Marchant Douglas J
Department of Obstetrics and Gynecology, and the Breast Health Center, Women and Infants Hospital, Providence, Rhode Island 02905-2499, USA.
Obstet Gynecol Clin North Am. 2002 Mar;29(1):89-102. doi: 10.1016/s0889-8545(03)00054-8.
The primary care physician usually is the first person to see patients complaining of breast pain or nipple discharge. The diagnosis of lactational mastitis is evident because of the history The major consideration is prompt and effective treatment and close follow-up evaluation. Failure to respond to appropriate therapy should suggest abscess formation, and prompt intervention is required. Any diagnosis of mastitis in a patient who is not lactating should be viewed with suspicion. Although several benign and non-life-threatening conditions have been discussed herein, inflammatory breast cancer must always be considered.
初级保健医生通常是首位接待主诉乳房疼痛或乳头溢液患者的人。鉴于病史，哺乳期乳腺炎的诊断很明显。主要考虑的是迅速有效的治疗以及密切的随访评估。对适当治疗无反应应提示脓肿形成，需要及时干预。对于非哺乳期患者的任何乳腺炎诊断都应持怀疑态度。尽管本文讨论了几种良性且不危及生命的情况，但必须始终考虑炎性乳腺癌。
