中国现代手术学杂志2017，Vol.21Issue(5)：354-356,3.DOI:10.16260/j.cnki.1009-2188.2017.05.008
外科治疗肉芽肿性小叶性乳腺炎32例疗效分析
Surgical Treatment of Granulomatous Lobular Mastitis:An Analysis of 32 Cases
岑延增 1张嘉越 1闫威1
作者信息
- 1. 中国人民解放军第303医院普通外科,南宁530021
- 折叠
摘要
Abstract
Objective To explore the clinical manifestations,diagnosis and treatments of granulomatous lobular mastitis (GLM). Methods A retrospective study was carried out in 32 cases confirmed GLM by pa-thology in our hospital from January 2014 to December 2014. In all the 32 reproductive aged female cases,there were 31 parous and 1 un-parous. All the lesions was unilateral. The patients aged 23~51 years,with an average of 31. 8 years. Before the operation,there were 3 cases got pathology examination by previous resection,22 cases by needle biopsy after admission,and 7 cases of cell collection of abscess drainage. After 7 days'dexamethasone and broad spectrum antibiotic therapy,they all underwent resection of the lesions,including 18 cases of local ex-panded resection,13 cases of segmental resection and 1 case of nipple-preserving mastectomy. Nipple areola ker-atoplasty was done in 1 case with nipple retraction. Double pipes for washing drainage was used for 3~7 days af-ter surgery. Results During 10 to 21 months postoperative follow-up,there were 31 cases cured,except 1 case of recurrence. And she got cured after a secondary local expanded resection. 2 cases appeared obvious breast de-formation,including 1 case for nipple-preserving mastectomy,another for lower quadrant mastectomy. Conclu-sion It is easy to be misdiagnosed of the GLM because of the non-specific clinical characteristics and imaging features. The diagnosis must rely on the histopathological examination. Surgical treatment after short term use of dexamethasone is an effective treatment for granulomatous mastitis patients.关键词
肉芽肿性小叶性乳腺炎/手术Key words
granulomatous lobular mastitis/operation分类
医药卫生引用本文复制引用
岑延增,张嘉越,闫威..外科治疗肉芽肿性小叶性乳腺炎32例疗效分析[J].中国现代手术学杂志,2017,21(5):354-356,3.
