中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2010年
24期
3313-3314
,共2页
乳腺炎%浆细胞%误诊%回顾性研究
乳腺炎%漿細胞%誤診%迴顧性研究
유선염%장세포%오진%회고성연구
Mastitis%Plasma cells%Diagnostic errors%Retrospective studies
目的 探讨浆细胞性乳腺炎(PCM)的临床特点和诊断治疗方法.方法 回顾性分析经手术和病理证实的76例PCM患者的临床资料.结果 76例患者中有乳头内陷或分叶状乳头47例(61.8%),临床表现为炎性肿块的53例(69.7%),乳瘘型13例(17.1%),术前临床误诊为乳腺癌5例(6.6%).结论 PCM临床极易误诊为乳腺癌,需术中冰冻切片检查明确诊断,手术治疗是唯一可以彻底治愈的方法,部分患者易复发,乳头先天性发育不良是该病的主要病因.
目的 探討漿細胞性乳腺炎(PCM)的臨床特點和診斷治療方法.方法 迴顧性分析經手術和病理證實的76例PCM患者的臨床資料.結果 76例患者中有乳頭內陷或分葉狀乳頭47例(61.8%),臨床錶現為炎性腫塊的53例(69.7%),乳瘺型13例(17.1%),術前臨床誤診為乳腺癌5例(6.6%).結論 PCM臨床極易誤診為乳腺癌,需術中冰凍切片檢查明確診斷,手術治療是唯一可以徹底治愈的方法,部分患者易複髮,乳頭先天性髮育不良是該病的主要病因.
목적 탐토장세포성유선염(PCM)적림상특점화진단치료방법.방법 회고성분석경수술화병리증실적76례PCM환자적림상자료.결과 76례환자중유유두내함혹분협상유두47례(61.8%),림상표현위염성종괴적53례(69.7%),유루형13례(17.1%),술전림상오진위유선암5례(6.6%).결론 PCM림상겁역오진위유선암,수술중빙동절편검사명학진단,수술치료시유일가이철저치유적방법,부분환자역복발,유두선천성발육불량시해병적주요병인.
Objective To summarize the features, diagnosis and treatment of plasma cell mastitis.Methods The clinical data of 76 patients with plasma cell mastitis proved by operation and pathology from 2004 to 2009 in our hospital were retrospectively analyzed. Results In 76 cases, there were 47 cases of mammary papilla invagination and foliatepapilla(61.8% ) ,53 cases of inflammatory lump( 69.7% ), 13 cases of chronic fistula cannulas( 17.1% ) ,5 cases misdiagnosed as breast cancer before operation(6.6% ). Conclusions Plasma cell mastitis could be occasionally misdiagnosed as breast cancer,final diagnosis was made by frozen section pathological examination, operation was the effective method to cure the disease, some patients were usually recured, mammary papilla dysplasia could be one of the major etiological factors.
