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《Chinese Journal of Current Advances in General Surgery》 2005-04
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Investigation of the difference between mammary duct ectasia(MDE)and plasma cell mammitis(PCM)

ZHAO Hong-mei~1,LEI Yu-tao~1,HOU Kuan-yong~1,PEI Fei~2 ~1Department of General Surgery,~2Department of Pathology,Peking University the Thi- rd Hospital (Beijing 100083,China)  
Objective:To analyze the difference between mammary duct ectasia(MDE)and plasma cell mammitis(PCM).Methods:The data of 24 cases of MDE and 28 cases of PCM,including clinical manifestations,distinguished diagnoses,surgical therapy,pathological results,were analyzed.Results:The clinical manifestations of MDE are nipple discharge and breast mass,which should be distinguished with breast mass and early stage of breast cancer.The treatment is local resection.Major pathological changes are duct ectasia and obvious periductal inflammatory changes.The clinical manifestations of PCM are breast mass and inflammatory changes,which should to be distinguished with advanced breast cancer and inflammatory breast cancer.The surgical treatment is extensive resection.The major pathological changes are inflammatory reaction and multiple abscesses in breast tissue.Conclusion:MDE and PCM are significant different,and they are different progressing stage of disease,thus the two diagnoses are independent.
【CateGory Index】: R655.8
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