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

Video：

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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

1.	王懋莉, 王超, 丁昂, 等.浆细胞性乳腺炎诊治17例分析[J].外科理论与实践, 2012, 17(3): 266-269.
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1. 王懋莉, 王超, 丁昂, 等.浆细胞性乳腺炎诊治17例分析[J].外科理论与实践, 2012, 17(3): 266-269.
2. 郭强, 赵洪耀.浆细胞性乳腺炎82例诊治体会[J].中国中西医结合外科杂志, 2011, 17(4): 414-415.
3. 黄汉源.浆细胞性乳腺炎外科治疗进展:整形外科技术的应用[J].中华乳腺病杂志:电子版, 2013, 7(3): 52-54.
4. 胡金辉, 黄艳茹, 莫兴群. "三步法"综合疗法治疗浆细胞性乳腺炎53例临床观察[J].中医药导报, 2013, 19(4): 36-38.
5. 徐红, 赵峰霞, 赵恩, 等.浆细胞性乳腺炎的术式探讨[J].中华临床医师杂志:电子版, 2012, 6(24): 8370-8371.
6. 张云, 徐红.浆细胞性乳腺炎的研究进展[J].武警医学院学报, 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. 姜军.重视乳腺良性疾病与癌前病变的诊治研究[J].中国实用外科杂志, 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. 高雅军, 汪洁, 马祥军, 等.浆细胞性乳腺炎外科治疗方法初步探索[J].中国现代手术学杂志, 2010, 14(1): 36-38.
11. 陈守菊, 邱冬梅, 刘文丽, 等.浆细胞性乳腺炎58例诊治体会[J].海南医学, 2012, 23(4): 51-52.
12. 徐鲲, 刘小丰, 杨德同.浆细胞性乳腺炎的外科治疗[J].现代肿瘤医学, 2012, 20(12): 2524-2526.
13. 赵小艳, 张玉萍.浆细胞性乳腺炎的诊治体会[J].山西医药杂志, 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. 徐红, 王立众, 霍翔, 等.浆细胞性乳腺炎的外科治疗[J].中华普通外科杂志, 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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