A control study between catheter drainage following ultrasound-guided vacuum-assisted rotary excision and traditional excision in treatment of granulomatous mastitis in abscess phase_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

ZHANG Haiyan ¹ , WAN Hangyu ¹ , WANG Pin ² ,  LUO Jing ¹ , YANG Feng ¹ , XU Jicheng ³ , HU Huihua ¹ , FENG Jinyan ¹ , WEN Jing ¹

1. Department of Breast and Thyroid Surgery, Sichuan Provincial Hospital for Women and Children, Chengdu 610045, P. R. China;
2. Department of Breast and Thyroid Surgery, The Third People’s Hospital of Chengdu City, Chengdu 610015, P. R. China;
3. Department of Pathology, Sichuan Provincial Hospital for Women and Children, Chengdu 610045, P. R. China;

Corresponding author：

LUO Jing, Email: 1318497642@qq.com

Keywords：

granulomatous mastitis; abscess phase; minimally invasive rotary excision; drainage

DOI：

10.7507/1007-9424.201810001

Video：

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Objective To compare curative effect of catheter drainage following ultrasound-guided vacuum-assisted rotary excision and traditional excision in treatment of granulomatous mastitis in abscess stage. Methods A total of 38 patients with granulomatous mastitis in abscess phase from December 2016 to March 2017 in the Third People’s Hospital of Chengdu City and from March 2017 to October 2017 in the Sichuan Provincial Hospital for Women and Children were included as a study group, who were received the catheter drainage following ultrasound-guided vacuum-assisted rotary excision. A total of 38 similar cases from July 2015 to November 2016 in the Third People’s Hospital of Chengdu City were collected as a control group according to the 1∶1 matching principle, who were received the traditional excision. The therapeutic period, postoperative appearance of breast, and recurrence rate were compared between these two groups. Results Compared with the control group, the therapeutic period was significantly shorter (t=74.000, P<0.001), the postoperative appearance of breast was significantly better (χ²=7.280, P=0.007) in the study group, while the recurrence rate had no significant difference (χ²=0.559, P=0.455) between these two groups. Conclusions Catheter drainage following ultrasound-guided vacuum-assisted rotary excision shows advantages in postoperative therapeutic period and appearance of breast and doesn’t increase relapse rate as compared with traditional surgery for patients with granulomatous mastitis in abscess stage.

Citation： ZHANG Haiyan, WAN Hangyu, WANG Pin, LUO Jing, YANG Feng, XU Jicheng, HU Huihua, FENG Jinyan, WEN Jing. A control study between catheter drainage following ultrasound-guided vacuum-assisted rotary excision and traditional excision in treatment of granulomatous mastitis in abscess phase. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2019, 26(1): 67-71. doi: 10.7507/1007-9424.201810001 Copy

1.	Kessler E, Wolloch Y. Granulomatous mastitis: a lesion clinically simulating carcinoma. Am J Clin Pathol, 1972, 58(6): 642-646.
2.	中华预防医学会妇女保健分会乳腺保健与乳腺疾病防治学组. 非哺乳期乳腺炎诊治专家共识. 中国实用外科杂志, 2016, 36(7): 755-756.
3.	吴恢升, 伍建春, 郑昶, 等. 120 例肉芽肿性乳腺炎保守治疗的临床研究. 中国普外基础与临床杂志, 2016, 23(2): 225-228.
4.	闵三旭, 郎荣刚, 傅西林, 等. 89 例肉芽肿性乳腺炎的临床病理学特征分析. 中华乳腺病杂志 (电子版), 2013, 7(3): 15-19.
5.	Yukawa M, Watatani M, Isono S, et al. Management of granulomatous mastitis: a series of 13 patients who were evaluated for treatment without corticosteroids. Int Surg, 2015, 100(5): 774-782.
6.	郭祯, 熊丽. 肉芽肿性乳腺炎的综合治疗及整形修复. 江西中医药大学学报, 2016, 28(6): 37-40.
7.	於恩桥, 赵柳华, 唐祖雄, 等. 特发性肉芽肿性乳腺炎的诊断与治疗 (附 33 例报道). 中国普外基础与临床杂志, 2015, 22(8): 985-988.
8.	Dobinson HC, Anderson TP, Chambers ST, et al. Antimicrobial treatment options for granulomatous mastitis caused by corynebacterium species. J Clin Microbiol, 2015, 53(9): 2895-2899.
9.	王永胜, 吴炅, 宋丽华 (主译). 乳腺病学. 第 5 版. 山东科学技术出版社, 2018: 57-62.
10.	Velidedeoglu M, Kilic F, Mete B, et al. Bilateral idiopathic granulomatous mastitis. Asian J Surg, 2016, 39(1): 12-20.
11.	Al Manasra AR, Al-Hurani MF. Granulomatous mastitis: a rare cause of male breast lump. Case Rep Oncol, 2016, 9(2): 516-519.
12.	徐红, 王立众, 霍翔, 等. 浆细胞性乳腺炎的外科治疗. 中华普通外科杂志, 2013, 28(4): 305-306.
13.	王颀, 杨剑敏, 于海静. 肉芽肿性乳腺炎的诊断与处理原则. 中国实用外科杂志, 2016, 36(7): 734-738.
14.	Altintoprak F, Kivilcim T, Ozkan OV. Aetiology of idiopathic granulomatous mastitis. World J Clin Cases, 2014, 2(12): 852-858.
15.	Destek S, Gul VO, Ahioglu S. A variety of gene polymorphisms associated with idiopathic granulomatous mastitis. J Surg Case Rep, 2016, 2016(9). pii: rjw156.
16.	张超杰, 孔成. 非哺乳期乳腺炎的免疫学研究进展. 大连医科大学学报, 2014, 36(4): 307-313.
17.	Hida T, Minami M, Kawaguchi H, et al. Case of erythema nodosum associated with granulomatous mastitis probably due to Corynebacterium infection. J Dermatol, 2014, 41(9): 821-823.
18.	Taylor GB, Paviour SD, Musaad S, et al. A clinicopathological review of 34 cases of inflammatory breast disease showing an association between corynebacteria infection and granulomatous mastitis. Pathology, 2003, 35(2): 109-119.
19.	Yu HJ, Deng H, Ma J, et al. Clinical metagenomic analysis of bacterial communities in breast abscesses of granulomatous mastitis. Int J Infect Dis, 2016, 53: 30-33.
20.	刘晓雁, 佟琳, 罗强, 等. 肉芽肿性小叶性乳腺炎细菌学分析. 广东医学, 2016, 37(16): 2454-2456.
21.	Nikolaev A, Blake CN, Carlson DL. Association between hyperprolactinemia and granulomatous mastitis. Breast J, 2016, 22(2): 224-231.
22.	Destek S, Gul VO, Ahioglu S, et al. Pituitary adenoma and hyperprolactinemia accompanied by idiopathic granulomatous mastitis. Case Rep Endocrinol, 2017, 2017: 3974291.
23.	Pandey TS, Mackinnon JC, Bressler L, et al. Idiopathic granulomatous mastitis—a prospective study of 49 women and treatment outcomes with steroid therapy. Breast J, 2014, 20(3): 258-266.
24.	于海静, 王颀, 杨剑敏, 等. 肉芽肿性乳腺炎的临床病理特征及其综合治疗. 中华乳腺病杂志 (电子版), 2013, 7(3): 20-23.
25.	Karanlik H, Ozgur I, Simsek S, et al. Can steroids plus surgery become a first-line treatment of idiopathic granulomatous mastitis? Breast Care (Basel), 2014, 9(5): 338-342.
26.	王品, 吴剑, 罗静, 等. 多孔硅胶管引流应用于乳腺导管扩张症脓肿型的临床研究. 中华乳腺病杂志 (电子版), 2015, 9(5): 316-319.
27.	Chu AN, Seiler SJ, Hayes JC, et al. Magnetic resonance imaging characteristics of granulomatous mastitis. Clin Imaging, 2017, 43: 199-201.

1. Kessler E, Wolloch Y. Granulomatous mastitis: a lesion clinically simulating carcinoma. Am J Clin Pathol, 1972, 58(6): 642-646.
2. 中华预防医学会妇女保健分会乳腺保健与乳腺疾病防治学组. 非哺乳期乳腺炎诊治专家共识. 中国实用外科杂志, 2016, 36(7): 755-756.
3. 吴恢升, 伍建春, 郑昶, 等. 120 例肉芽肿性乳腺炎保守治疗的临床研究. 中国普外基础与临床杂志, 2016, 23(2): 225-228.
4. 闵三旭, 郎荣刚, 傅西林, 等. 89 例肉芽肿性乳腺炎的临床病理学特征分析. 中华乳腺病杂志 (电子版), 2013, 7(3): 15-19.
5. Yukawa M, Watatani M, Isono S, et al. Management of granulomatous mastitis: a series of 13 patients who were evaluated for treatment without corticosteroids. Int Surg, 2015, 100(5): 774-782.
6. 郭祯, 熊丽. 肉芽肿性乳腺炎的综合治疗及整形修复. 江西中医药大学学报, 2016, 28(6): 37-40.
7. 於恩桥, 赵柳华, 唐祖雄, 等. 特发性肉芽肿性乳腺炎的诊断与治疗 (附 33 例报道). 中国普外基础与临床杂志, 2015, 22(8): 985-988.
8. Dobinson HC, Anderson TP, Chambers ST, et al. Antimicrobial treatment options for granulomatous mastitis caused by corynebacterium species. J Clin Microbiol, 2015, 53(9): 2895-2899.
9. 王永胜, 吴炅, 宋丽华 (主译). 乳腺病学. 第 5 版. 山东科学技术出版社, 2018: 57-62.
10. Velidedeoglu M, Kilic F, Mete B, et al. Bilateral idiopathic granulomatous mastitis. Asian J Surg, 2016, 39(1): 12-20.
11. Al Manasra AR, Al-Hurani MF. Granulomatous mastitis: a rare cause of male breast lump. Case Rep Oncol, 2016, 9(2): 516-519.
12. 徐红, 王立众, 霍翔, 等. 浆细胞性乳腺炎的外科治疗. 中华普通外科杂志, 2013, 28(4): 305-306.
13. 王颀, 杨剑敏, 于海静. 肉芽肿性乳腺炎的诊断与处理原则. 中国实用外科杂志, 2016, 36(7): 734-738.
14. Altintoprak F, Kivilcim T, Ozkan OV. Aetiology of idiopathic granulomatous mastitis. World J Clin Cases, 2014, 2(12): 852-858.
15. Destek S, Gul VO, Ahioglu S. A variety of gene polymorphisms associated with idiopathic granulomatous mastitis. J Surg Case Rep, 2016, 2016(9). pii: rjw156.
16. 张超杰, 孔成. 非哺乳期乳腺炎的免疫学研究进展. 大连医科大学学报, 2014, 36(4): 307-313.
17. Hida T, Minami M, Kawaguchi H, et al. Case of erythema nodosum associated with granulomatous mastitis probably due to Corynebacterium infection. J Dermatol, 2014, 41(9): 821-823.
18. Taylor GB, Paviour SD, Musaad S, et al. A clinicopathological review of 34 cases of inflammatory breast disease showing an association between corynebacteria infection and granulomatous mastitis. Pathology, 2003, 35(2): 109-119.
19. Yu HJ, Deng H, Ma J, et al. Clinical metagenomic analysis of bacterial communities in breast abscesses of granulomatous mastitis. Int J Infect Dis, 2016, 53: 30-33.
20. 刘晓雁, 佟琳, 罗强, 等. 肉芽肿性小叶性乳腺炎细菌学分析. 广东医学, 2016, 37(16): 2454-2456.
21. Nikolaev A, Blake CN, Carlson DL. Association between hyperprolactinemia and granulomatous mastitis. Breast J, 2016, 22(2): 224-231.
22. Destek S, Gul VO, Ahioglu S, et al. Pituitary adenoma and hyperprolactinemia accompanied by idiopathic granulomatous mastitis. Case Rep Endocrinol, 2017, 2017: 3974291.
23. Pandey TS, Mackinnon JC, Bressler L, et al. Idiopathic granulomatous mastitis—a prospective study of 49 women and treatment outcomes with steroid therapy. Breast J, 2014, 20(3): 258-266.
24. 于海静, 王颀, 杨剑敏, 等. 肉芽肿性乳腺炎的临床病理特征及其综合治疗. 中华乳腺病杂志 (电子版), 2013, 7(3): 20-23.
25. Karanlik H, Ozgur I, Simsek S, et al. Can steroids plus surgery become a first-line treatment of idiopathic granulomatous mastitis? Breast Care (Basel), 2014, 9(5): 338-342.
26. 王品, 吴剑, 罗静, 等. 多孔硅胶管引流应用于乳腺导管扩张症脓肿型的临床研究. 中华乳腺病杂志 (电子版), 2015, 9(5): 316-319.
27. Chu AN, Seiler SJ, Hayes JC, et al. Magnetic resonance imaging characteristics of granulomatous mastitis. Clin Imaging, 2017, 43: 199-201.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

A control study between catheter drainage following ultrasound-guided vacuum-assisted rotary excision and traditional excision in treatment of granulomatous mastitis in abscess phase

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