PDF(Pubmed)
Abstract：
Idiopathic granulomatous mastitis (IMD) is a chronic benign inflammatory disease of the breast which can mimic breast cancer. It is more common in young women of childbearing age and poses a challenge in diagnosis of inflammatory breast tumor. We report the case of a 26-year-old female patient who presented with inflammatory breast. Clinical examination showed apyretic patient with edematized and painless irregular smooth mass in the left breast measuring 4 cm surmounted by crusts and multiples fistulizing scars discharging pus by applying pressure, with mobile ipsilateral axillary adenopathy. The remainder of the physical examination showed inflammatory erythematous patches on both legs. A mammogram plus breast ultrasound was performed followed by biopsy that objectified fibrous mastopathy. Lumpectomy was performed due to the persistence of symptoms. Anatomopathological examination objectified granulomatous mastitis. Etiological research didn\'t identify a clear cause. Corticotherapy associated with antibiotic therapy was started with complete regression of symptoms after two months.
摘要：
特发性肉芽肿性乳腺炎（IMD）是一种慢性良性乳腺炎症性疾病，可以模仿乳腺癌。它在育龄的年轻女性中更为常见，并且对炎症性乳腺肿瘤的诊断提出了挑战。我们报告了一名26岁女性患者的情况，该患者患有炎症性乳房。临床检查显示，脱口症患者的左乳房有水肿和无痛的不规则光滑肿块，大小为4厘米，上面有结皮和多发的疤痕，通过施加压力排出脓液，伴有同侧移动腋窝腺病。其余的体格检查显示两条腿上有炎性红斑。进行乳房X线照片加乳房超声检查，然后进行活检，以客观地诊断纤维性乳腺病。由于症状的持续进行了肿块切除术。解剖病理学检查客观化肉芽肿性乳腺炎。病因研究没有确定明确的原因。与抗生素治疗相关的皮质治疗开始，两个月后症状完全消退。
