乳腺包裹性乳头状癌合并肉芽肿性小叶性乳腺炎1例并诊治分析  

A case of encapsulated papillary carcinoma of the breast with granulomatous lobular mastitis:Diagnosis and treatment analysis

作　　者：曾奕斐 张董晓[2] 付娜[2] 东浩[2] 黄巧[2] 赵文洁[2] ZENG Yifei;ZHANG Dongxiao;FU Na;DONG Hao;HUANG Qiao;ZHAO Wenjie(School of Clinical Medicine,Beijing University of Chinese Medicine,Beijing 100029,China;Department of Galactophore,Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University,Beijing 100010,China)

机构地区：[1]北京中医药大学临床医学院,北京100029 [2]首都医科大学附属北京中医医院乳腺科,北京100010

出　　处：《中国肿瘤外科杂志》2024年第4期397-404,共8页Chinese Journal of Surgical Oncology

基　　金：北京市自然科学基金(7202064);北京市科委首都临床诊疗技术研究及转化应用(Z211100002921020);北京市中医管理局规划项目(JJ⁃2020⁃64);北京市医院管理中心培育计划(PZ2021011)。

摘　　要：肉芽肿性小叶性乳腺炎(GLM)是一种临床少见的乳腺良性炎症性疾病,其临床表现及影像学表现均与乳腺癌难以鉴别,一般以组织病理学检查为诊断标准。临床上乳腺癌与GLM同时发生的病例十分罕见,这更增加了早期诊断的难度。由于乳腺癌的发生发展可能与感染及炎性反应密切相关,因此,临床上应重视GLM患者的早期全面评估及筛查,以早诊早治,避免延误病情。文章通过回顾该病例的诊疗经过,结合文献分析乳腺癌并发GLM患者的诊断及治疗方案,探究GLM与乳腺癌的发展之间可能存在的相关联系。Granulomatous lobular mastitis(GLM)is a rare benign inflammatory disease of the breast,which is difficult to be distinguished from breast cancer by clinical and imaging manifestations,and is generally diagnosed by histopathological examination.It is rare for breast cancer and GLM to occur simultaneously in clinical practice,which increases the difficulty of early diagnosis.Since the development of breast cancer may be closely related to infection and inflammatory response,clinical attention should be paid to early comprehensive assessment and screening of GLM patients for early diagnosis and treatment to avoid delay.By reviewing the diagnostic and therapeutic history of the case and analysing the diagnosis and treatment options for patients with breast cancer complicated by GLM in conjunction with the literature,this article explores the possible correlation between GLM and the development of breast cancer.

关 键 词：乳腺包裹性乳头状癌 乳腺癌 肉芽肿性乳腺炎 诊治分析 

分 类 号：R737.9[医药卫生—肿瘤]