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应用皮瓣技术成功治疗副乳腺导管扩张症:一例报告

Duct ectasia in an accessory breast successfully treated with a flap technique: a case report.

作者信息

Zhang Xiaohui, Grobmyer Stephen R, Wang Yujing, Sun Qiang, Huang Hanyuan

机构信息

Department of Breast Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, Beijing 100730, China.

出版信息

J Thorac Dis. 2016 Dec;8(12):E1585-E1588. doi: 10.21037/jtd.2016.12.29.

Abstract

Herein, we report a case of duct ectasia in an accessory breast. A 39-year-old, non-lactating Chinese female presented with a recurrent lesion in the right axillary accessory breast. Physical examination and ultrasound revealed an extensive multifocal inflammatory lesion with a size of 10 cm × 7 cm. Antibiotic therapy and a drainage procedure were unsuccessful during the past year. Because of the patient's severe recurrent lesion, we performed an accessory breast excision and then developed an additional flap to achieve primary suture and healing. The outcome was satisfactory. To our knowledge, this is the first case of duct ectasia in an accessory breast reported in China thus far and the first time that a flap technique was used in duct ectasia for complete excision, defect covering and primary healing.

摘要

在此,我们报告一例副乳腺导管扩张症病例。一名39岁未哺乳的中国女性,右侧腋窝副乳腺出现复发性病变。体格检查和超声显示一个广泛的多灶性炎性病变,大小为10 cm×7 cm。在过去一年中,抗生素治疗和引流手术均未成功。由于患者病变严重复发,我们进行了副乳腺切除术,然后采用额外的皮瓣实现一期缝合和愈合。结果令人满意。据我们所知,这是迄今为止中国报道的首例副乳腺导管扩张症病例,也是首次使用皮瓣技术对导管扩张症进行完整切除、缺损覆盖和一期愈合。

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本文引用的文献

1
Mammary duct ectasia: an overview.乳腺导管扩张症:综述
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Classification of inflammatory breast disorders and step by step diagnosis.炎症性乳腺疾病的分类及逐步诊断
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Risk factors for duct ectasia.导管扩张症的危险因素。
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Fistulas of lactifierous ducts.输乳管瘘
Am J Surg. 1951 Mar;81(3):312-7. doi: 10.1016/0002-9610(51)90233-4.

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