临床误诊误治2024，Vol.37Issue(6)：10-13,4.DOI:10.3969/j.issn.1002-3429.2024.06.003
肉芽肿性小叶性乳腺炎误诊临床分析
Clinical Analysis of Misdiagnosis of Granulomatous Lobular Mastitis
周海洋 1李浩 1王石林 1魏学明 1王妍 1郑子阳 1张玉辉1
作者信息
- 1. 100036 北京,空军特色医学中心普通外科
- 折叠
摘要
Abstract
Objective To investigate the clinical features,causes of misdiagnosis and preventive measures of granu-lomatous lobular mastitis(GLM).Methods The clinical data of 18 misdiagnosed patients with GLM treated from January 2018 to December 2023 were retrospectively analyzed.Results In this group,16 patients presented with breast mass,and 2 patients presented with skin ulceration and pus.Thirteen patients were misdiagnosed as inflammatory breast cancer and 5 pa-tients were misdiagnosed as breast tuberculosis.The duration of misdiagnosis was 7-22(9.31±1.36)d.The patient misdiag-nosed with inflammatory breast cancer was diagnosed with GLM after surgical resection and pathological examination.The pa-tient misdiagnosed with breast tuberculosis had recurrence after anti-tuberculosis treatment,and underwent surgical resection.The secretions were tested by bacterial culture and pathogen testing,all of which were negative.The pathological examination confirmed the diagnosis as GLM.All patients underwent surgical treatment,the breast lesions were completely removed,and anti-infective treatment was given for 7 d after resection.Of them,14 patients took oral prednisone acetate for 30 d after sur-gery,and the other 4 patients did not take oral drugs.All the 18 patients were cured.Conclusion GLM is rare and has no typical clinical manifestations.It is more likely to be confused with breast cancer and tuberculous mastitis and misdiagnosed.It is necessary for clinicians to strengthen the knowledge of GLM,enhance the vigilance of the disease,comprehensively ana-lyze the condition,and perform the differential diagnosis carefully,so as to reduce the misdiagnosis of GLM.关键词
肉芽肿性小叶性乳腺炎/误诊/炎性乳腺癌/乳腺结核/病理学/磁共振成像/诊断/鉴别诊断Key words
Granulomatous lobular mastitis/Misdiagnosis/Inflammatory breast cancer/Breast tuberculosis/Pathol-ogy/Magnetic resonance imaging/Diagnosis/Differential diagnosis分类
临床医学引用本文复制引用
周海洋,李浩,王石林,魏学明,王妍,郑子阳,张玉辉..肉芽肿性小叶性乳腺炎误诊临床分析[J].临床误诊误治,2024,37(6):10-13,4.
