The treatment of plasma cell mastitis is mainly surgery, but the recurrence rate is often high because of the incomplete removal of abscess or focus. Excessive mastectomy may directly lead to breast deformation or breast loss due to simple mastectomy, which seriously affects the quality of life of patients. The patients in this group adopted different individualized surgical methods according to different types before operation, and achieved good therapeutic effects.

(1) Mass is the main manifestation: the diseased mammary duct is removed from the nipple root, and the whole glandular lobe where the diseased mammary duct is located is removed along the direction of the mammary duct. Incomplete excision is easy to recur, and the incision near the nipple is easy to break, forming a chronic fistula that is difficult to heal, and it is often necessary to surgically remove the residual lesions and fistula tissue again. Patients with inverted nipple should be treated together and sutured in one stage. For those who have multiple inflammatory nodules outside the areola, and there is no abscess, and the inflammation involves dermal tissue, it is not necessary to remove the diseased skin and maintain the appearance, but the subcutaneous inflammatory nodules must be scraped clean until the normal dermis is exposed, and then wiped several times with diluted compound iodine. The removal range of mass lesions is large, which seriously affects the appearance. After washing the wound El with diluted complex iodine solution, the intact gland was separated into gland flaps, that is, the distal gland was separated from subcutaneous and pectoral fascia, and the blood supply of the gland and gland flap near the nipple was reserved, and the distal gland was transferred to the cavity for partial filling and fixation. The appearance of breast after operation is beautiful and harmonious.

(2) Breast fistula is the main manifestation: this type is more complicated, and it is more common in cases of nipple depression. If the nipple root is squeezed, a large amount of cheese-like substance overflows from the nipple, and only when the nipple is everted can the fistula be removed. If the nipple is squeezed and there is no nipple discharge, it is necessary to split the nipple. When the skin around the fistula is red and swollen or pus flows out, it is not advisable to rush to surgery. The drainage dressing should be cut first, and the pus should be reduced before surgery. The operation was centered on IZl, and the skin around the fistula and the involved inflammatory tissue were removed.

(3) Abscess is the main manifestation: if pus rarely forms, it can be treated according to the principle of mass treatment. If you have multiple abscesses and have a sense of fluctuation, you should first cut and drain them. After the inflammation is controlled and new tissue is formed in the wound E 1, a second operation should be performed to remove the diseased mammary duct and the surrounding inflammatory granuloma tissue. If it is common mastitis, it is suggested to use breast red light therapeutic instrument to relieve mastitis.

(4) Catheter dilator: Generally, the diseased mammary duct and the whole glandular lobe are removed at the nipple root, and the lesion, especially the lesion in the large mammary duct under the areola, must be completely and fully removed, otherwise it is easy to recur. Gently squeeze the nipple before and after the operation, rinse the nipple with normal saline, and keep the nipple area clean and dry; To prevent recurrence caused by blockage of mammary duct holes.

(5) Mixed type: generally, the course of disease is long and rare. Patients with breast abscess should be cut and drained first, and dressing should be changed in time to drain pus after operation. However, the dressing change time should not be too long, and most cases will form a new abscess again in a short time. Timely surgical resection is the best treatment. If there is a fistula, it is necessary to reconstruct the nipple to deal with the fistula and remove the skin at the edge of the lesion when removing the lump and abscess. For patients with long course of disease, wide range of lesions and large range of surgical resection, skin gland flap rotation is needed, with low postoperative recurrence rate and good breast appearance.