肿块型浆细胞性乳腺炎的诊治体会（附32例报告）  

Experiences of diagnosis and treatment for plasma cell mastitis with mass： a report of 32 cases

作　　者：叶春梅[1] 薛明兴[1] 陈波[1] 黄自明[1] 姜冉[1] 

机构地区：[1]湖北省妇幼保健院乳腺外科,武汉430071

出　　处：《临床外科杂志》2013年第4期281-282,共2页Journal of Clinical Surgery

摘　　要：目的总结肿块型浆细胞性乳腺炎的诊治经验。方法对32例术前诊断肿块型浆细胞性乳腺炎患者的临床病理资料进行了回顾性分析。32例患者均行手术治疗。24例急性期者术前予以抗感染治疗后手术。结果31例术后病理证实为浆细胞性乳腺炎，1例为乳腺癌。31例浆细胞性乳腺炎行病灶完整切除术而痊愈。26例术后乳房外形改变不大，与对侧基本对称；5例肿块巨大者术后继发乳房局部凹陷及乳头歪斜畸形。31例随访12～18个月无复发。结论肿块型浆细胞性乳腺炎术前需要与乳腺癌鉴别；早期行病灶完整切除术是治愈本病的确定方法。对急性期的患者术前充分的抗感染治疗能缩小病灶、提高手术疗效和减轻术后乳房的外形破坏。Objective To summarize the diagnostic and therapeutic experience on plasma cell mastitis （PCM） with mass. Methods The clinical and pathological data of 32 cases of PCM with mass diagnosed preoperatively were analyzed retrospectively. All 32 cases received surgical treatment. Anti-inflam- matory treatment were first carried in 24 cases which were in acute phase preoperatively. Results Thirty- one cases of PCM and 1 case of breast carcinoma were diagnosed and confirmed by postoperative patholo- gy. All 31 patients with PCM in this study were cured by complete resection. In these patients, the breast shapes of 26 cases were symmetric and little changed with the other side. Five cases suffered from postop- erative breast retraction and mammillary deflection because of large inflammatory masses. All patients got follow-up ranging from 12 to 18 months. No recurrence was found. Conclusion Preoperative differential diagnosis between PCM with mass and breast carcinoma is essential. An early and complete resection is effective treatment for curing PMC with mass. Adequate preoperative anti-inflammatory treatment could shrink the lesion, improve the efficacy and reduce the damage to breast appearance.

关 键 词：浆细胞性乳腺炎 诊断 治疗 

分 类 号：R632.9[医药卫生—外科学]