摘要
目的 :总结浆细胞性乳腺炎临床诊断及手术治疗的经验。方法 :对经病理确诊的 12 1例浆细胞性乳腺炎的术前诊断及手术等进行分析。结果 :术前诊断为乳腺癌 4 5例、导管内乳头状瘤 2 2例、纤维腺瘤 2 8例、炎性包块 8例、浆细胞性乳腺炎 18例 ,误诊率 85 .1%。 32例行单纯乳房切除术 ,32例行乳腺区段切除术 ,4 9例行局部包块切除术 ,3例行乳癌根治术 ,5例行单纯乳房切除加腋窝淋巴结清扫术。结论 :本病术前极易误诊 ,术中应行冰冻切片检查确诊。
Objective:To summarize the experience on clinical diagnosis and surgi cal treatment of plasmocytic mammitis. Methods: The p reoperational diagnoses and operations of 121 cases of plasmocytic mammitis were analyzed. R esults: 45 case s were misdiagnosed as mammary carcinoma, 22 cases as intraductal papilloma, 28 cases as fibroma and 8 cases as inflammatory mass. Only 18 cases were diagnosed as plasmocytic mammitis. The misdiagnosis rate was 85.1%. Of 121 case studied, 3 2 cases were treated with simple mastectomy, 32 with segmental mastectomy, 49 wi t h mass resection, 3 with radical mastectomy, and 5 with simple mastectomy and ly mphoidectomy. Conclusion:Plasmocytic mammitis may be easily misdiagnosed. Cryos tat pathology in the operation should be applied to obtain the correct dignosis. Surgical operation is the only choice for this disease.
出处
《西北国防医学杂志》
CAS
2004年第6期436-437,共2页
Medical Journal of National Defending Forces in Northwest China
