乳房坏死性筋膜炎：一例免于乳房切除术的治疗案例。
Necrotizing fasciitis of the breast: a case managed without mastectomy.
机构信息
Department of Surgery, Mubarak Al-Kabeer Hospital, Jabriya, Kuwait.
出版信息
Med Princ Pract. 2011;20(6):567-9. doi: 10.1159/000330026. Epub 2011 Oct 4.
OBJECTIVE
To report a rare presentation of necrotizing fasciitis (NF) in the breast and its management.
CLINICAL PRESENTATION AND INTERVENTION
A 61-year-old non-diabetic lady presented with a painful swollen right breast and yellowish discharge associated with fever for the last few days. Based on clinical examination and haematological parameters, a provisional diagnosis of breast abscess was made that later proved to be a case of NF. She was managed conservatively with repeated debridement followed by split-skin grafting with preservation of the breast.
CONCLUSION
This case showed that NF of the breast can present as a simple breast abscess which was managed conservatively.
目的
报告一例罕见的乳房坏死性筋膜炎（NF）表现及其治疗方法。
临床表现与干预
一位 61 岁的非糖尿病女性因右乳房疼痛性肿胀和黄色分泌物伴有发热数天就诊。根据临床检查和血液学参数，初步诊断为乳房脓肿，后来证实为 NF 病例。她接受了多次清创术和皮肤移植术（保留乳房）的保守治疗。
结论
本例表明，乳房 NF 可表现为简单的乳房脓肿，可通过保守治疗进行管理。
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