The Retrospective Research On58Granulomatous Mastitis Datum Of Cases

Objective Analyze and summarize the experience about diagnosis and remedy ofGM. Provide the reference for forming the clinical guidelines of GM to guide clinicalpractice.Methods Collect the information and data of patient who were received anddiagnosed GM by Mammary and Thyroid Surgery Ward in Shandong Traditional ChineseMedicine Hospital, and survey these patients' satisfaction with the therapeutic effect byfollowing-up visit. Retrospectively study their inspecting findings and therapies tosummarize clinical experience.Results1.By following-up visit, in58GM patient there are47ones who aresatisfied with the treatment outcome, but11ones are not. And5patient recur.2. Thenumber of patient who are between25and35years old is largest, and occupy84.5%of thetotal number. GM can attack at all seasons, but mainly attack in autumn and winter. Thepatient all are married, and mostly give birth to one child. Time of nursing is almost under10months, and they often attack within one year after childbirth.21ones of the patients'diseased breasts once are collided or attacked mastitis, and occupy36%of the total number.The patient who attack with one side breast more than bilateral, and left ones more thanright.3. Divide the disease process into three periods: tumor period, purulency period anddyke break period. There are15patient in tumor period,26ones in purulency period, and17ones in dyke break period.4. The inspection results of most patient in tumor period arenormal, but ones in purulency period and dyke break period may appear WBC, N, PLT andFib rise.31patients' PRL rise, and8of whom exist pituitary microadenoma by MRI.5.Give the patient of tumor period antibiotics after operation. To the patient of purulencyperiod and dyke break period, give antibiotics to them before cutting the abscess if WBC and N rise, and continuely use antibiotics after the second operation. All patient are giventraditional Chinese medicine after operation.Conclusion1. Form the result of following-up visit, the remedy of ShandongTraditional Chinese Medicine Hospital Mammary and Thyroid Surgery Ward is effective,and the patient are mostly satisfied with that.2. The diagnosis of GM critically depends onsymptoms, signs, color Doppler ultrasound and cytological examination, but thepathological diagnosis is the final and golden criterion.3. Formulating the GM'stherapeutic schedule based on the different period: tumor period, purulency period anddyke break period. Because GM is easy to recurrent, the scope of surgery should be biggerthan the diseased region better. But keeping the breasts' shape is consideration. Give thepatient traditional Chinese medicine after the operation to promote recovery.