A control study between catheter drainage following ultrasound-guided vacuum-assisted rotary excision and traditional excision in treatment of granulomatous mastitis in abscess phase_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

ZHANG Haiyan ¹ , WAN Hangyu ¹ , WANG Pin ² ,  LUO Jing ¹ , YANG Feng ¹ , XU Jicheng ³ , HU Huihua ¹ , FENG Jinyan ¹ , WEN Jing ¹

1. Department of Breast and Thyroid Surgery, Sichuan Provincial Hospital for Women and Children, Chengdu 610045, P. R. China;
2. Department of Breast and Thyroid Surgery, The Third People’s Hospital of Chengdu City, Chengdu 610015, P. R. China;
3. Department of Pathology, Sichuan Provincial Hospital for Women and Children, Chengdu 610045, P. R. China;

Corresponding?author：

LUO Jing, Email: 1318497642@qq.com

Keywords：

granulomatous mastitis; abscess phase; minimally invasive rotary excision; drainage

DOI：

10.7507/1007-9424.201810001

Video：

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Objective To compare curative effect of catheter drainage following ultrasound-guided vacuum-assisted rotary excision and traditional excision in treatment of granulomatous mastitis in abscess stage. Methods A total of 38 patients with granulomatous mastitis in abscess phase from December 2016 to March 2017 in the Third People’s Hospital of Chengdu City and from March 2017 to October 2017 in the Sichuan Provincial Hospital for Women and Children were included as a study group, who were received the catheter drainage following ultrasound-guided vacuum-assisted rotary excision. A total of 38 similar cases from July 2015 to November 2016 in the Third People’s Hospital of Chengdu City were collected as a control group according to the 1∶1 matching principle, who were received the traditional excision. The therapeutic period, postoperative appearance of breast, and recurrence rate were compared between these two groups. Results Compared with the control group, the therapeutic period was significantly shorter (t=74.000, P<0.001), the postoperative appearance of breast was significantly better (χ²=7.280, P=0.007) in the study group, while the recurrence rate had no significant difference (χ²=0.559, P=0.455) between these two groups. Conclusions Catheter drainage following ultrasound-guided vacuum-assisted rotary excision shows advantages in postoperative therapeutic period and appearance of breast and doesn’t increase relapse rate as compared with traditional surgery for patients with granulomatous mastitis in abscess stage.

Citation： ZHANG Haiyan, WAN Hangyu, WANG Pin, LUO Jing, YANG Feng, XU Jicheng, HU Huihua, FENG Jinyan, WEN Jing. A control study between catheter drainage following ultrasound-guided vacuum-assisted rotary excision and traditional excision in treatment of granulomatous mastitis in abscess phase. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2019, 26(1): 67-71. doi: 10.7507/1007-9424.201810001 Copy

1.	Kessler E, Wolloch Y. Granulomatous mastitis: a lesion clinically simulating carcinoma. Am J Clin Pathol, 1972, 58(6): 642-646.
2.	中華預防醫學會婦女保健分會乳腺保健與乳腺疾病防治學組. 非哺乳期乳腺炎診治專家共識. 中國實用外科雜志, 2016, 36(7): 755-756.
3.	吳恢升, 伍建春, 鄭昶, 等. 120 例肉芽腫性乳腺炎保守治療的臨床研究. 中國普外基礎與臨床雜志, 2016, 23(2): 225-228.
4.	閔三旭, 郎榮剛, 傅西林, 等. 89 例肉芽腫性乳腺炎的臨床病理學特征分析. 中華乳腺病雜志 (電子版), 2013, 7(3): 15-19.
5.	Yukawa M, Watatani M, Isono S, et al. Management of granulomatous mastitis: a series of 13 patients who were evaluated for treatment without corticosteroids. Int Surg, 2015, 100(5): 774-782.
6.	郭禎, 熊麗. 肉芽腫性乳腺炎的綜合治療及整形修復. 江西中醫藥大學學報, 2016, 28(6): 37-40.
7.	於恩橋, 趙柳華, 唐祖雄, 等. 特發性肉芽腫性乳腺炎的診斷與治療 (附 33 例報道). 中國普外基礎與臨床雜志, 2015, 22(8): 985-988.
8.	Dobinson HC, Anderson TP, Chambers ST, et al. Antimicrobial treatment options for granulomatous mastitis caused by corynebacterium species. J Clin Microbiol, 2015, 53(9): 2895-2899.
9.	王永勝, 吳炅, 宋麗華 (主譯). 乳腺病學. 第 5 版. 山東科學技術出版社, 2018: 57-62.
10.	Velidedeoglu M, Kilic F, Mete B, et al. Bilateral idiopathic granulomatous mastitis. Asian J Surg, 2016, 39(1): 12-20.
11.	Al Manasra AR, Al-Hurani MF. Granulomatous mastitis: a rare cause of male breast lump. Case Rep Oncol, 2016, 9(2): 516-519.
12.	徐紅, 王立眾, 霍翔, 等. 漿細胞性乳腺炎的外科治療. 中華普通外科雜志, 2013, 28(4): 305-306.
13.	王頎, 楊劍敏, 于海靜. 肉芽腫性乳腺炎的診斷與處理原則. 中國實用外科雜志, 2016, 36(7): 734-738.
14.	Altintoprak F, Kivilcim T, Ozkan OV. Aetiology of idiopathic granulomatous mastitis. World J Clin Cases, 2014, 2(12): 852-858.
15.	Destek S, Gul VO, Ahioglu S. A variety of gene polymorphisms associated with idiopathic granulomatous mastitis. J Surg Case Rep, 2016, 2016(9). pii: rjw156.
16.	張超杰, 孔成. 非哺乳期乳腺炎的免疫學研究進展. 大連醫科大學學報, 2014, 36(4): 307-313.
17.	Hida T, Minami M, Kawaguchi H, et al. Case of erythema nodosum associated with granulomatous mastitis probably due to Corynebacterium infection. J Dermatol, 2014, 41(9): 821-823.
18.	Taylor GB, Paviour SD, Musaad S, et al. A clinicopathological review of 34 cases of inflammatory breast disease showing an association between corynebacteria infection and granulomatous mastitis. Pathology, 2003, 35(2): 109-119.
19.	Yu HJ, Deng H, Ma J, et al. Clinical metagenomic analysis of bacterial communities in breast abscesses of granulomatous mastitis. Int J Infect Dis, 2016, 53: 30-33.
20.	劉曉雁, 佟琳, 羅強, 等. 肉芽腫性小葉性乳腺炎細菌學分析. 廣東醫學, 2016, 37(16): 2454-2456.
21.	Nikolaev A, Blake CN, Carlson DL. Association between hyperprolactinemia and granulomatous mastitis. Breast J, 2016, 22(2): 224-231.
22.	Destek S, Gul VO, Ahioglu S, et al. Pituitary adenoma and hyperprolactinemia accompanied by idiopathic granulomatous mastitis. Case Rep Endocrinol, 2017, 2017: 3974291.
23.	Pandey TS, Mackinnon JC, Bressler L, et al. Idiopathic granulomatous mastitis—a prospective study of 49 women and treatment outcomes with steroid therapy. Breast J, 2014, 20(3): 258-266.
24.	于海靜, 王頎, 楊劍敏, 等. 肉芽腫性乳腺炎的臨床病理特征及其綜合治療. 中華乳腺病雜志 (電子版), 2013, 7(3): 20-23.
25.	Karanlik H, Ozgur I, Simsek S, et al. Can steroids plus surgery become a first-line treatment of idiopathic granulomatous mastitis? Breast Care (Basel), 2014, 9(5): 338-342.
26.	王品, 吳劍, 羅靜, 等. 多孔硅膠管引流應用于乳腺導管擴張癥膿腫型的臨床研究. 中華乳腺病雜志 (電子版), 2015, 9(5): 316-319.
27.	Chu AN, Seiler SJ, Hayes JC, et al. Magnetic resonance imaging characteristics of granulomatous mastitis. Clin Imaging, 2017, 43: 199-201.

1. Kessler E, Wolloch Y. Granulomatous mastitis: a lesion clinically simulating carcinoma. Am J Clin Pathol, 1972, 58(6): 642-646.
2. 中華預防醫學會婦女保健分會乳腺保健與乳腺疾病防治學組. 非哺乳期乳腺炎診治專家共識. 中國實用外科雜志, 2016, 36(7): 755-756.
3. 吳恢升, 伍建春, 鄭昶, 等. 120 例肉芽腫性乳腺炎保守治療的臨床研究. 中國普外基礎與臨床雜志, 2016, 23(2): 225-228.
4. 閔三旭, 郎榮剛, 傅西林, 等. 89 例肉芽腫性乳腺炎的臨床病理學特征分析. 中華乳腺病雜志 (電子版), 2013, 7(3): 15-19.
5. Yukawa M, Watatani M, Isono S, et al. Management of granulomatous mastitis: a series of 13 patients who were evaluated for treatment without corticosteroids. Int Surg, 2015, 100(5): 774-782.
6. 郭禎, 熊麗. 肉芽腫性乳腺炎的綜合治療及整形修復. 江西中醫藥大學學報, 2016, 28(6): 37-40.
7. 於恩橋, 趙柳華, 唐祖雄, 等. 特發性肉芽腫性乳腺炎的診斷與治療 (附 33 例報道). 中國普外基礎與臨床雜志, 2015, 22(8): 985-988.
8. Dobinson HC, Anderson TP, Chambers ST, et al. Antimicrobial treatment options for granulomatous mastitis caused by corynebacterium species. J Clin Microbiol, 2015, 53(9): 2895-2899.
9. 王永勝, 吳炅, 宋麗華 (主譯). 乳腺病學. 第 5 版. 山東科學技術出版社, 2018: 57-62.
10. Velidedeoglu M, Kilic F, Mete B, et al. Bilateral idiopathic granulomatous mastitis. Asian J Surg, 2016, 39(1): 12-20.
11. Al Manasra AR, Al-Hurani MF. Granulomatous mastitis: a rare cause of male breast lump. Case Rep Oncol, 2016, 9(2): 516-519.
12. 徐紅, 王立眾, 霍翔, 等. 漿細胞性乳腺炎的外科治療. 中華普通外科雜志, 2013, 28(4): 305-306.
13. 王頎, 楊劍敏, 于海靜. 肉芽腫性乳腺炎的診斷與處理原則. 中國實用外科雜志, 2016, 36(7): 734-738.
14. Altintoprak F, Kivilcim T, Ozkan OV. Aetiology of idiopathic granulomatous mastitis. World J Clin Cases, 2014, 2(12): 852-858.
15. Destek S, Gul VO, Ahioglu S. A variety of gene polymorphisms associated with idiopathic granulomatous mastitis. J Surg Case Rep, 2016, 2016(9). pii: rjw156.
16. 張超杰, 孔成. 非哺乳期乳腺炎的免疫學研究進展. 大連醫科大學學報, 2014, 36(4): 307-313.
17. Hida T, Minami M, Kawaguchi H, et al. Case of erythema nodosum associated with granulomatous mastitis probably due to Corynebacterium infection. J Dermatol, 2014, 41(9): 821-823.
18. Taylor GB, Paviour SD, Musaad S, et al. A clinicopathological review of 34 cases of inflammatory breast disease showing an association between corynebacteria infection and granulomatous mastitis. Pathology, 2003, 35(2): 109-119.
19. Yu HJ, Deng H, Ma J, et al. Clinical metagenomic analysis of bacterial communities in breast abscesses of granulomatous mastitis. Int J Infect Dis, 2016, 53: 30-33.
20. 劉曉雁, 佟琳, 羅強, 等. 肉芽腫性小葉性乳腺炎細菌學分析. 廣東醫學, 2016, 37(16): 2454-2456.
21. Nikolaev A, Blake CN, Carlson DL. Association between hyperprolactinemia and granulomatous mastitis. Breast J, 2016, 22(2): 224-231.
22. Destek S, Gul VO, Ahioglu S, et al. Pituitary adenoma and hyperprolactinemia accompanied by idiopathic granulomatous mastitis. Case Rep Endocrinol, 2017, 2017: 3974291.
23. Pandey TS, Mackinnon JC, Bressler L, et al. Idiopathic granulomatous mastitis—a prospective study of 49 women and treatment outcomes with steroid therapy. Breast J, 2014, 20(3): 258-266.
24. 于海靜, 王頎, 楊劍敏, 等. 肉芽腫性乳腺炎的臨床病理特征及其綜合治療. 中華乳腺病雜志 (電子版), 2013, 7(3): 20-23.
25. Karanlik H, Ozgur I, Simsek S, et al. Can steroids plus surgery become a first-line treatment of idiopathic granulomatous mastitis? Breast Care (Basel), 2014, 9(5): 338-342.
26. 王品, 吳劍, 羅靜, 等. 多孔硅膠管引流應用于乳腺導管擴張癥膿腫型的臨床研究. 中華乳腺病雜志 (電子版), 2015, 9(5): 316-319.
27. Chu AN, Seiler SJ, Hayes JC, et al. Magnetic resonance imaging characteristics of granulomatous mastitis. Clin Imaging, 2017, 43: 199-201.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

A control study between catheter drainage following ultrasound-guided vacuum-assisted rotary excision and traditional excision in treatment of granulomatous mastitis in abscess phase

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