肉芽肿性小叶性乳腺炎的诊治(附89例临床分析)  

Diagnosis and treatment of granulomatous lobular mastitis:89 cases report

作　　者：闵三旭[1,2] 郎荣刚[1] 付丽[1] 陈吉兵[2] 李岳林[2] 师艳萍[2] 

机构地区：[1]天津医科大学附属天津肿瘤医院乳腺病理研究室,天津300060 [2]张掖医学高等专科学校附属医院外科,甘肃张掖734000

出　　处：《外科理论与实践》2013年第1期73-76,共4页Journal of Surgery Concepts & Practice

摘　　要：目的:分析肉芽肿性小叶性乳腺炎的临床及病理特点,探讨其最佳诊治方法。方法:回顾性分析89例术后乳腺标本,经组织病理学证实的肉芽肿性小叶性乳腺炎临床和组织病理学资料。89例病人均为女性,平均年龄(33.9±6.8)(22～57)岁,85例有哺乳史,均以乳腺肿块就诊。其中单纯肿块34例,肿块伴疼痛43例,肿块伴乳头溢液5例,肿块伴疼痛、乳头溢液7例,均行手术治疗。结果:平均随访(64.0±3.8)(1～102)个月,复发1例。结论:肉芽肿性小叶性乳腺炎与乳腺癌在临床特征上有许多相似之处,易误诊,应在临床工作中高度重视。组织病理检查是唯一的确诊依据,手术是治疗本病的首选方法。Objective To analyze the clinicopathological characteristics of granulomatous lobular mastitis （GLM） and the optimal approach of its diagnosis and treatment. Methods The clinicopathological data were retrospectively reviewed in 89 female cases with GLM diagnosed by pathology. The patients aged from 22 to 57（33.9±6.8） years. All were presented as breast mass. Eighty-five patients had history of breeding. Thirty-four cases had mono breast lump. Pain occurred in 43 cases, mass with discharging nipple in 5 cases, pain and discharge with mass in 7 cases. All the patients were operated. Results The patients were followed up for （64.0 ±3.8） （1-102）months. Only 1 patient with GLM had recurrence. Conclusions GLM is hardly to be distinguished from breast cancer based on clinical manifestations. The unique diagnosis is determined by histopathological findings. Operation is the main therapeutic choice for GLM.

关 键 词：乳腺炎 肉芽肿 诊断 治疗 

分 类 号：R655.8[医药卫生—外科学]