Cargando…
Granulomatous mastitis in multiparae during pregnancy and lactation: Observational study (STROBE compliant)
The incidence of granulomatous mastitis (GLM) in multiparae as seriously affected the quality of life and breastfeeding of pregnant women after delivery, but the treatment is rarely reported. In this article, the development, healing, and lactation of 13 cases were reported and a retrospective analy...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8238367/ https://www.ncbi.nlm.nih.gov/pubmed/34160380 http://dx.doi.org/10.1097/MD.0000000000025912 |
_version_ | 1783714890825859072 |
---|---|
author | Ding, Song-tao Gao, Ya-jun Qin, Chun-xin Liu, Hong-yan Zhang, Hong-wei Li, Yan Zhang, Yi |
author_facet | Ding, Song-tao Gao, Ya-jun Qin, Chun-xin Liu, Hong-yan Zhang, Hong-wei Li, Yan Zhang, Yi |
author_sort | Ding, Song-tao |
collection | PubMed |
description | The incidence of granulomatous mastitis (GLM) in multiparae as seriously affected the quality of life and breastfeeding of pregnant women after delivery, but the treatment is rarely reported. In this article, the development, healing, and lactation of 13 cases were reported and a retrospective analysis was performed. 10 cases of GLM were treated at the Breast Disease Prevention and Treatment Center of Haidian Maternal & Child Health Hospital of Beijing and 3 cases of GLM were treated in the Breast Department of Weihai Municipal Hospital of Shandong province from February 2017 to May 2019. Among the 13 patients, conservative symptomatic treatment was adopted during pregnancy and lactation: anti-infective therapy consisting of oral cephalosporin antibiotic for patients; ultrasound-guided puncture and drainage of pus or incision and drainage after abscess formation. Observation continued during the sinus tract phase. Postpartum breastfeeding was encouraged, especially on the affected side. In this study, the median healing time was 20 months and the average healing time was 30.4 months in 5 healthy breast lactation cases. In 8 cases of bilateral breast lactation, the median healing time was 30 months and the average healing time was 26.5 months. Linear regression test analysis: whether the affected breast was breast-fed after delivery had no effect on the postpartum wound healing time, P = .792. The wounds of 13 patients healed well after lactation, and none of them recurred since the last follow-up visit. There were no adverse events in all infants. Conservative symptomatic treatment for GLM of multiparous women during pregnancy and lactation and encouraging breastfeeding after delivery have no effect on infant health and the recovery time of patients. |
format | Online Article Text |
id | pubmed-8238367 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-82383672021-07-06 Granulomatous mastitis in multiparae during pregnancy and lactation: Observational study (STROBE compliant) Ding, Song-tao Gao, Ya-jun Qin, Chun-xin Liu, Hong-yan Zhang, Hong-wei Li, Yan Zhang, Yi Medicine (Baltimore) 4100 The incidence of granulomatous mastitis (GLM) in multiparae as seriously affected the quality of life and breastfeeding of pregnant women after delivery, but the treatment is rarely reported. In this article, the development, healing, and lactation of 13 cases were reported and a retrospective analysis was performed. 10 cases of GLM were treated at the Breast Disease Prevention and Treatment Center of Haidian Maternal & Child Health Hospital of Beijing and 3 cases of GLM were treated in the Breast Department of Weihai Municipal Hospital of Shandong province from February 2017 to May 2019. Among the 13 patients, conservative symptomatic treatment was adopted during pregnancy and lactation: anti-infective therapy consisting of oral cephalosporin antibiotic for patients; ultrasound-guided puncture and drainage of pus or incision and drainage after abscess formation. Observation continued during the sinus tract phase. Postpartum breastfeeding was encouraged, especially on the affected side. In this study, the median healing time was 20 months and the average healing time was 30.4 months in 5 healthy breast lactation cases. In 8 cases of bilateral breast lactation, the median healing time was 30 months and the average healing time was 26.5 months. Linear regression test analysis: whether the affected breast was breast-fed after delivery had no effect on the postpartum wound healing time, P = .792. The wounds of 13 patients healed well after lactation, and none of them recurred since the last follow-up visit. There were no adverse events in all infants. Conservative symptomatic treatment for GLM of multiparous women during pregnancy and lactation and encouraging breastfeeding after delivery have no effect on infant health and the recovery time of patients. Lippincott Williams & Wilkins 2021-06-25 /pmc/articles/PMC8238367/ /pubmed/34160380 http://dx.doi.org/10.1097/MD.0000000000025912 Text en Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) |
spellingShingle | 4100 Ding, Song-tao Gao, Ya-jun Qin, Chun-xin Liu, Hong-yan Zhang, Hong-wei Li, Yan Zhang, Yi Granulomatous mastitis in multiparae during pregnancy and lactation: Observational study (STROBE compliant) |
title | Granulomatous mastitis in multiparae during pregnancy and lactation: Observational study (STROBE compliant) |
title_full | Granulomatous mastitis in multiparae during pregnancy and lactation: Observational study (STROBE compliant) |
title_fullStr | Granulomatous mastitis in multiparae during pregnancy and lactation: Observational study (STROBE compliant) |
title_full_unstemmed | Granulomatous mastitis in multiparae during pregnancy and lactation: Observational study (STROBE compliant) |
title_short | Granulomatous mastitis in multiparae during pregnancy and lactation: Observational study (STROBE compliant) |
title_sort | granulomatous mastitis in multiparae during pregnancy and lactation: observational study (strobe compliant) |
topic | 4100 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8238367/ https://www.ncbi.nlm.nih.gov/pubmed/34160380 http://dx.doi.org/10.1097/MD.0000000000025912 |
work_keys_str_mv | AT dingsongtao granulomatousmastitisinmultiparaeduringpregnancyandlactationobservationalstudystrobecompliant AT gaoyajun granulomatousmastitisinmultiparaeduringpregnancyandlactationobservationalstudystrobecompliant AT qinchunxin granulomatousmastitisinmultiparaeduringpregnancyandlactationobservationalstudystrobecompliant AT liuhongyan granulomatousmastitisinmultiparaeduringpregnancyandlactationobservationalstudystrobecompliant AT zhanghongwei granulomatousmastitisinmultiparaeduringpregnancyandlactationobservationalstudystrobecompliant AT liyan granulomatousmastitisinmultiparaeduringpregnancyandlactationobservationalstudystrobecompliant AT zhangyi granulomatousmastitisinmultiparaeduringpregnancyandlactationobservationalstudystrobecompliant |