Esmaeil Nawzad Kh, Salih Abdulwahid M
Community Health Department, College of Health and Medical Technology, Sulaimani Polytechnic University.
Department of Medical Laboratory Technology, Kalar Technical College, Kalar Polytechnic University.
Ann Med Surg (Lond). 2024 Jan 15;86(4):1881-1886. doi: 10.1097/MS9.0000000000001636. eCollection 2024 Apr.
Granulomatous mastitis (GM) is an inflammatory breast disease typically caused by infection, posing diagnostic challenges. It can coexist with other breast disorders or multiple infections, which have been vaguely discussed. This study investigates the incidence of multi-infection and breast disease comorbidities in GM.
The study enroled 63 females who had a confirmed diagnosis of GM. Laboratory investigations and bacterial cultures had been conducted for all the cases. The patients had undergone ultrasonography examination utilizing the LOGIQ E9 system. Core needle biopsy had been done to procure tissue samples for histopathological examination. Thorough scrutiny and assessment of patients' records were performed. The variables encompassed age at presentation, breastfeeding data, parity, smoking status, seasonal affliction, hair-washing agents, exposure to radiation, comorbidities, and clinical, ultrasound and histopathological findings.
The patients' ages ranged from 24 to 50. Breastfeeding history was positive in nearly all cases (97%). The majority of cases exhibited multiparity (81%). In total, 63.5% were passive smokers. Multi-infections were detected in six cases (9.5%). Among them, and were identified in two cases (3.16%). Other multi-infections involved and , and and , and spp., spp. and spp. Histopathological analysis revealed GM comorbidities with other breast diseases in 35% of the cases.
Multi-infections and breast disease comorbidities may further complicate diagnosis and management of GM. The findings of this study may raise additional questions about the nature of the disease or potential complications associated with it.
肉芽肿性乳腺炎(GM)是一种通常由感染引起的炎性乳腺疾病,给诊断带来挑战。它可与其他乳腺疾病或多种感染共存,对此已有模糊的讨论。本研究调查GM中多重感染和乳腺疾病合并症的发生率。
该研究纳入了63例确诊为GM的女性。对所有病例进行了实验室检查和细菌培养。患者使用LOGIQ E9系统进行了超声检查。进行了粗针活检以获取组织样本进行组织病理学检查。对患者的记录进行了全面审查和评估。变量包括就诊年龄、哺乳数据、产次、吸烟状况、季节性发病、洗发剂、辐射暴露、合并症以及临床、超声和组织病理学检查结果。
患者年龄在24至50岁之间。几乎所有病例(97%)的哺乳史呈阳性。大多数病例为经产妇(81%)。共有63.5%为被动吸烟者。6例(9.5%)检测到多重感染。其中,2例(3.16%)检测到[具体菌种1]和[具体菌种2]。其他多重感染包括[具体菌种3]和[具体菌种4]、[具体菌种5]和[具体菌种6]、[具体菌种7]和[具体菌种8]、[具体菌种9]和[具体菌种10]。组织病理学分析显示,35%的病例中GM与其他乳腺疾病合并存在。
多重感染和乳腺疾病合并症可能会使GM的诊断和治疗进一步复杂化。本研究结果可能会引发关于该疾病性质或与其相关的潜在并发症的更多问题。