特发性肉芽肿性乳腺炎：普通外科医生面临的诊断和治疗挑战
Idiopathic granulomatous mastitis: diagnostic and therapeutic challenges to general surgeon.
作者信息
Gudimani Santosh C, Rohit Kumar C, Mithun V V, Gowda Chaitra K N, Deepa A B
机构信息
Department of General Surgery, Kannur Medical College Hospital, Kannur, India.
Department of Obstetrics and Gynaecology, Kannur Medical College Hospital, Kannur, India.
出版信息
Breast Dis. 2015;35(1):67-72. doi: 10.3233/BD-140375.
BACKGROUND
Idiopathic granulomatous mastitis, four decades since its first description still remains a disease of dilemma. Correct diagnosis with exclusion of various causes and appropriate treatment with surgery, antibiotics and steroids are the keys to overcome the persisting challenge that lies in management of this dilemmatic disease.
MATERIAL
We report 4 cases of idiopathic granulomatous mastitis that were treated in Kannur medical college hospital.
CONCLUSION
Idiopathic granulomatous mastitis is uncommon benign breast disease that can be confused with two of the very common breast conditions, breast carcinoma and breast abscess. The management of IGM needs a holistic approach with the surgeon, pathologist and radiologist working in unison to unravel the difficulties that lie in treating this disease and bringing back the smile on patients face.
背景
特发性肉芽肿性乳腺炎自首次被描述以来，历经四十年仍仍是一种棘手的疾病。排除各种病因进行正确诊断，并通过手术、抗生素和类固醇进行适当治疗，是应对这种棘手疾病管理中持续挑战的关键。
材料
我们报告了在坎努尔医学院医院接受治疗的4例特发性肉芽肿性乳腺炎病例。
结论
特发性肉芽肿性乳腺炎是一种罕见的良性乳腺疾病，可能与两种非常常见的乳腺疾病——乳腺癌和乳腺脓肿相混淆。特发性肉芽肿性乳腺炎的管理需要一种整体方法，外科医生、病理学家和放射科医生协同工作，以解决治疗这种疾病所面临的困难，并让患者重拾笑容。
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