Objective To explore the procedure options in the treatment for acute plasma cell mastitis with minimal compromise to breast appearance. Methods The clinical data of 19 cases diagnosed as acute plasma cell mastitis from 2007 to 2010 were analyzed retrospectively. All the patients were adopted the same protocol as the combination of traditional Chinese medicine，abscess drainage at the proper moment，and the excision of focal mass after the acute inflammatory response diminish. Results The duration from taking traditional Chinese medicine to lumpectomy in all the patients were from 63 d to 97d，and the average time was 78d. Seven cases were treated with antibiotic before lumpectomy and 12 cases were treated with abscess drainage，and all the patients were cured satisfactorily. All the patients were followed up for 24-48 months with an average 36 months， there was no recurrence，and the shape of the treated breast remained consistent with the contralateral side，with the natural shape and smooth skin，and an undetectable thready mammary areola incision left. Conclusion The combination of traditional Chinese and Western medicine could treat acute plasma cell mastitis efficiently and with an advantage of minimal compromise to breast appearance.
Objective To sum up experiences in diagnosis and treatment for Hashimoto′s disease (HD). Methods Clinical records of 78 patients who underwent operations and were diagnosed as Hashimoto′s disease by histologic examination in our hospital from Jan. 1988 to Dec. 1998 were analyzed. Results Seventy females and 8 males, aged 9 to 70 years (average of 41.6 years). HD was coexistent with 10.3% of thyroid gland malignant tumor, 23.1% of adenoma and 30.8% of other thhroid gland diseases. The misdiagnosis rate was 35.9% and missed diagnosis rate was 46.2%. The clinical feature of HD and most common cause of misdiagnosis and missed diagnosis have been discussed. Conclusion It is emphasized that patients with diffuse goiter, palpable nodules, lighty color on scintillation scintigraphy, elevation of antimicosomiaux and antithyroglobuline but no finding on Bus should be highly suspected of having Hashimoto′s disease.