Yang Ting, Luo Haijiao, Zhou Jing, Duan Zhongxu, Jing Jingfeng, Gao Han
Department of Breast and Thyroid, Women and Children's Hospital of Chongqing Medical University: Chongqing Health Center for Women and Children, Chongqing, People's Republic of China.
School of Health Sciences, Universiti Sains Malaysia, Kota Bharu, Kelantan, 15200, Malaysia.
Int Med Case Rep J. 2025 Sep 4;18:1147-1152. doi: 10.2147/IMCRJ.S534479. eCollection 2025.
Plasma Cell Mastitis (PCM) is a rare, chronic inflammatory breast disorder that primarily affects females, although there are occasional reports in males. This case report details an instance of PCM in a male patient, underscoring the diagnostic and therapeutic complexities associated with this condition.
The male patient presented with a palpable parapapillary mass, erythema, and localized breast pain.
Radiological and histopathological assessments confirmed the diagnosis of PCM.
Initial management included conservative pharmacological therapy, which was ineffective. Subsequently, the patient underwent a minimally invasive surgical intervention to address the breast lesion. However, 10 months post-surgery, a recurrence necessitated a total subcutaneous mastectomy.
Despite surgical interventions, the recurrence of PCM highlights the challenges in managing this condition. Complete resolution was achieved following the total subcutaneous mastectomy.
This case underscores the importance of recognizing and addressing PCM in male patients. It highlights the absence of a standardized clinical treatment protocol and emphasizes the necessity for personalized management approaches, especially in recurrent cases.
浆细胞性乳腺炎（PCM）是一种罕见的慢性炎症性乳腺疾病，主要影响女性，不过也有男性发病的偶尔报道。本病例报告详细介绍了一名男性患者的浆细胞性乳腺炎病例，强调了与该疾病相关的诊断和治疗复杂性。
该男性患者出现可触及的乳头旁肿块、红斑和局部乳房疼痛。
放射学和组织病理学评估确诊为浆细胞性乳腺炎。
初始治疗包括保守药物治疗，但无效。随后，患者接受了微创外科手术以处理乳腺病变。然而，术后10个月复发，需要进行全皮下乳房切除术。
尽管进行了手术干预，但浆细胞性乳腺炎的复发凸显了治疗该疾病的挑战。全皮下乳房切除术后实现了完全缓解。
本病例强调了认识和治疗男性患者浆细胞性乳腺炎的重要性。它凸显了缺乏标准化临床治疗方案的情况，并强调了个性化管理方法的必要性，尤其是在复发病例中。
