Li ZY, Sun XM, Li JW, Liu XF, Sun ZY, Chen HH, Dong YL, Sun XH. Treatment of bilateral granulomatous lobular mastitis during lactation with traditional Chinese medicine: A case report. World J Clin Cases 2021; 9(27): 8249-8259 [PMID: 34621888 DOI: 10.12998/wjcc.v9.i27.8249]
Corresponding Author of This Article
Xiao-Hui Sun, MD, PhD, Additional Professor, Department of Breast Thyroid Surgery, The Affiliated Hospital of Shandong University of Traditional Chinese Medicine, No. 16369 Jingshi Road, Jinan 250014, Shandong Province, China. xiaohui_ctm@163.com
Research Domain of This Article
Health Care Sciences & Services
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Zhi-Yuan Li, Department of Health Care, The Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250014, Shandong Province, China
Xiao-Mei Sun, Department of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu 610066, Sichuan Province, China
Jing-Wei Li, Xiao-Fei Liu, Zi-Yuan Sun, Han-Han Chen, Yan-Ling Dong, Xiao-Hui Sun, Department of Breast Thyroid Surgery, The Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250014, Shandong Province, China
Author contributions: All authors contributed equally to the literature search, data collection (including figures), and manuscript writing; Li ZY and Sun XH mainly analysed and wrote the manuscript; Sun XM, Li JW, and Liu XF edited the figures and paragraphs; Sun ZY, Chen HH, and Dong YL corrected the data analysis and manuscript text; all authors read and approved the final manuscript.
Supported byNatural Science Foundation of Shandong Province, No. ZR2017BH107; the Shandong Province TCM Science and Technology Development Program, No. 2019-0090 and No. 2019-0160; Jinan Clinical Science and Technology Innovation Plan, No. 202019157; the Qilu Hygiene and Health Leading Talent Cultivation Project, Lwrz[2020]No. 3; and the Zhaoyang Talent Project of the Affiliated Hospital of Shandong University of Traditional Chinese Medicine.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest for this manuscript.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiao-Hui Sun, MD, PhD, Additional Professor, Department of Breast Thyroid Surgery, The Affiliated Hospital of Shandong University of Traditional Chinese Medicine, No. 16369 Jingshi Road, Jinan 250014, Shandong Province, China. xiaohui_ctm@163.com
Received: May 12, 2021 Peer-review started: May 12, 2021 First decision: June 15, 2021 Revised: June 29, 2021 Accepted: August 2, 2021 Article in press: August 2, 2021 Published online: September 26, 2021 Processing time: 126 Days and 17.4 Hours
Abstract
BACKGROUND
Granulomatous lobular mastitis (GLM) is a type of benign chronic inflammatory disease that poses therapeutic challenges to healthcare providers. The diagnosis of GLM relies on tissue biopsy, and incorrect treatment may lead to delayed diagnosis, considerable aesthetic damage, and even mastectomy.
CASE SUMMARY
We report the case of a 37-year-old Chinese woman who was lactating and had GLM in both breasts. At the time of treatment, the right breast had a mass of approximately 15 cm × 11 cm, which was hard and had poor mobility. Multiple skin ulcerations and pus spills were also observed on the surface of the breast. The left breast had a mass of about 13 cm × 9 cm, which was hard and had poor mobility.
CONCLUSION
Herein, we report a case of bilateral GLM in a lactating woman that was successfully treated with traditional Chinese medicine (TCM), without the requirement for surgery or other treatments. Therefore, TCM may have advantages in the nonsurgical treatment of GLM.
Core Tip: The treatment of granulomatous lobular mastitis (GLM) with traditional Chinese medicine (TCM) combined with external treatment has a significant positive effect coupled with a low recurrence rate. Thus, TCM is considered an appropriate treatment modality for the majority of patients with GLM and can also protect the appearance of the breast.
