Long Quanyi, Fan Yuan, Zhang Jia, Li Hongjiang, Lv Qing
Department of Breast Surgery, West China Hospital, Sichuan University, Chengdu, China.
Gland Surg. 2021 Feb;10(2):826-831. doi: 10.21037/gs-21-40.
This paper presents a case study of a 78-year-old male patient who presented with exacerbated skin redness and edema on the left chest wall, especially on the left breast, and who had been suffering from associated pruritus for 6 months. The patient also presented with enlarged ipsilateral axillary lymph nodes that were suspected to be carcinomas after a preliminary ultrasound and enhanced computerized tomography (CT) examination were performed. To examine these symptoms, an ultrasound-guided core biopsy and a chronic inflammatory test were also performed. The results of the excision biopsy and the immunohistochemistry test of the left breast and ipsilateral lymph node revealed no signs of cancer in this patient. Finally, combined with his medical history, the laboratory tests and pathology results, the patient was diagnosed with plasma cell mastitis (PCM) after another suspicious lesion (e.g., inflammatory breast cancer, etc.) was excluded. PCM is a kind of benign lesion of the breast with an unclear etiology. It usually affects non-pregnant and non-lactational females, who display clinical symptoms that are often similar to those of inflammatory breast cancer (IBC), the main manifestations were erythema and edema on the chest wall. To date, there is no standardized clinical treatment strategy or management approach for PCM.
本文介绍了一例78岁男性患者的病例研究。该患者左胸壁，尤其是左侧乳房出现皮肤发红和水肿加剧的症状，并伴有6个月的瘙痒。患者同侧腋窝淋巴结肿大，在进行初步超声和增强计算机断层扫描（CT）检查后怀疑为癌。为检查这些症状，还进行了超声引导下的粗针活检和慢性炎症检测。左乳房和同侧淋巴结的切除活检及免疫组化检测结果显示该患者无癌症迹象。最后，结合其病史、实验室检查和病理结果，在排除其他可疑病变（如炎性乳腺癌等）后，该患者被诊断为浆细胞性乳腺炎（PCM）。PCM是一种病因不明的乳腺良性病变。它通常影响非妊娠和非哺乳期女性，其临床症状常与炎性乳腺癌（IBC）相似，主要表现为胸壁红斑和水肿。迄今为止，对于PCM尚无标准化的临床治疗策略或管理方法。
