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What causes and how are Breast Hematomas Treated

Although Hematomas can involve any body part, they are likely to affect the breast due to the gullible nature of breast tissue. What the heck is a Hematoma? Well, it is when clotted blood collects bellow the skin resulting from trauma. Most women will confuse a Hematoma with a tumor but they are not the same. One good thing about Hematomas is that they are not cancerous. This does not mean you can overlook it, if bacteria decide to make use of the clotted blood; you will end with an infection.

What causes and how to detect a Hematoma.

Depending on size, Hematomas can be seen or even felt by touch. The best way is through a mammogram. If large, it will appear as an oval mass on the mammogram. There are several causes of Hematomas namely: – core needle breast biopsy, breaking of blood vessels, injury to the breast, surgery post-operative bleeding (after a breast implant), therapeutic breast surgery and blood thinners e.g. Aspirin have been known to increase chances for Hematomas.

Large Hematomas can cause a scar, or an architectural distortion to breast tissue. In a case where hematoma has caused a scar and resembles a tumor, an ultrasound test is carried to see if there is a Hematoma. A biopsy can also be carried out, and the pathology result will determine whether the mass is malignant (cancer), or benign (not cancer).

As mentioned above, small Hematomas will disappear within time with no or little intervention. Larger Hematomas are surgically removed, and in some cases, Hematomas spontaneously reappears. Always consult your physician if you feel a lump in your breast(s).

Symptoms of Hematomas

– Fever

– Inflammation (bacterial infection)

– Scars

– Skin discoloration on the affected area

If you notice any lump, whether in your breast or another part of the body, consult with your health provider. This is because breast cancer and fibrocystic breast disease share the same symptoms as breast Hematoma.

Extra care should be taken by breast feeding mothers for there is more strain on breast tissue due to the presence of milk. If you notice a Hematoma while breast feeding, discontinue breastfeeding and consult the doctor.

If left untreated, Hematoma can rupture. The rupture can cause infection to the surrounding parts of the breast including the milk duct which can allow the infectious agents into the milk. In addition to this, the infection can lead to blood infection.


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