肉芽肿性乳腺炎：附10例报告

本病较少见。易误诊为癌。病理形态学有其特点。本文报告10例,皆女性,年龄30～36岁。病程半月～12月,中位2.5月。均以发现无痛或微痛性肿块及短期内迅速增长而就医。肿块长径3～9cm,中位4.5cm。多为边界不清,表面不平,质较硬。6例伴同侧腋淋巴结肿大。3例钼靶X线检查印象癌肿。6例针吸细胞学检查1例疑癌。临床印象7例疑癌,冰冻切片检查亦有1例考虑癌。因此,确有难辨之时,宜靠石蜡切片进行诊断。

Granulomatous Mastitis of Breast.A Report of 10 Cases

Granulomatous mastitis is rare. It is often misdiagnosed as carcinoma clinically. Ten such cases are reported. All le- sions occurred in married,multiparous women 30-36 years of age with a mass located outside of areola. The duration of disease ranged from 0.5 to 12 months. The size of the lump varied from 3 to 9cm in diameter. Six of them had homolat- eral enlarged axillary lymph nodes. Three of thd latter were reportedly misdiagnosed as carcinoma by X-ray. One of thd six cases which underwent needle aspiration was misdiagnosed as carcinoma. Seven were clinically considered as carcino- ma. In one patient a diagnosis of carcinoma was given. It is mandatory to make diagnosis after paraffin section examina- tion whenever forzen sections are equivocal.