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Surgical Management of Recurrent Plasma Cell Mastitis in a Male Patient: A Case Report
Ting Yang1, Haijiao Luo2, Jing Zhou1
1Department of Breast and Thyroid, Women and Children's Hospital of Chongqing Medical University: Chongqing Health Center for Women and Children, Chongqing, People's Republic of China.
Introduction:
Plasma Cell Mastitis (PCM) is a rare, chronic inflammatory breast disorder that primarily affects females, although there are occasional reports in males. This case report details an instance of PCM in a male patient, underscoring the diagnostic and therapeutic complexities associated with this condition.
Patient Concerns:
The male patient presented with a palpable parapapillary mass, erythema, and localized breast pain.
Diagnoses:
Radiological and histopathological assessments confirmed the diagnosis of PCM.
Interventions:
Initial management included conservative pharmacological therapy, which was ineffective. Subsequently, the patient underwent a minimally invasive surgical intervention to address the breast lesion. However, 10 months post-surgery, a recurrence necessitated a total subcutaneous mastectomy.
Outcomes:
Despite surgical interventions, the recurrence of PCM highlights the challenges in managing this condition. Complete resolution was achieved following the total subcutaneous mastectomy.
Conclusion:
This case underscores the importance of recognizing and addressing PCM in male patients. It highlights the absence of a standardized clinical treatment protocol and emphasizes the necessity for personalized management approaches, especially in recurrent cases.