Cohen C
S Afr Med J. 1977 Jul 2;52(1):14-6.
A review of 67 cases diagnosed as granulomatous, tuberculous or fungal mastitis revealed 5 cases which were similar, clinically and histopathologically, to the new entity of granulomatous mastitis described by Kessler and Wolloch. The 5 patients were young women of childbearing age, 4 with breast lesions clinically simulating carcinoma of the breast. Histopathological examination showed granulomata and abscess formation confined to the breast lobules. No acid-fast bacilli or fungi were demonstrated. Granulomatous mastitis may be caused by a chemical reaction associated with contraceptive pill therapy, or may have an auto-immune or infective aetiology.
对67例诊断为肉芽肿性、结核性或真菌性乳腺炎的病例进行回顾发现，有5例在临床和组织病理学上与凯斯勒和沃洛克所描述的肉芽肿性乳腺炎这一新实体相似。这5例患者均为育龄期年轻女性，其中4例乳房病变在临床上酷似乳腺癌。组织病理学检查显示肉芽肿和脓肿形成局限于乳腺小叶。未发现抗酸杆菌或真菌。肉芽肿性乳腺炎可能由与避孕药治疗相关的化学反应引起，也可能有自身免疫或感染性病因。
