The Diagnostic and Treatment Experiences of Plasma Cell Mastitis in 53 Cases_West China Medical Journal

Authors：

 LiXueman , ZhangZhuo

Department of Thoracic Surgery, the Third Hospital of Wuhan, Wuhan, Hubei 430060, P. R. China;

Corresponding?author：

Keywords：

Plasma cell mastitis; Clinical manifestation; Surgery; Treatment

DOI：

10.7507/1002-0179.201600461

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Objective To summarize the clinical manifestations and treatment of plasma cell mastitis. Methods We retrospectively analyzed the diagnosis and treatment of 53 patients with plasma cell mastitis admitted into the hospital between January 2008 and December 2014. Results Twelve patients with nipple discharge underwent mammary gland segment resection in which the complete discharging tube system and part of the normal gland were resected. In the 26 patients with inflammatory masses, 12 had acute inflammation with mass formation who were treated with abscess incision drainage and silver alginate wound dressing before second-stage lesion resection. Fourteen patients with only local swelling, tenderness and no abscess formation underwent lesion resection after the abscesses were reduced by combined traditional Chinese medicine (TCM) and western medical treatment. Seven patients with painless mass all had abscesses in the areola area, among whom 5 had complete inflammatory capsule and they underwent lumpectomy. Two patients had cheese-like tissue beside the abscess, and they underwent segmental resection. In the 8 patients with chronic fistula, one at the age of 51 was cured by simple mastectomy after recurrence, and the other 7 underwent lesion resection after combined TCM and western medical treatment. All the 53 patients were diagnosed to have plasma cell mastitis by surgical biopsy, and they were all cured with no recurrence 6 months after surgery. Conclusion s Plasma cell mastitis is usually misdiagnosed because of its diversified clinical manifestations. For patients whose lesion is large and not confined, it's better for them to receive combined TCM and western medical treatment. Surgical time and approach should be chosen appropriately. Surgical lesion resection is the only method for complete treatment in patients with plasma cell mastitis.

Citation： LiXueman, ZhangZhuo. The Diagnostic and Treatment Experiences of Plasma Cell Mastitis in 53 Cases. West China Medical Journal, 2016, 31(10): 1675-1677. doi: 10.7507/1002-0179.201600461 Copy

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15.	徐紅, 王立眾, 霍翔, 等.漿細胞性乳腺炎的外科治療[J].中華普通外科雜志, 2013, 28(4): 305-306.

1. 王懋莉, 王超, 丁昂, 等.漿細胞性乳腺炎診治17例分析[J].外科理論與實踐, 2012, 17(3): 266-269.
2. 郭強, 趙洪耀.漿細胞性乳腺炎82例診治體會[J].中國中西醫結合外科雜志, 2011, 17(4): 414-415.
3. 黃漢源.漿細胞性乳腺炎外科治療進展:整形外科技術的應用[J].中華乳腺病雜志:電子版, 2013, 7(3): 52-54.
4. 胡金輝, 黃艷茹, 莫興群. "三步法"綜合療法治療漿細胞性乳腺炎53例臨床觀察[J].中醫藥導報, 2013, 19(4): 36-38.
5. 徐紅, 趙峰霞, 趙恩, 等.漿細胞性乳腺炎的術式探討[J].中華臨床醫師雜志:電子版, 2012, 6(24): 8370-8371.
6. 張云, 徐紅.漿細胞性乳腺炎的研究進展[J].武警醫學院學報, 2010, 19(6): 506-508.
7. Sakurai K, Fujisaki S, Enomoto K, et al. Evaluation of follow-up strategies for corticosteroid therapy of idiopathic graunlomatous mastitis[J]. Surg Today, 2011, 41(3): 333-337.
8. 姜軍.重視乳腺良性疾病與癌前病變的診治研究[J].中國實用外科雜志, 2009, 29(3): 196-198.
9. Ammari FF, Yaghan RJ, Omari AK. Periductal mastitis: clinical characteristics and outcome[J]. Saudi Med J, 2002, 23: 819-822.
10. 高雅軍, 汪潔, 馬祥軍, 等.漿細胞性乳腺炎外科治療方法初步探索[J].中國現代手術學雜志, 2010, 14(1): 36-38.
11. 陳守菊, 邱冬梅, 劉文麗, 等.漿細胞性乳腺炎58例診治體會[J].海南醫學, 2012, 23(4): 51-52.
12. 徐鯤, 劉小豐, 楊德同.漿細胞性乳腺炎的外科治療[J].現代腫瘤醫學, 2012, 20(12): 2524-2526.
13. 趙小艷, 張玉萍.漿細胞性乳腺炎的診治體會[J].山西醫藥雜志, 2013, 42(10): 1157-1158.
14. Hladik M, Schoeller T, Ensat F, et al. Idiopathic granulomatous mastitis: successful treatment by mastectomy and immediate breast reconstruction[J]. J Plast Reconstr Aesthet Surg, 2011, 64(12): 1604-1607.
15. 徐紅, 王立眾, 霍翔, 等.漿細胞性乳腺炎的外科治療[J].中華普通外科雜志, 2013, 28(4): 305-306.

West China Medical Journal

The Diagnostic and Treatment Experiences of Plasma Cell Mastitis in 53 Cases

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