Mastitis and inflammatory breast cancer must not be mixed

A 22-year-old girl was shocked when she was admitted to a hospital: her acute mastitis was almost treated as a breast cancer by a doctor and she was "moving." Originally, she went to the hospital for breast disease and was diagnosed as "inflammatory breast cancer" in the outpatient department. She was prepared to do breast cancer surgery. It was a time when youth was ill and how the girl could afford it. She washed her face in tears all day long. When she went to the Cancer Hospital of the Chinese Academy of Medical Sciences to find Prof. Yuhong Yu, she immediately turned from great sadness to overjoyed, because Yu Dafu told her that her mammary gland was not a malignant tumor and she did not even have a tumor. He only suffered from acute breast cancer. inflammation". After symptomatic treatment, the inflammation disappeared and she was happily recovered from the hospital.

Another 44-year-old woman is not so lucky. She was diagnosed as "acute mastitis" by a hospital. I do not know how much medicine she has eaten. I haven't said for a long time. The disease is getting heavier and the axillary lymph nodes are swollen. She also found Dr. Hongyu Yu, who passed the examination to confirm her diagnosis of "inflammatory breast cancer," and developed a comprehensive treatment plan. First interventional therapy, rest for 2 weeks until the inflammation, edema, tumor significantly reduced and improved, Yu Dafu made a simple resection of her breast and skin graft repair, radiotherapy after surgery, and achieved good results.

Yu Dafu said that the two diseases are easily confused because of similar symptoms: local red, swollen, hot, and nipple retraction, but they should not be confused. First of all, because of the difference in symptoms, inflammatory breast cancer has a long history of the above symptoms, no pain; mastitis is a short duration, young or have a history of breastfeeding, there are pain and other inflammation, may also be associated with increased body temperature, leukocytosis Wait.

Second, the nature of the two is different, and the treatment and prognosis are different. Mastitis symptomatic anti-inflammatory treatment can be cured. For inflammatory breast cancer, it is generally not suitable for immediate surgery. Interventional treatment may be performed first, and systemic chemotherapy or radiotherapy may be used to create conditions for surgery. Without interventional treatment, preoperative chemotherapy or radiotherapy can also be performed, and surgery can be performed after 2 weeks of rest. After the operation, appropriate comprehensive treatment can be given according to the patient's condition. If inflammatory breast cancer is misdiagnosed and mistreated, it will be very difficult to treat. Therefore, the differential diagnosis of the two diseases is very important for the patient.

According to Dr. Yu, in general general hospitals, due to lack of experience, doctors misunderstood inflammatory breast cancer misdiagnosed as mastitis are common, and young oncologists often misdiagnose the latter as the former. It can be seen that as a surgeon, it is necessary to tighten the tune of the "tumor" at all times, not allow the tumor to escape from one's own hands, and not to "get out of the wood", causing unnecessary injury and suffering to the patient.

This case was selected from the two sections of the monograph "Problems of Cancer Surgery -- Experiences and Lessons" in Chapter 5 "Breast Tumors" written by Prof. Yu Hongxuan, "Breast Infection" and "Breast Cancer."

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