharge, and sometimes also with
elevated prolactin levels. A diagnosis of duct ectasia should be strongly
considered in nonpuerperal mastitis without another apparent cause.
Fibrosis of the underlying breast and skin dimpling may be present. The
mass is typically painful to palpation. Treatment should include excision
of the duct and any associated mass." pg 6
Removal of ducts is by definition, going to be very destructive of breast
function. However I have seen many women with all kinds of invasive
surgeries partially breastfeed. I would certainly monitor baby's growth and
supplement as appropriate. I wonder if a woman who has had metaplasia of the
ductal epithelium independent of lactation is at higher risk during
lactation due to the issue of elevated prolactin levels. I don't know
enough to know whether elevated prolactin levels is a cause or an effect of
the condition. I guess I would try to find a surgeon with an opinion on
that. Baring that, I can't see why garlic and parsley would harm anything.
If it keeps her from plugging up, take that for the duration. It seems
incredible that this combination would cure the condition, but hey, if it
works...
Keep us posted on this one, Pamela.
Barbara
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