论文部分内容阅读
本文分析25例女性乳房丝虫性结节的临床表现,病理形态特点并对鉴别诊断进行讨论。 病理主要表现为丝虫寄生于乳房淋巴管内而引起急性淋巴管炎及嗜酸性肉芽肿反应。21例发现成虫,4例发现微丝蚴。 肉芽肿主要由结核样淋巴管炎、嗜酸性细胞、淋巴细胞、单核细胞及少量上皮样细胞等组成浸润;在肉芽肿附近常可见到扩张的淋巴管。 本病易误诊为其它疾病,诊断时需要注意与浆细胞性乳腺炎、结核性乳腺炎、乳房脂肪坏死、乳腺囊性增生、乳腺癌等病鉴别。
This article analyzes 25 cases of female breast fibroids nodules clinical manifestations, pathological features and differential diagnosis are discussed. The main pathological manifestations of filarial parasites in the breast lymphatic vessels caused by acute lymphangitis and eosinophilic granulomatous reaction. 21 cases found adult, 4 cases found microfilariae. Granuloma mainly by tubercular lymphangitis, eosinophils, lymphocytes, monocytes and a small amount of epithelial-like cells infiltration; often seen near the expansion of lymphatic vessels in the granuloma. The disease is misdiagnosed as other diseases, the diagnosis needs attention and plasma cell mastitis, tuberculous mastitis, breast fat necrosis, breast cystic hyperplasia, breast cancer and other diseases identification.