Clinical characteristics, classification and surgical treatment of periductal mastitis

Journal of Thoracic Disease
Yanna ZhangQiang Sun

Abstract

This study aimed to describe the clinical characteristics of periductal mastitis (PDM), propose the practical clinical classification system and evaluate the results of different surgical treatments in different type of PDM patients. A retrospective study was carried out at department of breast surgery, Peking Union Medical College Hospital, Beijing, China. A total of 152 patients with the diagnosis of PDM were reviewed from March 2012 to December 2016. All of the patients underwent surgery. Data were collected regarding clinical manifestation, treatment, and outcomes. The median age was 36 years. A subareolar breast mass was the most frequent symptom. The most common clinical manifestations were mass (98.0%), rubefaction (41.1%), nipple retraction (36.8%), abscess (36.8%), skin ulceration (25.7%), and mammary duct fistula (19.1%). Fourteen (9.2%) patients were recurrent PDM at first hospitalization. Eight (5.3%) patients had prolactinoma. Five (3.3%) patients were taking antipsychotic medications. Only four (2.6%) patients were smokers. Eight patients were highly suspected to be breast cancer before surgery. A four-type classification system was first proposed according to clinical manifestations. The different surgeries in ea...Continue Reading

Citations

Nov 2, 2019·Scientific Reports·Chun-Ming ChangWen-Yao Yin
Feb 20, 2020·Insights Into Imaging·Ömer ÖnderFigen Demirkazık
Feb 6, 2021·The British Journal of Radiology·Naziya SamreenSamantha L Heller
Feb 2, 2021·Annals of Medicine and Surgery·Ayad Ahmad Mohammed

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