Paredes López A, Moreno G
Hospital Oncología CMN Siglo XXI, México, D.F.
Ginecol Obstet Mex. 1995 Jun;63:226-30.
Non puerperal mastitis is an inflammatory disease that resembles carcinoma, the course is insidious and frequently this entity is misdiagnosed. The recurrence has been reported until 60%. This report is a prospective clinical investigation, of 30 patients with diagnosis of periductal mastitis, in these women were analyzed; age, marital stage, deliveries, breast feeding symptoms like tumour, inflammatory signs, mammary ductal fistula, mamography, cytology, bacteriology, histopathology, medical and surgical treatment. The middle age was 36 years old, 70% between 30 and 50 years old, 26 patients were multiparous, breast feeding were mentioned for 20 women. The tumor was palpable 70% of the cases, localized preferentially in the retroareolar segment, inflammatory changes were observed in 25 cases, 19 patients with fistula. The cytology was negative in 13 cases. In the bacterial culture were isolated, Staphylococcus aureus in 7 cases, Proteus vulgaris in 2 cases and seven cases resulted negative. Mamographic exams were realized in 23 patients; one case resulted adenocarcinoma. The medical treatment were with Eritromycin and Metronidazol and then, ducts resection surgery were performed in 16 cases, one case with adenocarcinoma was performed a modified radical mastectomy. The results were satisfactory 22 women improved, 6 cases with recurrence and two cases with spontaneous improvement.
非产褥期乳腺炎是一种类似癌症的炎症性疾病，病程隐匿，该病症常被误诊。据报道其复发率高达60%。本报告是一项对30例诊断为导管周围乳腺炎患者的前瞻性临床研究，对这些女性的年龄、婚姻状况、分娩情况、母乳喂养情况、肿瘤样症状、炎症体征、乳腺导管瘘、乳房X线摄影、细胞学检查、细菌学检查、组织病理学检查以及内科和外科治疗进行了分析。患者平均年龄为36岁，70%在30至50岁之间，26例为经产妇，20名女性提及曾母乳喂养。70%的病例可触及肿块，肿块优先位于乳晕后段，25例观察到炎症变化，19例有瘘管形成。13例细胞学检查结果为阴性。细菌培养中，7例分离出金黄色葡萄球菌，2例分离出普通变形杆菌，7例结果为阴性。23例患者进行了乳房X线检查；1例诊断为腺癌。内科治疗使用红霉素和甲硝唑，之后16例行导管切除术，1例腺癌患者行改良根治性乳房切除术。结果令人满意，22名女性病情改善，6例复发，2例自行好转。
