乳腺癌保乳术后脂肪坏死4例误诊分析

Analysis of 4 cases of misdiagnosis of fat necrosis after breast conserving surgery

目的探讨乳腺癌保乳术后脂肪坏死的病因和发病机制、临床表现、诊断要点、误诊原因及治疗方法。方法对2013年至2017年医院收治的4例乳腺癌保乳术后脂肪坏死患者的临床资料进行回顾性分析。结果4例乳腺癌保乳术脂肪坏死患者均为女性，术后给予化疗及全乳放疗。1例发生在手术区域，3例发生在非手术区域。2例误诊为乳腺炎，2例误诊为乳腺癌术后局部复发。结论乳腺癌保乳术后脂肪坏死发病率较高。全乳放疗可能会导致乳腺癌保乳术后脂肪坏死发生率增高。

Objective To investigate the etiology, pathogenesis, clinical manifestation, diagnosis, misdiagnosis and treatment of fat necrosis after breast conserving surgery for breast cancer. Methods The clinical data of 4 patients with fat necrosis after breast conserving surgery from 2013 to 2017 were retrospectively analyzed. Results Four cases of breast cancer with breast fat necrosis werewomen. Chemotherapy and whole breast radiotherapy were given after operation. the operation area, and 3 cases occurred in the non operative area. Two cases were One case occurred in misdiagnosed as mastitis and 2 cases were misdiagnosed as local recurrence after operation of breast cancer Conclusions The incidence of fat necrosis in breast cancer after breast radiotherapy may lead to an increase in the incidence of fat breast conserving surgery is high. Total necrosis after breast conserving surgery.