RESUMO
Idiopathic granulomatous mastitis is a rare chronic inflammatory lesion of breast which presents as a spectrum of diseases and is diagnosed only histological. It is often a diagnosis of exclusion in most of the cases. Medical and surgical treatments have been tried with varied success rates and till today no standard protocol could be made in its management though excision remains the treatment of choice in refractory cases which is associated with morbidity more due to psychological factors. In the present case, medical treatment was tried in the initial phase followed by wide excision.
RESUMO
Objective To investigate the diagnosis and treatment for tuberculosis of the breast.Methods Retrospectively analyzed the clinical data of 78 patients with tuberculosis of the breast treated in our hospital in the past 21 years was made.Results The incidence of tuberculosis of the breast has been increasing year by year,peasants of remote mountain areas and civilian workers in the cities were the high affected groups.Misdiagnosis rate was as high as 62.9 %.Operation combined with other therapies,and selection of opportune time for operation can reduce the extent of resection,and satisfy the demands of young female patients for high quality of life.Conclusions Clinical doctors should improve their recognition of tuberculosis of the breast,increase the rate of correct diagnosis,and avoid missed diagnosis and misdiagnosis,especially misdiagnosis of tuberculosis for breast cancer,which can cause the patients to undergo unnecessary pain and economic burden.