Chest bruises often go unnoticed by a woman, as it is assumed that this is a common injury, even if after it the hematoma has not gone away for a long time, and after its healing there can be no consequences. However, the structural features of the mammary glands make bruising of the chest, as well as its other injuries - such as injections, bites, cuts - quite dangerous. So, open wounds of the breast are quickly infected with various microorganisms, which are often resistant to antibacterial drugs. In addition, chest bruises, chest wounds are fraught with the development of suppuration, bleeding and can provoke the development of a tumor that has not yet been detected.

Why chest bruises are dangerous and how to recognize their symptoms

A woman gets chest bruises most often in everyday situations - she was pushed into the subway, fell on a hard object, or bumped into furniture. Chest bruises can be obtained by playing ball with children or bumping into a door frame. In car accidents, the mammary glands are the first to suffer - from hitting the steering wheel of a car.

A blow to the chest breaks the integrity of small blood vessels, causing hemorrhages into the surrounding tissues. The accumulation of spilled blood forms a subcutaneous or deep hematoma. Such hematomas can resolve over time, but quite often fatty necrosis forms in their place. The blood that has flowed into the tissue can be infected by bacteria that enter through the milk ducts or in another way, then there is a risk of abscess formation.

The peculiarity of bruises of the chest is in their soreness. This organ in a woman is characterized by high innervation, and therefore chest bruises, especially in the nipple area, can be accompanied by pain shock. Chest bruises can be combined with wounds - stab, cut, then the risk of infection is especially high.

Usually, a patient at the appointment due to a bruised chest complains of a painful induration in the mammary gland, sometimes it is swelling, and when the milk ducts are injured, there is a transparent discharge from the nipple, sometimes even with an admixture of blood. Even after a lapse of time after a chest injury, a compacted area may remain. At the site of the formed fatty necrosis, scar tissue may develop, due to which the skin is drawn in at the site of the bruised chest.

Risk of oncopathology after chest contusion

By themselves, seals left after injury to the mammary gland by a bruise or wound are not malignant. But patients with nodular mastopathy are at risk: a chest bruise can be a provoking factor that will push even the smallest hidden tumor to develop. Many patients diagnosed with breast cancer have had an episode of bruising or injury to the breast in the past.

Diagnostics and principles of treatment of chest contusion

If a chest bruise is suspected, the patient should be advised to consult a mammologist in order not to miss the development of a tumor and other complications. The fact is that if the consequences of a bruise are localized in the thickness of tissues, then it is very difficult to determine them visually and by touch, instrumental research methods are needed.

For resorption of a hematoma, rubbing in of heparin ointment is recommended; in case of significant hemorrhage in the tissue, puncture evacuation of blood is performed. The developed purulent abscess requires antibiotic therapy, puncture and drainage. Large formed hematomas, nodes and scars are subject to surgical removal by sectoral resection with a mandatory histological examination of the excised tissue.

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