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乳腺肿块的挑战性管理:病例报告与文献综述

Challenging Management of a Breast Mass: Case Report and Literature Review.

作者信息

Alhalaseh Saleh, Smith Jordan, Alziadin Nmair, Gandrabur Liliya

机构信息

Internal Medicine, St. Barnabas Hospital Health System, Bronx, USA.

Cardiovascular Medicine, University of Nebraska Medical Center, Omaha, USA.

出版信息

Cureus. 2023 Jul 13;15(7):e41855. doi: 10.7759/cureus.41855. eCollection 2023 Jul.

DOI:10.7759/cureus.41855
PMID:37583723
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10423851/
Abstract

Idiopathic granulomatous mastitis (IGM) is a rare benign pathology of inflammation in the breast that commonly affects parous women of reproductive age and men although it is extremely rare. It has an unusual predilection for Hispanic women born outside of the United States, most notably in Mexico. Recently, this entity has been described more. However, the approach to management is still very controversial, and the approaches vary widely, although surgical approaches, including excision or mastectomy, have been less favored recently as a primary approach. Here, we present a case of a young female of reproductive age who presented initially with a suspicious breast lump diagnosed initially in the breast clinic as IGM and was referred to the rheumatology clinic for management with medical therapy.

摘要

特发性肉芽肿性乳腺炎(IGM)是一种罕见的乳腺良性炎症性病变,通常影响育龄经产妇和男性,尽管极为罕见。它对出生在美国境外的西班牙裔女性有异常偏好,最显著的是在墨西哥。最近,对这个实体的描述更多了。然而,治疗方法仍然很有争议,而且方法差异很大,尽管包括切除或乳房切除术在内的手术方法最近作为主要方法已不太受青睐。在此,我们报告一例育龄年轻女性病例,该患者最初因乳房可疑肿块就诊于乳腺诊所,最初被诊断为IGM,随后被转诊至风湿病诊所接受药物治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aee5/10423851/9cd65cd8f32f/cureus-0015-00000041855-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aee5/10423851/503c9c421c37/cureus-0015-00000041855-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aee5/10423851/b7eef0add902/cureus-0015-00000041855-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aee5/10423851/9cd65cd8f32f/cureus-0015-00000041855-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aee5/10423851/503c9c421c37/cureus-0015-00000041855-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aee5/10423851/b7eef0add902/cureus-0015-00000041855-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aee5/10423851/9cd65cd8f32f/cureus-0015-00000041855-i03.jpg

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本文引用的文献

1
Comparison of the Efficacy of Systemic Versus Local Steroid Treatment in Idiopathic Granulomatous Mastitis: A Cohort Study.特发性肉芽肿性乳腺炎全身与局部激素治疗疗效比较:一项队列研究。
J Surg Res. 2022 Oct;278:86-92. doi: 10.1016/j.jss.2022.04.015. Epub 2022 May 17.
2
A Novel First-Line Treatment Alternative for Noncomplicated Idiopathic Granulomatous Mastitis: Combined İntralesional Steroid İnjection with Topical Steroid Administration.非复杂性特发性肉芽肿性乳腺炎的一种新型一线治疗方案:病灶内注射类固醇与局部应用类固醇联合治疗
Breast Care (Basel). 2021 Apr;16(2):181-187. doi: 10.1159/000507951. Epub 2020 Jun 30.
3
A rheumatologic approach to granulomatous mastitis: A case series and review of the literature.
肉芽肿性乳腺炎的风湿科诊治方法:病例系列及文献复习。
Int J Rheum Dis. 2021 Apr;24(4):526-532. doi: 10.1111/1756-185X.14065. Epub 2021 Feb 1.
4
Re-evaluating if observation continues to be the best management of idiopathic granulomatous mastitis.重新评估观察是否仍然是特发性肉芽肿性乳腺炎的最佳治疗方法。
Surgery. 2019 Dec;166(6):1176-1180. doi: 10.1016/j.surg.2019.06.030. Epub 2019 Aug 8.
5
Comparison of Topical, Systemic, and Combined Therapy with Steroids on Idiopathic Granulomatous Mastitis: A Prospective Randomized Study.局部、全身和联合激素治疗特发性肉芽肿性乳腺炎的前瞻性随机研究。
World J Surg. 2019 Nov;43(11):2865-2873. doi: 10.1007/s00268-019-05084-x.
6
Methotrexate in the Treatment of Idiopathic Granulomatous Mastitis.甲氨蝶呤治疗特发性肉芽肿性乳腺炎。
J Rheumatol. 2020 Jun 1;47(6):924-927. doi: 10.3899/jrheum.181205. Epub 2019 Jun 15.
7
Treatments for Idiopathic Granulomatous Mastitis: Systematic Review and Meta-Analysis.特发性肉芽肿性乳腺炎的治疗:系统评价与荟萃分析
Breastfeed Med. 2017 Sep;12(7):415-421. doi: 10.1089/bfm.2017.0030. Epub 2017 Jul 21.
8
Follow-up of granulomatous mastitis with monitoring versus surgery.肉芽肿性乳腺炎的随访:监测与手术对比
Breast Dis. 2017;37(2):69-72. doi: 10.3233/BD-160259.
9
Granulomatous Mastitis: A Rare Cause of Male Breast Lump.肉芽肿性乳腺炎:男性乳腺肿块的罕见病因。
Case Rep Oncol. 2016 Aug 31;9(2):516-519. doi: 10.1159/000448990. eCollection 2016 May-Aug.
10
Association between Hyperprolactinemia and Granulomatous Mastitis.高催乳素血症与肉芽肿性乳腺炎之间的关联。
Breast J. 2016 Mar-Apr;22(2):224-31. doi: 10.1111/tbj.12552. Epub 2015 Dec 26.