Dahlbeck S W, Donnelly J F, Theriault R L
University of Minnesota Hospital and Clinic, Minneapolis, USA.
Am Fam Physician. 1995 Sep 1;52(3):929-34.
Inflammatory breast cancer is a devastating disease with an extremely high rate of morbidity and mortality. Differentiating this disease from acute mastitis may be difficult on initial diagnosis. The expeditious diagnosis and treatment of inflammatory breast cancer has important ramifications for the patient's prognosis. Unfortunately, no clear guidelines are available to help the primary care physician differentiate between acute mastitis and inflammatory breast cancer. We present our recommendations and guidelines for a diagnostic approach to this problem. Inflammatory breast cancer typically occurs in older women, while acute mastitis usually affects younger, lactating women. If a trial of antibiotics does not decrease the signs and symptoms in the inflamed breast, inflammatory breast cancer must be considered, especially in older, nonlactating women.
炎性乳腺癌是一种具有极高发病率和死亡率的毁灭性疾病。在初次诊断时，将这种疾病与急性乳腺炎区分开来可能很困难。炎性乳腺癌的快速诊断和治疗对患者的预后具有重要影响。不幸的是，目前尚无明确的指南可帮助初级保健医生区分急性乳腺炎和炎性乳腺癌。我们提出了针对这个问题的诊断方法的建议和指南。炎性乳腺癌通常发生在老年女性中，而急性乳腺炎通常影响年轻的哺乳期女性。如果抗生素治疗试验不能减轻患侧乳房的体征和症状，则必须考虑炎性乳腺癌，尤其是在老年非哺乳期女性中。
