临床误诊误治2017,Vol.30Issue(9):73-75,3.DOI:10.3969/j.issn.1002-3429.2017.09.026
浆细胞性乳腺炎超声误诊分析
Analysis of Plasma Cell Mastitis Misdiagnosed by Ultrasound
摘要
Abstract
Objective To investigate misdiagnosed causes of plasma cell mastitis (PCM) in order to improve the diagnosis and treatment.Methods Clinical data of 15 patients with PCM misdiagnosed by ultrasound admitted during January 2008 and December 2016 was retrospectively analyzed.Results The misdiagnosis rate was 17.44%.Misdiagnosed time was (5.32±1.32)d, Among the 15 patients, there were 4 patients misdiagnosed as having mammary fibroma, 4 patients misdiagnosed as having breast cysts, 3 patients misdiagnosed as having breast abscess, 2 patients misdiagnosed as having breast cancer and 2 patients misdiagnosed as having intraductal papilloma.Cytological examination by puncture was performed in 8 patients, and other 7 patients underwent mass excision, and all patients were confirmed PCM by pathological examination.Among them, 3 patients underwent symptomatic treatments such as puncture and drainage, and were discharged after conditions had been improved;12 patients underwent selectively surgical resection and postoperatively symptomatic treatments, and then were discharged after having been cured.All patients were followed up for 3 months-2 years, all patients'' conditions were stable without recurrence.Conclusion Clinicians should enhance understanding of clinical manifestation, signs and imaging results of PCM patients and improve diagnosis and treatment so as to reduce or avoid misdiagnosis and mistreatment of PCM.关键词
浆细胞性乳腺炎/超声检查,乳房/误诊/乳腺囊肿/乳腺肿瘤Key words
Plasma cell mastitis/Ultrasonography/mammary/Misdiagnosis/Breast cyst/Breast neoplasms分类
医药卫生引用本文复制引用
张坤,周兴伟,余洁,胡晓龙,宋兴玲..浆细胞性乳腺炎超声误诊分析[J].临床误诊误治,2017,30(9):73-75,3.基金项目
陕西省科学技术研究发展计划项目[2006K12-G5(6)] (6)