Binelli C, Lorimier G, Bertrand G, Parvery F, Bertrand A F, Verriele V
Service de Chirurgie, Centre Paul-Papin, Angers.
J Gynecol Obstet Biol Reprod (Paris). 1996;25(1):27-32.
Diagnosis of granulomatous mastitis must be based on a multidisciplinary approach. First, it's necessary to eliminate carcinomatous mastitis. Usually, the diagnosis is unknown except for tuberculous and sarcoidosis granulomatous mastitis. On observations in two cases of Corynebacterium granulomatous mastitis, we discussed the diagnosis and therapeutic approach. When there is a clinical suspicion of granulomatous mastitis, surgical biopsy with immediate histological analysis and bacteriological culture of mammary tissue should be performed. This multidisiplinary approach should reduce the number of idiopathic granulomatous mastitis observed. Antibiotic treatment is required after biopsy or surgical excision of granuloma.
肉芽肿性乳腺炎的诊断必须基于多学科方法。首先,有必要排除癌性乳腺炎。通常,除结核性和结节病性肉芽肿性乳腺炎外,诊断不明。通过对两例棒状杆菌肉芽肿性乳腺炎病例的观察,我们讨论了诊断和治疗方法。当临床怀疑有肉芽肿性乳腺炎时,应进行手术活检,并对乳腺组织立即进行组织学分析和细菌培养。这种多学科方法应能减少特发性肉芽肿性乳腺炎的病例数。活检或肉芽肿手术切除后需要抗生素治疗。