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局部用类固醇治疗肉芽肿性乳腺炎:病例报告。

Topical steroids to treat granulomatous mastitis: a case report.

机构信息

Department of General Surgery, Sakarya University Faculty of Medicine, Sakarya, Turkey.

出版信息

Korean J Intern Med. 2011 Sep;26(3):356-9. doi: 10.3904/kjim.2011.26.3.356. Epub 2011 Sep 13.

DOI:10.3904/kjim.2011.26.3.356
PMID:22016598
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3192210/
Abstract

Idiopathic granulomatous mastitis (IGM) is a rare and chronic benign disease of the breast. Histologically, the disease presents as an intense inflammatory reaction with non-caseated granulomas that are the characteristic symptom of the disease. No consensus exists on the best treatment modality for this disease. In this report, we present a patient with granulomatous mastitis who was treated successfully with low-dose oral and topical steroids. Our aim here is to discuss various approaches for IGM in view of the literature and present treatment with topical steroids, which has not been reported.

摘要

特发性肉芽肿性乳腺炎(IGM)是一种罕见的慢性良性乳腺疾病。组织学上,该疾病表现为强烈的炎症反应,伴有非干酪样肉芽肿,这是该疾病的特征性症状。对于这种疾病,尚无最佳治疗方式的共识。在本报告中,我们介绍了一位成功接受低剂量口服和局部皮质类固醇治疗的肉芽肿性乳腺炎患者。我们旨在根据文献讨论 IGM 的各种治疗方法,并介绍局部皮质类固醇治疗方法,这在之前的报道中尚未涉及。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d2d/3192210/b7f1415cf186/kjim-26-356-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d2d/3192210/a719e6e58549/kjim-26-356-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d2d/3192210/c730602efc29/kjim-26-356-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d2d/3192210/238383b8a0fc/kjim-26-356-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d2d/3192210/b7f1415cf186/kjim-26-356-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d2d/3192210/a719e6e58549/kjim-26-356-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d2d/3192210/c730602efc29/kjim-26-356-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d2d/3192210/238383b8a0fc/kjim-26-356-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d2d/3192210/b7f1415cf186/kjim-26-356-g004.jpg

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Idiopathic granulomatous mastitis: introducing a diagnostic algorithm based on 5 years of follow-up of 152 cases from Turkey and a review of the literature.

本文引用的文献

1
Systemic therapy as a first choice treatment for idiopathic granulomatous mastitis.全身治疗作为特发性肉芽肿性乳腺炎的首选治疗方法。
J Cutan Pathol. 2009 Jun;36(6):689-91. doi: 10.1111/j.1600-0560.2008.01102.x. Epub 2009 Feb 4.
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Treatment options for atopic dermatitis.特应性皮炎的治疗选择。
Am Fam Physician. 2007 Feb 15;75(4):523-8.
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Radiologic and clinical features of idiopathic granulomatous lobular mastitis mimicking advanced breast cancer.酷似晚期乳腺癌的特发性肉芽肿性小叶性乳腺炎的影像学及临床特征
特发性肉芽肿性乳腺炎:介绍一个基于土耳其 152 例 5 年随访的诊断算法,并对文献进行回顾。
Surg Today. 2022 Apr;52(4):668-680. doi: 10.1007/s00595-021-02367-6. Epub 2021 Sep 21.
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Granulomatous Lobular Mastitis: Antituberculous Treatment and Outcome in 22 Patients.肉芽肿性小叶性乳腺炎:22例患者的抗结核治疗及结果
Breast Care (Basel). 2018 Oct;13(5):359-363. doi: 10.1159/000487935. Epub 2018 Jul 5.
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Is surgical excision necessary for the treatment of Granulomatous lobular mastitis?肉芽肿性小叶性乳腺炎的治疗是否需要手术切除?
BMC Womens Health. 2017 Jul 24;17(1):49. doi: 10.1186/s12905-017-0412-0.
6
Topical Steroids Are Effective in the Treatment of Idiopathic Granulomatous Mastitis.外用类固醇对特发性肉芽肿性乳腺炎有效。
World J Surg. 2015 Nov;39(11):2718-23. doi: 10.1007/s00268-015-3147-9.
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Surgical treatment of granulomatous mastitis associated with autoimmune response.与自身免疫反应相关的肉芽肿性乳腺炎的外科治疗
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Yonsei Med J. 2006 Feb 28;47(1):78-84. doi: 10.3349/ymj.2006.47.1.78.
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Breast J. 2005 Nov-Dec;11(6):454-6. doi: 10.1111/j.1075-122X.2005.00127.x.
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Idiopathic granulomatous mastitis: a case successfully treated with a minimum dose of a steroid.特发性肉芽肿性乳腺炎:一例采用最小剂量类固醇成功治疗的病例。
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ANZ J Surg. 2003 Apr;73(4):247-9. doi: 10.1046/j.1445-1433.2002.02564.x.
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Intermittent dosing of fluticasone propionate cream for reducing the risk of relapse in atopic dermatitis patients.间歇性使用丙酸氟替卡松乳膏以降低特应性皮炎患者复发风险。
Br J Dermatol. 2002 Sep;147(3):528-37. doi: 10.1046/j.1365-2133.2002.05006.x.
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Prednisone management of granulomatous mastitis.
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Granulomatous mastitis: a lesion clinically simulating carcinoma.肉芽肿性乳腺炎:一种临床症状类似癌症的病变。
Am J Clin Pathol. 1972 Dec;58(6):642-6. doi: 10.1093/ajcp/58.6.642.