CAJ | 학술논문

目的探讨特发肉芽肿性乳腺炎的临床特点及处理方法.方法总结2002年1月-2010年6月经穿刺病理证实及手术治疗的24例特发肉芽肿性乳腺炎的病例资料并对相关文献进行复习.结果该研究组24例,患者平均年龄为34.5岁,不同时期表现为乳腺包块、脓肿、窦道形成.影像学检查很难将乳腺炎性介质反应和乳腺肿瘤鉴别.24例患者均行手术治疗随访6～96个月,平均随访(47.38±6.38)个月,复发3例(12.5％).结论特发肉芽肿性乳腺炎多表现为可触及的乳腺肿块,影像学检查无特异性,最终需病理诊断,完整切除病变组织是其主要的治疗手段.
목적 탐토특발육아종성유선염적림상특점급처리방법.방법 총결2002년1월-2010년6월경천자병리증실급수술치료적24례특발육아종성유선염적병례자료병대상관문헌진행복습.결과 해연구조24례,환자평균년령위34.5세,불동시기표현위유선포괴、농종、두도형성.영상학검사흔난장유선염성개질반응화유선종류감별.24례환자균행수술치료수방6～96개월,평균수방(47.38±6.38)개월,복발3례(12.5％).결론 특발육아종성유선염다표현위가촉급적유선종괴,영상학검사무특이성,최종수병리진단,완정절제병변조직시기주요적치료수단.
Objective To investigate the diagnosis and treatment of idiopathicgranulomatous mastitis.Methods This study was to retrospectively review the clinical presentation,radiological investigation,histopathological features,treatment and outcome of idiopatbic granulomatoos mastitis of women presenting to Xuanwu Hospital between January 2002 and June 2010.Results Twenty-four patients with a mean age of 34.5 years presented with a diagnosis of idiopathic granulomatous mastitis.Patients presented with a palpable breast lump,breast abscess,fistula formation in different periods of the disease; the role of radiological imagings was found to be limited in differentiating idiopathic granulomatous mastitis from other inflammatory and maliguant conditions of the breast.All patients underwent a surgical procedure as the main treatment; in the form of excision or incision and drainage of the breast lesions. Mean follow-up was 47.38 ( range 6-96 ) months with recurrence in 3(12.5％) patients.Conclusions Idiopathic granulomatous mastitis presents clinically with a palpable breast lump.The diagnosis is often only made histopathologically after surgical excision or core biopsy.Wide excision of the lesions or incision and drainage of the lesion are the main treatment modalities.