本刊首页 > 期刊目次 > 肉芽肿性乳腺炎的诊治分析

• 文章 •

肉芽肿性乳腺炎的诊治分析

  • 白吉明

* 通信作者: 白吉明, 单位:承德市中心医院 067000

摘要

关键词:乳腺癌;肉芽肿性乳腺炎;乳腺切除术;糖皮质激素

ABSTRACT

To study medical and surgical treatment of granulomatous mastitis in order to achieve cosmetic effects and reduce the recurrence rates.

Methods:Collect 19 patients with granulomatous mastitis in our hospital from 2009 to 2012 and divid them into two groups,one was given oral corticosteroid hormones and the other was given surgery,analyze the clinical manifestations, radiological features and pathological results during 20 months of follow-up.

Results:In this study, the majority subjects were young maternals who had received steroids (average age 34.5 years),we found that there were large irregular lumps on them accompanied with pain. In the ultrasound,it is showed hypoechoic irregular lobulated, tubular-shaped or oval lumps. In the mammogram,it is showed ill-defined mass and uneven gland density with disordered structure, may be associated with axillary lymph nodes.But there should only be cytology or histology results to diagnose breast cancer. The alleviatation of symptom and inflammatory depend on medical treatment,and then give surgery to cut the remaining lesions, mainly breast-conserving surgery.

Conclusion  :Granulomatous mastitis is chronic inflammation of the mammary gland whose main pathological features is granulomatous mastitis which give young women great suffering.It could be easily confused with breast cancer by breast imaging. there should only be cytology or histology results to distinction.The therapy of glucocorticoid make inflammatory controlled well and tumor narrowed, which provides great possibilities for conservative surgery.There will be great cosmetic results when cutting the residual disease after medical treatment.It provides exact method of treatment and reduce the risk of recurrence in patients with granulomatous mastitis.

Key words: Breast carcinoma;Granulomatous mastitis;Mastectomy;Corticosteroid

引用本文 / How to Cite This Article

白吉明.肉芽肿性乳腺炎的诊治分析[J]. 国际精神病学杂志, , (): -

参考文献

相关文章