乳腺良性疾病谱;治疗的批判性回顾:单一中心经验

V. Singh, A. Singh, Pranab Kumar Verma, Sumantra Sircar, Vishal Mohan Singh, A. Jha
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摘要

背景:乳腺良性疾病不是癌症。这些症状通常会自行消失,或者很容易治疗。因为一些良性乳房疾病会增加你将来患癌症的风险,你可能需要对你的良性乳房疾病进行后续检查或检查,这些疾病包括从乳房痛、乳头溢液到离散性肿块等一系列疾病。在少数病例中,丹那唑、溴隐亭、樱草油和维生素E胶囊的医疗管理与手术干预具有重要意义。材料与方法:对101例乳房痛、乳头溢液及乳房肿块患者进行内科或外科治疗。治疗后随访患者症状缓解情况。结果:绝大多数患者(n=64)表现为乳房痛。其余患者表现为乳头溢液和离散性肿块。大多数患者(n=75)使用达那唑、亚油酸或维生素e治疗,85%的患者对给予的治疗满意。结论:乳腺良性疾病是一种多种症状并存的疾病。乳腺良性疾病在女性患者中很常见,纤维腺瘤是其中最常见的。三重评估给出了明确的诊断,并消除了患者对乳腺癌或任何其他严重疾病的不必要的焦虑。以内科治疗为主,少数病例有手术指征。
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Spectrum of Benign Breast Disease; a Critical Review of Therapy: A Single – Center Experience
Background: A benign breast condition is one that is not cancer. These conditions often go away on their own or are easily treated. Because a few benign breast conditions can increase your risk of getting cancer in the future, you may need to have follow-up tests or exams with your benign breast disease comprises a large spectrum of disease which ranges from mastalgia, nipple discharge to discrete lump. Medical management with Danazol, bromocriptine, primrose oil and Vitamin E capsules has importance along with surgical intervention in few cases. Materials and Methods: One hundred and one (n=101) patients with mastalgia, nipple discharge and breast lump were treated with medical or surgical management. Post treatment all patients were followed up for symptomatic relief. Results: Majority of the patients (n=64) presented with mastalgia. Rest of the patients presented with nipple discharge and discrete lump. Most patients (n=75) were treated with Danazol, Linoleic Acid or Vitamin E. 85% patients were satisfied with the treatment administered to them. Conclusion: Benign breast disease is a diverse spectrum with miscellaneous symptoms. Benign breast diseases are common in female patients and fibroadenoma is the commonest of them all. Triple assessment gave a firm diagnosis and it eliminates un­necessary anxiety in the patients about breast cancer or any other serious illness. Medical management is mainstay with indication of surgery in few cases.
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