Analysis of Plasma Cell Mastitis Misdiagnosed by Ultrasound
ZHANG Kun
ZHOU Xing-wei
YU Jie
HU Xiao-long
SONG Xing-ling
Abstract：Objective To investigate misdiagnosed causes of plasma cell mastitis (PCM) in order to improve the diagnosis and treatment.Methods Clinical data of 15 patients with PCM misdiagnosed by ultrasound admitted during January 2008 and December 2016 was retrospectively analyzed.Results The misdiagnosis rate was 17.44％.Misdiagnosed time was (5.32±1.32)d, Among the 15 patients, there were 4 patients misdiagnosed as having mammary fibroma, 4 patients misdiagnosed as having breast cysts, 3 patients misdiagnosed as having breast abscess, 2 patients misdiagnosed as having breast cancer and 2 patients misdiagnosed as having intraductal papilloma.Cytological examination by puncture was performed in 8 patients, and other 7 patients underwent mass excision, and all patients were confirmed PCM by pathological examination.Among them, 3 patients underwent symptomatic treatments such as puncture and drainage, and were discharged after conditions had been improved;12 patients underwent selectively surgical resection and postoperatively symptomatic treatments, and then were discharged after having been cured.All patients were followed up for 3 months-2 years, all patients'' conditions were stable without recurrence.Conclusion Clinicians should enhance understanding of clinical manifestation, signs and imaging results of PCM patients and improve diagnosis and treatment so as to reduce or avoid misdiagnosis and mistreatment of PCM.
Keywords：Plasma cell mastitisUltrasonographymammaryMisdiagnosisBreast cystBreast neoplasms
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 73-75 )