Diagnosis Cracked Nipple dan Inverted Nipple

Oleh :

dr. Bunga Saridewi

Diagnosis cracked nipple dan inverted nipple dapat ditegakkan secara klinis. Namun, dalam beberapa keadaan diperlukan pemeriksaan penunjang untuk menyingkirkan diagnosis banding, seperti pada abses atau kanker payudara.

Anamnesis

Keluhan yang paling sering dialami pasien dengan cracked nipple adalah nyeri pada daerah sekitar puting susu yang bertambah jika menyusui bayi. Pasien bisa menyadari adanya lecet atau retakan kulit, perdarahan, kulit terkelupas, serta keluar discharge dari puting susu. [1,5,6]

Referensi

1. Ahmed EMS, Mohamed HAE, Abu-Talib YM. Evidence Based Guideline Using to Alleviate Traumatic Nipple among Nursing Mothers. World Journal of Nursing Sciences, 2015. 1 (3): 35-44, 2015
2. Yenty QMH, Jurgens WJFM, Zuijlen PPM, Vet HCW, Verhaegen PDHM. Treatment of the benign inverted nipple: A systematic review and recommendations for future therapy. Breast. 2016(29)82-89. https://www.ncbi.nlm.nih.gov/pubmed/27476082
4. Nicholson BT, Harvey JA, Cohen MA. Nipple-Areolar Complex: Normal Anatomy and Benign and Malignant process. RadioGraphics. 2009(29)509-523. https://www.ncbi.nlm.nih.gov/pubmed/19325062
5. Lazaraviciute G, Chaturvedi S. Breast Pain, Nipple Pain and Nipple Discharge – An Overview. Ann Breast Cancer Res, 2017. 2(1): 1009
6. Niazi A, Rahimi VB, Soheili-Far S, et al. A Systematic Review on Prevention and Treatment of Nipple Pain and Fissure: Are They Curable?. J Pharmacopuncture. 2018;21(3):139–150. doi:10.3831/KPI.2018.21.017
13. Kementrian Kesehatan Republik Indonesia. Keputusan Menteri Kesehatan Nomor HK.02.02/MENKES/514/2015 tentang Panduan Praktik Klinis Bagi Dokter di Fasilitas Pelayanan Kesehatan Tingkat Pertama. 2015.
17. Medscape. Breast Examination Technique. https://emedicine.medscape.com/article/1909276-technique#c2
18. Toronto Public Health. Breastfeeding Protocols for Health Care Providers. 2013. https://www.toronto.ca/wp-content/uploads/2017/11/9102-tph-breastfeeding-protocols-1-to-21-complete-manual-2013.pdf
19. Amir LH; Academy of Breastfeeding Medicine Protocol Committee. ABM clinical protocol #4: Mastitis, revised March 2014. Breastfeed Med. 2014;9(5):239–243. doi:10.1089/bfm.2014.9984
20. Kataria K, Srivastava A, Dhar A. Management of lactational mastitis and breast abscesses: review of current knowledge and practice. Indian J Surg. 2013;75(6):430–435. doi:10.1007/s12262-012-0776-1
21. Brennan M, Houssami N, French J. Management of benign breast conditions. Australian Family Physician, 2005. Vol. 34 (5): 353-355.
22. An HY, Kim KS, Yu IK, Kim KW, Kim HK. The Nipple-Areolar Complex A Pictorial Review of Common and Uncommon Conditions. J Ultrasound Med. 2010(29)949-962. http://dx.doi.org/10.7863/jum.2010.29.6.949

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