摘要
目的分析非哺乳期乳腺炎的临床特点及误诊原因,并总结防范误诊措施。方法回顾性分析2015年1月—2020年12月出现误诊的25例非哺乳期乳腺炎临床资料。结果本组误诊率为58.1%,以乳房肿块伴局部皮肤红肿和压痛为主要表现17例,以乳房肿块不伴皮肤病变为主要表现8例。入院后依据病史、临床体征和辅助检查,误诊为乳腺癌或疑似乳腺癌15例、导管内乳头状瘤6例、乳腺增生3例、纤维腺瘤1例。所有患者均行病灶切除术治疗,术后病理检查均确诊为非哺乳期乳腺炎。患者治疗过程顺利,预后良好,未见复发。结论非哺乳期乳腺炎诊断缺乏特异性,临床医生应结合患者临床资料、影像学及实验室检查、鉴别诊断要点综合分析,提高诊断准确率。
Objective To analyze clinical characteristics and misdiagnosed causes of patients with non-lactating mastitis,and to summarize the measures to prevent misdiagnosis.Methods Clinical data of 25 patients with non-lactating mastitis who had been misdiagnosed between January 2015 and December 2020 was retrospectively analyzed.Results In this group,the misdiagnosed rate was 58.1%,and the main manifestations were breast mass associated by local skin redness,swelling and tenderness in 17 patients,and breast mass without skin lesions in 8 patients.According to medical history,clinical signs and auxiliary examinations,there were 15 patients misdiagnosed as having breast cancer or suspected breast cancer,6 patients as having intraductal papilloma,3 patients as having hyperplasia of mammary glands,and 1 patient as having fibroadenoma.All patients were treated with lumpectomy,and non-lactating mastitis was confirmed for all patients by postoperative pathological examination.The treatment process was successful with good prognoses,and there was no recurrence.Conclusion Non-lactating mastitis is lack of specificity in the diagnosis.Clinicians should comprehensively analyze clinical data,imaging and laboratory examinations and the key points of differential diagnosis in order to improve the diagnostic accuracy.
作者
陈宏业
郝晓鹏
李桥
田林
邱悦
陈玉辉
CHEN Hong-ye;HAO Xiao-peng;LI Qiao;TIAN Lin;QIU Yue;CHEN Yu-hui(Section of Breast Surgery,Department of General Surgery,the First Medical Center of PLA General Hospital,Beijing 100039,China;Military Casualty Management Department,the Eighth Medical Center of PLA General Hospital,Beijing 100091,China)
出处
《临床误诊误治》
CAS
2022年第2期12-15,共4页
Clinical Misdiagnosis & Mistherapy
关键词
非哺乳期乳腺炎
误诊
乳腺肿瘤
乳腺增生
乳头状瘤
管内
Non-puerperal mastitis
Misdiagnosis
Breast neoplasms
Breast hyperplasia
Papilloma,intraductal
