Abstract: ObjectiveTo explore the clinical manifestations, diagnosis and treatments of granulomatous lobular mastitis (GLM).MethodsA retrospective study was carried out in 32 cases confirmed GLM by pathology in our hospital from January 2014 to December 2014. In all the 32 reproductive aged female cases, there were 31 parous and 1 unparous. All the lesions was unilateral. The patients aged 23~51 years, with an average of 31.8 years. Before the operation, there were 3 cases got pathology examination by previous resection, 22 cases by needle biopsy after admission, and 7 cases of cell collection of abscess drainage. After 7 days’ dexamethasone and broad spectrum antibiotic therapy, they all underwent resection of the lesions, including 18 cases of local expanded resection, 13 cases of segmental resection and 1 case of nipplepreserving mastectomy. Nipple areola keratoplasty was done in 1 case with nipple retraction. Double pipes for washing drainage was used for 3~7 days after surgery.ResultsDuring 10 to 21 months postoperative followup, there were 31 cases cured, except 1 case of recurrence. And she got cured after a secondary local expanded resection. 2 cases appeared obvious breast deformation, including 1 case for nipplepreserving mastectomy, another for lower quadrant mastectomy.ConclusionIt is easy to be misdiagnosed of the GLM because of the nonspecific clinical characteristics and imaging features. The diagnosis must rely on the histopathological examination. Surgical treatment after short term use of dexamethasone is an effective treatment for granulomatous mastitis patients.
岑延增，张嘉越，闫威. 外科治疗肉芽肿性小叶性乳腺炎32例疗效分析[J]. 中国现代手术学杂志, 2017, 21(5): 354-356.
CEN Yan-zeng, ZHANG Jia-yue, YAN Wei. Surgical Treatment of Granulomatous Lobular Mastitis: An Analysis of 32 Cases. Chinese Journal of Modern Operative Surgery, 2017, 21(5): 354-356.
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