关键词: 肉芽肿性乳腺炎, 棒状杆菌, 激素治疗, 抗分枝杆菌药物

Abstract:

Granulomatous mastitis: diagnonsis and treatment                     WANG Qi，YANG Jian-min,YU Hai-jing. Breast Center of Guangdong Women and Children Hospital,Guangzhou 510010,China
Corresponding author: WANG Qi,E-mail: 2307057220@qq.com
Abstract    Granulomatous mastitis is an uncommon condition,but increasing from articles published. In parous women of reproductive age,clinically,it can present as breast mass,abcess formation with features, and progression to sinus or skin ulcer that may relapse and prolonged unhealed. Corynebacterium infection can result in more complicated the process. Percutaneous biopsy is the main diagnostic methods of granulomatous mastitis which is characterised histopathologically by the presence lobulecentred non-caseating granuloma surrounded by epithelioid histiocytes and multinucleated giantcells, and microabscess formation. However,other diseases must be excluded. On the basis of the differental presentation, microbiology and biopsy evalution, surgeons could classify granulomatous mastitis. Subsequently，conventional surgery, surgical excision after steroid therapy,and anti-mycobacterium drug and immunosuppressive treatment regimen can be carried out for individual treatment.

Key words: granulomatous mastitis；corynebacterium；steroids therapy； , anti-mycobacterium drug